|12-06-2008, 02:49 PM||#1|
Join Date: Apr 2007
Thanked 1 Time in 1 Post
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|
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Join Date: Mar 2004
Location: Weyburn Sask.
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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
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|12-06-2008, 06:51 PM||#3|
Join Date: Feb 2006
Location: The Netherlands, Amsterdam
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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.
"It's a poor sort of memory that only works backwards".
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