|12-06-2008, 02:49 PM||#1|
Join Date: Apr 2007
Thanked 3 Times in 3 Posts
Upper thoracic spine dysfunction
A question for the group
I see a lot of patients with head and neck pain in my practice. I have seen several patients recently with chronic lateral neck and shouldler pain, usually a constant ache with burning type feeling down to the medial scapular border. A common finding seems to be significant restriction of upper T spine motion, usually flattened position at rest, or even one with a reversal of the thoracic curve.
Does anyone have any thoughts on the mechanism or suggestons for treatment approach?
|12-06-2008, 03:03 PM||#2|
Human Primate Social Groomer and Neuroelastician
Join Date: Mar 2004
Location: Weyburn Sask.
Thanked 8,325 Times in 3,799 Posts
What have you tried so far?
What possibilities have you entertained already?
Neurotonics PT Teamblog
Canadian Physiotherapy Pain Science Division (Archived newsletters, paincasts)
Canadian Physiotherapy Association Pain Science Division Facebook page
WCPT PhysiotherapyPainNetwork on Facebook
Neuroscience and Pain Science for Manual PTs Facebook page
SomaSimple on Facebook
"Rene Descartes was very very smart, but as it turned out, he was wrong." ~Lorimer Moseley
“Comment is free, but the facts are sacred.” ~Charles Prestwich Scott, nephew of founder and editor (1872-1929) of The Guardian , in a 1921 Centenary editorial
“If you make people think they're thinking, they'll love you, but if you really make them think, they'll hate you." ~Don Marquis
"In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists" ~Roland Barth
"Doubt is not a pleasant mental state, but certainty is a ridiculous one."~Voltaire
|12-06-2008, 06:51 PM||#3|
Join Date: Feb 2006
Location: The Netherlands, Amsterdam
Thanked 439 Times in 209 Posts
A restriction of upper T spine motion has direct influence on shoulder-arm mobility. Perhaps this can be a cause for relevant nerves to move differently and become "irritated".
I had some astonishing (good) results in using Mulligans technique "snags & nags". For example when abd./elevation is painfull the same movement combined with manual pressure on the homolat. (sometimes the contralat.) side of C5-6 (a kind of manual rotation "impuls") mostly becomes non-painfull and free.
Explanation for this might well be stimulation of rami cutaneii.
I have no proof for this but had many good results.
"There is no such thing as a standard or run-of-the-mill human being"
"Without imperfection neither you nor I would exist" Stephen Hawking
|Thread||Thread Starter||Forum||Replies||Last Post|
|UPPER RIBS||howertja||General Discussion||12||30-11-2007 11:14 PM|
|position and dysfunction!?||Baecker||General Discussion||8||08-06-2006 11:12 AM|