You have to love the concept of a physiotherapy video showing the anatomy of bones and muscles and their movement where the instructor is fully clothed.
Thank you! I was having weird pain/pressure in my neck/clavicle/pectoral area and was getting worried. I have been wearing posture garments so those muscles are being worked a lot and I dont know why but I skipped the thought that I would need to stretch and massage them. These techniques provided immediate relief!
Thank you for the information, it helped a lot. Felt like scalene on left side was very tight and causing pain. Felt much better after stretching it. I will continue! Makes me happy!
I m going to give all these a good try , hoping to get rid of that numbness in the first section of my left index finger !.....been numb for 6 years !! appreciate the detail explanation and directions
My collarbone actually popped out and was protruding under the skin (extremely painful). It has since gone back into place, but still painful. I had a feeling my first rib was involved. Thanks so much!! Your exercise has helped with the pain.
Holy shit, why did my physical therapist never tell me about the scalene muscles? So much tension has just been relieved. Like...I don't remember my neck feeling this relaxed....ever!
Freakin awesome. I had to figure my TOS on my own, without my Dr or Chiro after many many visits and couple of x-rays., from MT Bike fall 3 months ago. Video is great and the explanations and info are what I need to put my head straight and recover. This will surely aid my recovery, by affirming what my true condition is, and is so very empowering as to how I self repair, as I've done so many times before. Rest and controlling pain won't do it, (and screws up posture). I've subscribed and will watch the other videos. Thanks
Most doctors suck. I’ve been trying to get someone to help me for 17 months. 4 drs, 3 pts, seems like ivr learned more online than they know 😡 I’ve also decided I’m just going to have to fix myself. Sad
I’ve had this problem for 5 years. Dr, pt, and chiro said it’s just stress😁 after I detailed over and over my intense athletic and shoulder injury record and even mentioned bad posture…. I’m just so happy drs like this guy aren’t gate keeping their knowledge because I can’t even describe the relief I feel
I think you just saved my life dude. I've been dying of pain for the last week and have watched dozens of videos, this is the only one that's given me near-instantaneous relief. It's not 100% better but it's more than any doctor or other pieces of advice have given me. Thank you.
Picked up boxes at work today and my shoulder dropped and my back tightened up real quick. 8 hours later the spot between my chest and shoulder felt like it was burning and swelled up a little, then the numb/cold feeling in some fingers. Not confirmed I have it but these stretches feel amazing!
I have excruciating pain in left ear from tightness of the scalene muscle. Everytime I go the chiropractor to show me stretches to release the muscles he only says “ice them” the pain has been so bad that most days I dissociate from not being able to feel in my body & properly express myself front ignites of pain. THANK YOU FOR SAVING ME
My TOC has become intolerable, and I just discovered your WONDERFUL video. No other exercises have worked, sos , being desperate and disciplined, I', on my way with yorusensible instructions. Thank yo so much from all of us sufferers...Yes, I know: computer fallout!
@@bassk1000o turns out the main problem was lack of thoraciq extension so i did 2 exercises for extending the rib cage, then serratus anterior massage with foam roller, then stretching lats&pecs. right after that simple strenghtening exercise for rhomboid on a door frame and some L-fly for the infraspinatus. that's my routine. i do monkey bar hang also multiple times a day. in just a month headaches are gone, i'm finally aware of my deep neck flexors, my voice is deeper and thoraciq outlet is better. i've been like this for a decade so i don't expect to be released just like that but i'm very very happy with the progress. hope it'll helps anyone passing by
Yes, I have it bad. Ultimately had rib-resection surgery and they caused major nerve damage in the process. Plus, the TOS continued unabated. I’m very happy you are improving.
@@bfry817 only thing that helps my neck tension is massages and making sure my neck is aligned (it’s bad but I crack my neck when and it relieves the issues.. if I don’t keep up with it and remember to do it daily I get major issues). I highly recommend a chiropractor to do this for you Bc it’s not smart to do on your own but I can’t afford to right now
So much going on with the scapulae. It's so hard to diagnose the root problem as a laymen watching videos. I hurt something in my upper neck during a power clean.... Cervical/upper thoracic pain when looking down. Oddly enough, after every next power clean workout, it feels a bit better. I think my rhomboid/serratus got over loaded on the eccentric catch during a few bad reps, and it allowed some scapular winging and forward rounding of my shoulders that caused some further strain in my cervical spine. Facepulls have helped my neck feel better, but I think serratus strength would help in the long term. I seems like straight arm scapula strength is always the answer to shoulder problems. Whenever I quit the corrective exercises for a while, I start getting stupid injuries.
