Isaac, a few thoughts:
why do you say the 1st rib is a problem? Is it scalene spasm? Is this a result of poor breathing technique in an asthmatic or a cervical spine disorder. Why is her neural system irritable, what is altering it's tension? What about pec minor (and even major). What is the clavicle doing? What is happening at the shoulder? Does she actually have a nerve root compression/irritation if she gets weakness with gripping,or is it simply as you say a thoracic outlet problem? What about thoracic spine mobility? Is shoulder retraction helping or hindering (people adopt postures to resolve neural tension problems - this may be shoulder protraction in her case, and retraction may be making things worse.
---
Scott Epsley
PHYSIOTHERAPIST
Northside Sports Injury Centre
Brisbane, Australia.
e-mail: [log in to unmask]
On Mon, 19 Feb 2001 14:36:51
Neumann Isaac Rutger, Granheim wrote:
>My wife probably has a problem with the right thoracic outlet. Abduction 90
>degrees and making a fist a couple of times results in loss of power.
>Sometimes her fingers also get swollen. Bearing a (heavy) bagsack results in
>pain/paresthesias in shoulder arm region. I'm busy trying to solv this with
>stretching neck/shoulder, mobilizing first rib, strenghtening
>shoulderretractors and massage. I'm not very experienced in this field
>however. Can someone give me some more tips?
>
>Isaac
>
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