Medical Massage For Carpal Tunnel & Thoracic Outlet Syndrome

http://medicalmassage-edu

European Cranio-Sacral Therapy, Thoracic Outlet Syndrome, Rotator Cuff Syndrome, Frozen Shoulder, Tennis/Golf Elbow, Carpal Tunnel Syndrome, Post-Isometric Relaxation, Shoulder Rehabilitative Exercise

The pathogenesis of thoracic outlet syndrome can be linked with the anatomy of the anterior scalene muscle. The anterior scalene muscle starts from the transverse processes of C3-C6, slanting downward and forward, and inserts into the first rib. When it contracts, the head bends to the same side and forward.
The causes of anterior scalene muscle syndrome are:
1. Cervical spondylosis -- Spinal nerves C3-C8 provide motor innervation to the anterior scalene muscle. Their irritation or compression evokes increased tension in the anterior scalene muscle.
2. Chronic overload and muscular strain -- Chronic physical overload of the anterior scalene muscle or its strain also produce the clinical picture of anterior scalene muscle syndrome. Because the anterior scalene muscle participates in inspiration, patients with bronchial asthma frequently have anterior scalene muscle syndrome.
3. Visceral pathology -- The heart and lungs are innervated by the same segments of the spinal cord as the anterior scalene muscle. Thus, chronic cardiac and pulmonary disorders evoke reflex zones in the anterior scalene muscle and are responsible for anterior scalene muscle syndrome. Radiating pain to the left arm caused by this syndrome can also mimic heart pathology.
The brachial plexus is located between the anterior scalene and middle scalene muscles. If the tonus of the anterior scalene muscle is increased, the brachial plexus is found in the sphincter between these two muscles. As a result, the brachial plexus becomes chronically irritated and produces a rich neurological picture. The spinal nerves of C7-C8 are involved to the greatest degree (C6-C7 and C7-T1 segments of spine.)
Anterior scalene muscle syndrome causes an abundance of circulatory problems. The subclavian artery and vein pass between the anterior scalene muscle and the first rib. An over-tensed muscle can compress the artery and vein, or evoke their vasospasm by irritation of the brachial plexus. Compression of the subclavian artery produces symptoms of insufficient blood supply to the upper limb; compression of the subclavian vein produces symptoms of insufficient blood drainage (edema). Additionally, the anterior scalene muscle can compress the vertebral artery or evoke vasospasm by irritating its sympathetic plexus.


Clinical symptoms
The main clinical symptom is pain that increases: at night, during deep breathing, when the head is bent and turned to the unaffected side, and when the arm is abducted. The pain spreads to the shoulder, armpit and lateral part of the thoracic cage. Also, patients complain about numbness and paraesthesia on the ulnar edge of the hand (hypothenar and 4th-5th fingers) and arm. One of the most important diagnostic signs is diversity of vasomotor changes. These can be the result of insufficient arterial blood supply to the arm (pain in the hand especially after exposure to lower temperatures; pale, cold skin; cyanosis; weak pulse) or insufficient venous blood drainage from the arm (edemas and increased skin temperature). If anterior scalene muscle syndrome exists for a long period of time, without adequate treatment, the hand will lose its strength because of muscle atrophy mostly at the ulnar edge of the arm and the hypothenar.
An important clinical sign involves Wartenberg's test. If the examiner palpates in the spot where the anterior scalene muscle inserts into the first rib, local pain will appear. This test allows the practitioner to differentiate anterior scalene muscle syndrome can secondarily evoke rotator cuff syndrome. This is a very important diagnostic test because irritation of the brachial plexus by an over-tensed anterior scalene muscle can secondarily evoke rotator cuff syndrome. if the practitioner mistakenly starts treatment of this pathology as a rotator cuff syndrome, it will not yield significant results because the real cause of the problem is anterior scalene muscle syndrome.

Category:

Entertainment

Tags:

• Thoracic
• Outlet
• Syndrome
• carpal
• tunnel
• school
• CEU

[chuzka2]

I wish every MT were as professional and dedicated as you are! Keep up the great job to enhance the positive impact of MT on the healthcare professions! MT deserve better recognition and a better spot on the healthcare pyramid.... Thank you for sharing your knowledge!

[mgaft1]

@chuzka2 Thank you very much for nice , rewarding words. It just inspiring me to do more. Absolutely agree with you, meantime massage therapy is not enough recognized and must be a better spot on the healthcare pyramid, and for this there is no other reason but significant healing power. Soon I will offer serious of the video lessons scientifically explaining what I have said. Every doctor will understand this language and most likely will referr .

Best wishes.

Boris

[sn6469]

Hello:

I am in St. Charles, MO and would like to know if you have information as to anyone in this area who has taken your seminar and knows your techniques well...very well. I have Thoracic Outlet Syndrome and would like to use massage therapy to help with the pain. Thanks for any information you can provide.

[mgaft1]

@sn6469 Sorry to hear that you have developed Thoracic Outlet Syndrome. I never presented live seminars at St. Charles, MO, but my continuing education home programs approved by national Board and possible that some practitioners from area, choosed my CEs. I will ask my coworkers to check if somebody took it ,and will update you. Wishing you to get well fast.

Boris

[DnlMysticGoku]

Hi, my friend has CTS and is scheduled to have surgery soon, but as a massage therapist, I recommended against it as I would like to help them alleviate the pain. They have a severe condition though and there is bad numbing in the hand often. Does this mean there is nerve damage? If so, then the surgery wouldn't help the already set in damage, right? How does one help that?

Thanks

[mgaft1]

@DnlMysticGoku "bad numbing in the hand "doesn't mean that there is severe nerve damage.if your friend already develop severe weakness,and at the time when doctor checking reflexs and founding significant decrease or non, then it's possible nerve damage.in any caseEMG study must. Most cases CTS can be successfully managed by specially designed massage therapy protocol. sooner one will start treatment bigger chance to prevent nerve damage.I wish to your friend fast recovery.Best wishes

[mikefutureherping]

It is him. He's filming his new show, "Bizarre Massage".

[chimonkey123]

The man on the table looks exactly like Andrew Zimmern.

[lilbl6]

@rageagaintstheNWO My bad

[rageagaintstheNWO]

@lilbl6 What were you talking about? Even in this video Boris demonstrates the massage for carpal tunnel syndrome. These are just demos anyway. You have to buy his DVD`s if you want the whole thing.

[DnlMysticGoku]

Thanks!