I want to add that the surgical options aren’t evil. If you’ve done 6 months of PT with no relief you may want to consider a surgeon who specializes in the procedure. I went through three years of increasing debilitating pain that I got major relief from after a two hour surgery. Even after having the scalenectomy and first rib resection I woke up with better posture than before. I was in less pain and my sleeping heart rate went down from 105 to 65. It wasn’t a fix all for me, but I would do it again.
So are you saying you have no pain in the upper body following this miracle surgery? Because thoracic outlet syndrome isnt just a first rib elevation with hypertonic scalenes. Its hypertonic, anterior scalene, hypertonic middle scalene, hypertonic posterior scalene, hypertonic pec minor, hypertonic coracobrachialis, hypertonic bicep short head, hypertonic subclavius, hypertonic intercostals, hypertonic trapezius, hypertonic middle triceps and the entire upper body on that side is soaking in inflammation that trips this muscle tension to all of these 10 muscles surrounding the outlet. But your doctor cuts out two muscles and a rib and all of a sudden all the other muscles are not hypertonic and the inflammation in the entire upper body on that side just drained away. Im sorry but after treating hundreds of TOS cases this comment is just giving TOS sufferers the wrong idea of what is really going on with a severe TOS condition. If you are reading this and have TOS you need to understand this cannot happen by the laws of nature
Thats reassuring as i have found out i have 1st and 3nd fused rib which woukd be why nothing works. Severe pain Tremmors right arm neck nerve pain and shoulder issues. Cant raise arm as goes heavy and numb and painful. They didnt think surgery is a good idea but since heart rate and BP is all over shop and i think its reason for autonmic dysfunction issues. Pulls riggt wnck out of alignment so no chiro or massage etc works. I have been tokd to stay away from surgery but at wits end so hoping if needed the 1st rib detached somehow from 2nd woukd resolve this ongoing domino effect as its deliberating
@@beatz3279I’m not your Dr. so I’m not giving you medical advice. What I can say is I went through PT for over four years while things just kept getting worse. I was getting more and more hunched over. Pain from all the nerves in my brachial plexus being compressed. Just like you I couldn’t raise my arm anymore and then my arm started to be colder than the other one. Once they went in they found that the rib had been broken and a lot of scar tissue kept building up around it. I still have some pain and numbness, but nothing like I had before. PT actually works now. So I still go to break up the scar tissue that’s still there and what buildup came from surgery. I would say it took about two full years after the surgery to feel much better. The first six months were more painful because of all the healing. I would do it all again though knowing what I know now.
Don't listen to this dude. If its its purely neurogenic TOS the chance of succes with surgery is relatively low plus you'll lose range of motion . Regardless your going to have to have thoracic extension and work out the upper back muscles. This is due to muscle imbalances. Work on your posture .
What's a bit frustrating is that I now where some of my muscle problems are and have done quite a bit of research on the web also visited with a chiropractor who is just a quick in and out visit (not very promising I'm doing better on my own). I wold like to go to a sports medicine PT group in my area but they won't treat unless referred by a doctor. Just another way to trap a fee for a visit.
Thanks for the great content. I tried a few of them and I felt the scalene muscles engaging the numbing of the elbow and the tingling of my fingers, and then relief later on. I'll work on that some more. Meanwhile I'm also feeling a deep blunt pain coming from the rhomboid muscles area (same side as the tingling / numbing elbow and fingers) and especially when I sneeze. Would that be the scalene muscles triggering that as well? Thx so much!
The scalene muscle is contracted. So stretching to the side actually involves using a 10 pound head pulling a contracted muscle to pull up on the first rib higher and higher into the outlet putting the artery, vein and nerves at risk of becoming compressed. We never stretch the scalenes in side bending. So many patients get worse after stretching scalene muscles with side bending of the neck. -
I know you can do mobilising the first rib a bit but I have over my first rib another full cervical rib.... Seen this ribs on xray. So which stretches I can do with this special forum of tos?
Does this help for thouracic Iinlet syndrome? I did have a thrombosis last year. I don’t want to get the first ripe surgery. Do i have to take anticoagulants for live time? I am only 28 years old. Or can this condition be treated by those stretches and better posture?
