hello everyone,
I was working in the chronic pain clinic today and saw an interesting
case.
A patient aged 35 years complaining of anterior chest pain from the
right sternum across the chest with no apparent reason for onset.
She had an injection of steroid and local anaesthetic in May and was
attending the clinic as a review. I asked how she was after the
injection and she said that it had not helped much, if at all. So, I
asked her where her pain was. She drew her left hand across from the
inferior part of the right sternum to the right armpit. I wondered if it
could be pectoralis major.
I got her to lie supine with her right shoulder off the couch and
abducted her right arm, As I palpated the fibres of pec major in the
anterior fold of her armpit she said that that felt the same and worse
than her pain at her right sternum.
I was now fairly sure that the problem was a tight pec major and
proceeded to stretch it and perform some simple contract release
techniques. After about 5 minutes the patient was convinced that her
pain was gone. I showed her how to self stretch pec major if the pain
should recur.
Our knowledge of anatomy as physios is excellent and today especially I
felt glad that it gave me such a good result
Nicky Mackenzie
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