Thoracic Outlet Syndrome (TOS) is a very common diagnosis, affecting approximately 8% of the population. Pain with TOS often presents anywhere between the neck, face, occipital region or into the chest, shoulder, with paresthesia into the upper extremity. Just all other syndromes this diagnosis encompasses a host of signs and symptoms and doesn’t tell us the specific pain generator. TOS can be broken down into neurogenic TOS (95-98% of cases according to Davidovic et al. 2003) vs. vascular TOS. Of Vascular there can be either Arterial TOS or Venous TOS. Despite this vague diagnosis, this article will demonstrate 7 Exercises to beat TOS.
Cervical radiculopathy is defined as cervical nerve root compression. Many times, what causes this so-called compression is things like herniated disc material or arthritic bone spurs. It's essentially the "sciatica" of the upper extremity. Common symptoms include neck and radiating arm pain which can travel all the way down into the fingers. Often, this pain is accompanied by sensory disturbances (i.e. pins-and-needles or burning sensations) and even loss of muscle function in more severe cases (muscle weakness and abnormal reflexes). Headaches, neck pain, and scapular pain can also accompany cervical radiculopathy. While not as common as sciatic nerve irritation (only a 0.4% prevalence rate), it can be just as debilitating and a significant cause of neck pain and disability. In this article, we will show you assessment and cervical radiculopathy treatment approaches that you and your physical therapist can employ to get you out of pain!
Do you have a headache after a whiplash injury? Do you experience pain that seems to start in the neck and then spread to one side of your head or arm? Does moving your head seem to start your headache or exacerbate your pain when you have a headache?
If you answered yes to any of those questions, there’s a high chance you have a type of headache known as a cervicogenic headache. Lucky for you, there’s an extremely qualified healthcare provider (ie a Physical Therapist) who can help alleviate your pain. In addition, we'll show you some stellar cervicogenic headache exercises for you to try at home.
Functional Range Conditioning (FRC), created by @drandreospina, is essential to incorporate into your practice. FRC focuses on improving mobility. Mobility, in an FRC sense, is defined as STRENGTH + CONTROL in order to expand upon usable ranges of motion, articular resilience (i.e. load bearing capacity), and overall joint health. Prioritizing FRC principles in your training and [P]Rehab program can be a huge game changer! This article will provide you an intro to FRC principles provided with exercise examples.
Mike was in China learning from the godfather of the Clinical Practice Guidelines himself, Dr. Joe Godges. Here a great exercise for pepole with neckpain, especially those with whiplash-induced neck pain, that targets not only the deep cervical flexors, but also the deep cervical extensors! Pay close attention to the cueing, as activation of the deep cervical extensors should be emphasized at selected spinal levels for the management of segmental dysfunction.