I have a fused 1st and 2md rib so nothing seems to help but surgery is very risky. Feeling trapped but its only deliberating since working in office so aggravated it worse. Caused raynauds and neck and thoraric inpringement and arm tremmors. At a loss what to do may have to have the ribs detatched
When i take a deep breath or shrug my shoulders, the rib on my left side is noticably higher and I can feel it. Been having a lot of neck/trap tightness, as well as scapula instability on that side. Do you think a first rib release would benefit me at all? Doctors I've seen don't have a clue whats causing my issues, because MRI doesn't show nerve issues
I wish the web had been around in the early 1990s when I had much of the pec minor removed from my right side. I had worked with a couple of therapists including one at the Rehab Institute in Chicago but I don't know. It was one doctor after another but unless the malady shows up on an x-ray, they just assume it is in the patent's head. I never mentioned I had scoliosis and nobody seemed to notice but I think the scoliosis and my bulked up muscles from working out were the causes of the pain.
The bulk of doctors in the 90s became doctors for money, not to help patients. Luckily that generation of doctors are retiring and now we've got a great new generation of true health advocates entering the system.
@@amandavenhaus Lol Doctors today will do the same don't kid yourself. True health advocates would have everyone on diets and exercising, not surgeries and pills. But surgeries and pills are where the money comes from.
Thank you for this video!! I am a PT always looking for new treatment ideas. I wonder if you can clarify something for me? During the stretch where you use a strap to depress the scalenes with deep breathing and shoulder elevation, you turn the head toward the affected side to relax the muscle. I thought the scalenes contract ipsilaterally to cause lateral flexion to the same side? Any input would be greatly appreciated :)
@@seemarie hi Carissa. Basically, a side tilt of the head (as is seen in the stretch with the strap) is caused by contraction of the scalene muscle group on the same side (or ipsilateral side). I was wondering how you can stretch a muscle while it’s contracting, but, upon reviewing the video again I can see the benefit of stretching in this way as the muscle becomes shortened & allows for mobilization of the 1st rib.
wow feel like this released alot of endorphins, neck feels alot more relaxed than ever after taking oxycodone for the last 2 years and being cut off it. only thing is that the scalene muscles seem to tighten straight back up, but i presume thats because the fibres have been tight for years.
THANK YOU! For months I've been trying to figure out if these thin fibers I've been messing with were nerves/vessels/muscles! So it is the bastard scalenes!
I've got my right side scalenectomy and first rib resection in two days to correct my venous and arterial TOS. Going to take a year to get the other side operated on to correct the arterial TOS on the left, this'll come in handy to keep me going until the other side can be operated on.
Have you gotten relief from the surgery? I have a patient who is considering this surgery but what to continue to look at people's personal experiences before I recommend the surgery to him. Also have you been exercising or playing sports after the surgery?
@@zacspruill So my symptoms were largely intermittent, luckily I managed to stay very mobile throughout the three year diagnostic process thanks to a high pain tolerance. I stretched a TON and credit a lot of my recovery to that. Coldness and nerve zaps were my primary symptoms as well as a "glove like" feeling anywhere from the shoulder girdle down. I had a thoracic MRI with contrast, a cervical MRI, shoulder MRI and wrist MRI that all showed nothing (doctors had no fucking clue what we were looking for). 3 EMG's that showed nothing, ultrasound of the elbow (cubital tunnel) that showed nothing. Once I finally got in with a vascular surgeon who understood TOS they did a bilateral active ultrasound, both lying down and sitting up where I moved through a range of motion while receiving the ultrasound which showed a complete lack of arterial and venous flow in my right arm during movement (primarily when sitting/standing) and full arterial restriction in my left arm. From there we booked my right side scalenectomy and first rib resection, and did a CT scan with iodine contrast to confirm I hadn't had an aneurysm or clot, and operated just over 5 weeks ago. Symptoms are currently still present, but I had a man diddling my nerves with his hands for 5 hours....so it'll take a bit to chill out. Full recovery is 6 months. But even if the symptoms persists a bit (impingement can now come from scar tissue as opposed to the tissues that were removed) I'm no longer at risk for clot and aneurysm which is great of course. If you want to speak further you can message me on instagram @saverio.sq I'm always pleased to help someone not go through the 3 year battle I went through to get help.
