Medical Massage For Carpal Tunnel -Thoracic Outlet Syndrome

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.

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YouTube | April 7, 2007

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