Thoracic Outlet Syndrome (TOS) is a fairly 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 based on where the symptoms are originating from. Similar to other conditions, this diagnosis encompasses a host of signs and symptoms, yet does not always 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 (1). Furthermore, vascular TOS can further be subdivided into either Arterial TOS or Venous TOS. In this article, we will help you understand what thoracic outlet syndrome is, the causes behind it, and excellent exercises for thoracic outlet syndrome!ย 

Have you ever experienced pain in or around your jaw from chewing, yawning, or even with simple mouth opening movements? Do you experience a clicking sensation when you open and close your mouth, or that you are unable to open your mouth as far as usual? If you experience any of the following signs or symptoms, you may be dealing with what is known as a temporomandibular disorder (TMD). Breaking down this term into multiple parts to understand its origin, โ€œtemporoโ€ is derived from the term โ€œtemporalโ€, which is a bone on the outside portion of the skull, and the term โ€œmandibularโ€ is your jaw bone. These two bones meet and make up the temporomandibular joint (TMJ). When you think of a clinical condition related to the jaw and/or jaw pain, who is the first healthcare provider that comes to your mind who would manage that condition? Maybe a dentist or an orthodontist, right? In actuality, physical therapists have joined healthcare providers at the forefront of TMD treatment! In this article, you will learn all about temporomandibular joint disorders and physical therapy treatment as we discuss physical therapy as a first-line approach for TMD. We review how to optimally evaluate and treat this condition with our scope of practice or refer accordingly to the appropriate healthcare provider.ย 

Are you dealing with a nagging discomfort in between your shoulder blade and your spine? No matter how many stretches you do, or how much time you spend foam rolling it, does it still persist? Pain in this area often gets labeled as a rhomboid issue because it is a relatively superficial muscle that you can appreciate from any anatomy chart. However, how to fix rhomboid pain sometimes may actually have little to do with the rhomboids. In this article, you'll learn the ultimate secret of how to fix rhomboid pain by taking a look at a very specific movement!

The perfect working desk posture is something that every worker in the world is trying to obtain. But what is it, exactly? Is it the classic seated position with hips, knees, and elbows all bent to a perfect 90 degrees? Or is it converting your desk to a standing work station, because standing has just got to be better than sitting, right? There is a growing sentiment amongst workers and non-workers alike that the "perfect posture" must be obtained to eliminate pain and discomfort. Furthermore, the phrase that "sitting is the new smoking" promoted by media outlets and fear-based advertising has effectively scared people from assuming comfortable sitting positions and popularized the use of standing work stations. We're going to put that notion that sitting is the new smoking to rest and show you what the actual perfect working desk posture looks like!

When you sit for a prolonged period of time do you notice some neck, back, or shoulder discomfort? We have all been there at some point in our lives. We can guarantee your back doesn't feel great after sitting still for 8 hours. Do not worry, this is completely normal. It is a good thing that your body is sending signals to your brain telling you itโ€™s not comfortable, listen to your body and move! Posture is a hot topic and is a bit misunderstood. There is no science backing up the perfect posture, however, this article will break down how you can improve postural pain.

A concussion is a mild form of a traumatic brain injury (TBI). It is considered part of the mild spectrum because there is no observable pathology; meaning that on standard imaging, you cannot see a concussion injury. A concussion is rather an injury that results in changes to how the brain functions โ€“ it is a functional injury. Concussions donโ€™t necessarily come from hits to the head. Concussions are due to the acceleration of the brain inside the skull. Although a hit to the head is the most likely cause, you can also sustain a concussion โ€“ this acceleration of the brain - from a hit to the body, or a fall, or a whiplash-type mechanism. However, we have good news! A concussion is treatable and in this article, we willย break down the science behind a concussion in addition to effective treatments for persistent concussion symptoms!

Neck pain is one of the most significant health problems worldwide, it is estimated that 22-70% of the population have neck pain at some time in their lives. It has also been suggested that the incidence of neck pain is increasing! It is ranked as the fourth leading cause of years lived with disability. Rates of reoccurrence and chronicity are reported to be high, which calls for preventive measures, or [P]Rehab! There is evidence suggesting you may reduce the risk of neck discomfort by approximately half with an exercise program. This article is a guide to improving mobility, control, and strength of your neck with the end goal of keeping your neck healthy and supple!

The importance of the deep stabilizing musculature of the neck for spinal segmental support and control has been demonstrated and clinical research indicates that many patients with neck pain have inadequate support from these muscles. Insufficiency in the pre-programmed activation of the cervical muscles, altered motor control recruitment patterns and increased fatigability have also been found in patients with neck pain. Further, the measured increased activation of the superficial cervical musculature in those with neck pain is thought to be a compensation for poor passive or active segmental support. This article will show you how to Strengthen your neck out of pain!

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, thereโ€™s a high chance you have a type of headache known as a cervicogenic headache. Lucky for you, there are extremely effective interventions for you including cervicogenic headache exercises!. In this article, you will learn everything you need to know about cervicogenic headache exercises so that you can start to feel better!

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