@@IAmSaveRio I messaged you on Insta earlier today. I really really appreciate it, man. I've been trying to get some answers regarding VTOC because it's so rare and I'm concerned I have it.
Whatever you do, do NOT do stretches since it will not only do it worse, but even damage the nerves and blood vessels. Prolonged stretching can lead to surgery. Weakened muscles should be strengthened, not stretched.
everything i try seems to help at first, placebo maybe idk, then it's bad whenever it feels like, i'll never be cured and never lift weights again, i'm so depressed
If you’ve gone months or years with pain it won’t take days or weeks to fix. You must be consistent. Do bodyweight training instead of lifting weights - practice planks in push-up position with your feet elevated. Dont ever give up
Wonderful video. Can TOS cause the top of your wrist to swell? My fingers are stiff, weak, can't grab anything. Have had numb finger issues, TOS, over the yrs and trigger point release always helped. Need to see someone my fingers, wrist, palm on, l. hand hurt and have no strength to do TP self release. Is there a point where surgery is the only option?
Not a doctor. Just my personal experience. YES! I ultimately had to have the surgery. Scalenectomy and first rib resection. They found my rib had been broken before and the scar tissue was getting out of control. Instead of taking two inches they had to take four. It’s been 11 months. The surgery didn’t fix everything so I’m doing PT on and off to help control it. It was worth it for me. I tried two years of PT beforehand, did the MRI (which almost always comes back negative) and then did the brachial plexus injection. I’m all in for PT, but learned the hard way that the non surgical preaching can become detrimental and dangerous for patients who suffer. The surgical approach is probably best for more patients than go that route because they’ve been convinced that surgery is of the devil 😂.
I went from pinching my nerves to pinching my blood vessels. If you’re getting swelling in the wrist and hand like I did you should consider seeing a surgeon that specializes in the procedure. What I didn’t want was to get to the point where the hand starts turning blue. At that point you might not have time to get into a specialist. You’ll wind up with someone who might have never performed the procedure. I live in the Kansas City area. I only have one surgeon here who does it. My next options were one person in St Louis, or Mayo Clinic in MN. I’m praying for you my friend.
WHAT ABOUT RELEASING THE FIRST RIB FROM THE T1 ATTACHMENT???! NOT ONLY SCALENES.. MY FIRST RIB NEEDS ALL ATTACHMENTS RELEASED! My kyphoscoliosis is a huge part plus bad cervical hyper lordosis and lateral translation.. These type of things are neglected in healthcare!?
Great video. I’ve noticed lately that whenever I do stretches/mobility exercises to open up my chest and get out of thoracic flexión, my left clavicle makes a popping or cracking sound when I initially move into the stretch/ perform the first rep. My upper traps and scalenes are very tight. I am working on correcting my breathing mechanics and properly acting my core so that I don’t flare my ribs as much but I’m not sure what this piping is about. Any ideas?
I have something similar if I twist my neck towards the opposite side so right for my left scalene it almost feels like it’s flexing over something or getting caught idk but it feels so strange and not right. Shit gets my anxiety pumping then I pay too much attention to sensations in my body 😭
how can a doctor determine if you have thoracic outlet syndrome? What type of DR is best to see? I'm currently in PT for upper back, shoulder, arm and neck pain. It doesn't seem to be getting better, either. But worse. The pain has now spread to my scalene and jaw area. My shoulder feels super heavy and I feel the pain go down my whole arm and it puts this pressure into my elbow, wrist, and fingers. No Dr, chiro, or PT has been able to help and I'm at a loss of what to do next.
You need to be tested by a good nerve doctor. Do not let them lay you on your back.it relieves pressure. Must sit upright. I have had this now for 14 years. I do not wish for operations...so I suffer. Look up thoracic outlet scars on Google...you will understand why.
Scalenes + PEC minor offer as secondary muscles to supplement inefficient breathing patterns. Which over works them and can make them chronicly tight. You can check if this is the cause by putting the scalenes into stretch to the side and breathing deeply. Compare the difference between breathing with your diaphram & upper chest (scalenes). If the scalenes are chronicly tight due to TOS or similar then there should be a significant difference in inferred pain.
Seems that poor posture and forward head posture eventually lead to TOS. Fixing posture should be number one priority. You might not need to have the TOS diagnosis, just work on your posture, do these exercises and life will be good!
