Category Archives: Thoracic

Needling Lower Trapezius Helps Unilateral Neck Pains

Needling the lower trapezius muscle was found beneficial in chronic neck pain. I was so taken with the approach then had to injecting lower trap(with muscle relaxed rather than stretched) that I had to include a pic of actual treatment … Continue reading

Posted in Manual Med, Mechanical aids, myofascial pain, Neck, Thoracic | Leave a comment

Chest Wall Cancer Treatments

Very clearly defined treatments for chest wall cancer makes it easy to know what to do.

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What Causes Hand Tingling in Computer Terminal Operators – More Myofascial Than You Would Think

The causes of hand tingling in computer operators were : myofascial pain syndrome, 68%;  cervical radiculopathy (arm sciatica), 27%;  shoulder rotator cuff syndrome, 11%;   forearm tenosynovitis, 8%;  and carpal tunnel syndrome, 5%.

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Unilateral Interscapular Pains – Dorsal Scapular Nerve Entrapment – Forgotten and Now Rediscovered

    About 30 years ago, I attended a course given by Drs. Travell and Simon.  Dr. Simon was discussing interscapular pains and Dr. Travell mentioned – don’t forget the scalenes – something that Dr. Simon replied he was getting … Continue reading

Posted in Back Pain, myofascial pain, Neck, Thoracic, thoracic outlet syn | 6 Comments

Breast– (Some Post Mastectomy) & Chest Wall Pains – Easy Fix

Study of Scapulothoracic Bursitis – Though 78.6%  presented with the breast/chest pain, a tender area was found posteriorly on the medial aspect of the shoulder blade(scapula). Injection of steroid to area relieved the breast/chest pain as well in 83.5% of … Continue reading

Posted in breast cancer, breast pain, chest pain, shoulder, Thoracic | 2 Comments

Bad Thoracic Back Pain and Desperate? -Early Case of Peripheral Nerve Field Stimulation

Some cases of thoracic back pains can get horrendous – partially because there are pain generators coming form both thoracic spine and neck, and because postural and instability effects are rampant there as well. It seems that measures may only … Continue reading

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Thoracic Intra-Articular Meniscoid Folds – A Plaisable Pain Generator

Detailed dissection of Thoracic Facets has found 62% of them hold and intra-joint mensicoid fold(s) – some with blood vessels. The addition of craggy clefts, cartilage damage, ulcers and hemmorhage all suggest they could be pain generators.

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Costovertebral Joint Pain Referrals

Costovertebral (rib) joints are just starting to be recognized as a source of pain. A recent provocative study demonstrated their referral patterns

Posted in Back Pain, Thoracic | 2 Comments

Pulsed Radiofrequency – New Hope for “Sciatica”/radiculitis of Neck and Back – but where available?

Traditional treatments for referred nerve pain of neck and back have been inadequate. As mentioned previously, opioids and other pain modifying medications work poorly in radiculitis, leading to an American summation that there is no proved drug treatment for radiculopathy. … Continue reading

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