Tried this and now my sternum and arms feel like they burn whenever I breathe in. Unfortunately it's the weekend and I can't go see any doctor. It did take the thumb pain away, but now I'm sure I damaged something else.
Great videos. May ask you, I'm worried that putting pressure on the brachial plexus and thoracic out with the ball or fingers might crush the nerves more. Is that possible? My thumb itself is wasting. Ice cold, thumb muscles going. It's already been eating my other arm and hand for 3 years. MRI shows no root compression. My back is very kyphotic and lordosic. Pain in should blades like toothache, feels like laying on lego bricks when laying down. Pain and tightness in tricep. Lumped up arm now. Regular cubital tunnel swelling and pain. Neck muscles hurt. I'm in the UK. The NHS is under staffed, under funded, too many patients. Getting nowhere apart from taking 3 years to have an MRI. No money for private. My life is my music, I finger pick guitar the same as Mark Knopfler. It is my whole life and has been since around 6 years old. I can't play.
Peter Gull, I know you posted 7 months ago but just wondered how you are now? Im in the UK too and have almost all the same symptoms as you. My physiotherapist actually showed me these exercises today. I have seen him twice and today he requested an Mri and told me I might need referred to the surgeons. NHS waiting times are horrendous, so will be waiting quite a while for surgery. Have you had nerve conduction studies? if you haven't had surgery, have you found anything that helps? As for using the ball for exercises in this video, no I don't think you will cause more nerve compression, I think the aim is to encourage the 1st rib to stay down in the correct position rather than popping up and compressing the nerves. I hope you are feeling a bit better, it's difficult living with chronic pain
Athlean x forward head posture. Do all the exercises. Wrap a band around the back of your neck and pull forward on the band then push your chin back. It's called the pro L. Do his exercises and this exercise and you'll be better immediately. Also strengthen your lower traps, stretch your upper pec and use active release. These will work for you.
Hi, I know it's 3 years ago now, but, I hope you were able to get some relief. Can I ask If you ended up needing surgery, and if so, how it went? or are you still waiting? :( My son has taken two bouts of upper limb ischemia ....after playing at school guitar performances. He's in a guitar scholarship program #music/life. He has been diagnosed with Arterial Thoracic outlet by the head of cardiothoracic at our local children's hospital and will require surgery, probably removal of the first rib and part of scalene. Dynamic ultrasound was used in the Diagnosing of his vascular TOS.
For a toddler or someone with T-Rex arms maybe it's blocked... you're the kinda person that puts your socks and t-shirt on before your bottoms amiright?
@@JayR-ct8pv Socks then underwear (doing it in this order can help prevent jock itch). Then shorts. Shirt is last. I just noticed they are stacking a bunch of stuff near it. Also the fire extinguisher is lacking signage. I am in the fire service and also do safety/emergency response. Probably more annoying than helpful but I am aiming to be the latter. =D
Really like your straight forward style without all the filler and binder. Just found you and subscribed look forward to more😁
Fantastic information thank you. I love that these are all things you can do at home with minimal cost and great rewards.
I felt a pop and feel better already. I have Fibromyalgia and felt the best relief in a long time. Thank you.
Thanks for this very clear and concise explanation plus the moves! Grateful
Now i got to know what make me suffer 2 years. Thank you so much
You have to love the concept of a physiotherapy video showing the anatomy of bones and muscles and their movement where the instructor is fully clothed.
Excellent! Thank you for your explanation and exercises.
YEARS OF PAIN NEARLY GONE! THANK YOUUU
Thank you! I was having weird pain/pressure in my neck/clavicle/pectoral area and was getting worried. I have been wearing posture garments so those muscles are being worked a lot and I dont know why but I skipped the thought that I would need to stretch and massage them. These techniques provided immediate relief!
Thank you, this helped me immensely.
Thank you for the information, it helped a lot. Felt like scalene on left side was very tight and causing pain. Felt much better after stretching it. I will continue! Makes me happy!
Superb. Neck and shoulder pain gone but more importantly my posture is reset to a healthy one. Thank you!
I m going to give all these a good try , hoping to get rid of that numbness in the first section of my left index finger !.....been numb for 6 years !! appreciate the detail explanation and directions
Very helpful, with a great explanation, thank you!
Wow instant relief. Thank you for sharing this information!
My collarbone actually popped out and was protruding under the skin (extremely painful). It has since gone back into place, but still painful. I had a feeling my first rib was involved. Thanks so much!! Your exercise has helped with the pain.
thanks for the info and demonstration!
OMG, thank you so much for making this video, so helpful!!!!
Holy shit, why did my physical therapist never tell me about the scalene muscles? So much tension has just been relieved. Like...I don't remember my neck feeling this relaxed....ever!
Brilliant! Thanking you sir.
Thanks! Hello from Salt Lake City!
Thank you for sharing this tutorial. Really enjoyed how you presented and explained the different exercises. Best regards, Henry
Freakin awesome. I had to figure my TOS on my own, without my Dr or Chiro after many many visits and couple of x-rays., from MT Bike fall 3 months ago. Video is great and the explanations and info are what I need to put my head straight and recover. This will surely aid my recovery, by affirming what my true condition is, and is so very empowering as to how I self repair, as I've done so many times before. Rest and controlling pain won't do it, (and screws up posture). I've subscribed and will watch the other videos. Thanks
hope youre feeling better. www.ncbi.nlm.nih.gov/pmc/articles/PMC6023437/
Most doctors suck. I’ve been trying to get someone to help me for 17 months. 4 drs, 3 pts, seems like ivr learned more online than they know 😡 I’ve also decided I’m just going to have to fix myself. Sad
I’ve had this problem for 5 years. Dr, pt, and chiro said it’s just stress😁 after I detailed over and over my intense athletic and shoulder injury record and even mentioned bad posture…. I’m just so happy drs like this guy aren’t gate keeping their knowledge because I can’t even describe the relief I feel
I think you just saved my life dude. I've been dying of pain for the last week and have watched dozens of videos, this is the only one that's given me near-instantaneous relief. It's not 100% better but it's more than any doctor or other pieces of advice have given me. Thank you.
Holy crap. That one with the thumbs locked feels great!
Wow. This helped immediately. Thank you!
Great video, approachable and practical for self-care and clients! Thank you
Picked up boxes at work today and my shoulder dropped and my back tightened up real quick. 8 hours later the spot between my chest and shoulder felt like it was burning and swelled up a little, then the numb/cold feeling in some fingers. Not confirmed I have it but these stretches feel amazing!
I have excruciating pain in left ear from tightness of the scalene muscle. Everytime I go the chiropractor to show me stretches to release the muscles he only says “ice them” the pain has been so bad that most days I dissociate from not being able to feel in my body & properly express myself front ignites of pain. THANK YOU FOR SAVING ME
Really Appreciate this
My TOC has become intolerable, and I just discovered your WONDERFUL video. No other exercises have worked, sos , being desperate and disciplined, I', on my way with yorusensible instructions. Thank yo so much from all of us sufferers...Yes, I know: computer fallout!
Oh my god I needed this video so bad!!
Have a pinched nerve in this exact area. I can feel tingling to my thumbs. Will try to see if this releases it.
weak deep neck flexors, weak rhomboids, weak post delt, weak rotator cuffs.... = tight scalenes = thoracic outlet syndrome, wrong tongue posture, cervical pain, weak voice, sinuses issues...
What did u do?
@@bassk1000o turns out the main problem was lack of thoraciq extension
so i did 2 exercises for extending the rib cage, then serratus anterior massage with foam roller, then stretching lats&pecs. right after that simple strenghtening exercise for rhomboid on a door frame and some L-fly for the infraspinatus. that's my routine. i do monkey bar hang also multiple times a day.
in just a month headaches are gone, i'm finally aware of my deep neck flexors, my voice is deeper and thoraciq outlet is better. i've been like this for a decade so i don't expect to be released just like that but i'm very very happy with the progress. hope it'll helps anyone passing by
@@Brakzer please do these exercises kept away from tos surgery ?
Yes, I have it bad. Ultimately had rib-resection surgery and they caused major nerve damage in the process. Plus, the TOS continued unabated. I’m very happy you are improving.
@@Brakzer this is the right one not stretching or massage smashing or anything
This makes so so so much sense for me. My scalenes are always tight and I get collar bone pain. Wow. Thanks! I hope this helps me
@@bfry817 only thing that helps my neck tension is massages and making sure my neck is aligned (it’s bad but I crack my neck when and it relieves the issues.. if I don’t keep up with it and remember to do it daily I get major issues). I highly recommend a chiropractor to do this for you Bc it’s not smart to do on your own but I can’t afford to right now
@@Bailsandbandit issue still present for u?
@@reygaming5820 yes unfortunately
So much going on with the scapulae. It's so hard to diagnose the root problem as a laymen watching videos. I hurt something in my upper neck during a power clean.... Cervical/upper thoracic pain when looking down. Oddly enough, after every next power clean workout, it feels a bit better. I think my rhomboid/serratus got over loaded on the eccentric catch during a few bad reps, and it allowed some scapular winging and forward rounding of my shoulders that caused some further strain in my cervical spine. Facepulls have helped my neck feel better, but I think serratus strength would help in the long term. I seems like straight arm scapula strength is always the answer to shoulder problems. Whenever I quit the corrective exercises for a while, I start getting stupid injuries.
15 plus years suffering with this syndrome Thanks!!! Mousing makes this worse
So useful! Thank you ~
Thank you!
Thanks again!
I loved this!!!
Thank you.
great stuff
Great ,,,,, it works ,,,,,,,,, God bless you sir
Great stretches
I have a knot in my scalenes and done tons of stretching and it won't go away.
This is GOOD stuff 💕 LOVE it!!! This is going to help my Parsonage Turner's Syndrome/brachial neuritis.....😁 Winner winner chicken dinner 🥳
I want to add that the surgical options aren’t evil. If you’ve done 6 months of PT with no relief you may want to consider a surgeon who specializes in the procedure. I went through three years of increasing debilitating pain that I got major relief from after a two hour surgery. Even after having the scalenectomy and first rib resection I woke up with better posture than before. I was in less pain and my sleeping heart rate went down from 105 to 65.
It wasn’t a fix all for me, but I would do it again.
So are you saying you have no pain in the upper body following this miracle surgery? Because thoracic outlet syndrome isnt just a first rib elevation with hypertonic scalenes. Its hypertonic, anterior scalene, hypertonic middle scalene, hypertonic posterior scalene, hypertonic pec minor, hypertonic coracobrachialis, hypertonic bicep short head, hypertonic subclavius, hypertonic intercostals, hypertonic trapezius, hypertonic middle triceps and the entire upper body on that side is soaking in inflammation that trips this muscle tension to all of these 10 muscles surrounding the outlet. But your doctor cuts out two muscles and a rib and all of a sudden all the other muscles are not hypertonic and the inflammation in the entire upper body on that side just drained away. Im sorry but after treating hundreds of TOS cases this comment is just giving TOS sufferers the wrong idea of what is really going on with a severe TOS condition. If you are reading this and have TOS you need to understand this cannot happen by the laws of nature
Thats reassuring as i have found out i have 1st and 3nd fused rib which woukd be why nothing works. Severe pain Tremmors right arm neck nerve pain and shoulder issues. Cant raise arm as goes heavy and numb and painful. They didnt think surgery is a good idea but since heart rate and BP is all over shop and i think its reason for autonmic dysfunction issues. Pulls riggt wnck out of alignment so no chiro or massage etc works. I have been tokd to stay away from surgery but at wits end so hoping if needed the 1st rib detached somehow from 2nd woukd resolve this ongoing domino effect as its deliberating
@@teamdoctors-ig2eu you’re clearly selling something.
@@beatz3279I’m not your Dr. so I’m not giving you medical advice. What I can say is I went through PT for over four years while things just kept getting worse. I was getting more and more hunched over. Pain from all the nerves in my brachial plexus being compressed. Just like you I couldn’t raise my arm anymore and then my arm started to be colder than the other one. Once they went in they found that the rib had been broken and a lot of scar tissue kept building up around it. I still have some pain and numbness, but nothing like I had before. PT actually works now. So I still go to break up the scar tissue that’s still there and what buildup came from surgery. I would say it took about two full years after the surgery to feel much better. The first six months were more painful because of all the healing. I would do it all again though knowing what I know now.
Don't listen to this dude. If its its purely neurogenic TOS the chance of succes with surgery is relatively low plus you'll lose range of motion . Regardless your going to have to have thoracic extension and work out the upper back muscles. This is due to muscle imbalances. Work on your posture .
What's a bit frustrating is that I now where some of my muscle problems are and have done quite a bit of research on the web also visited with a chiropractor who is just a quick in and out visit (not very promising I'm doing better on my own). I wold like to go to a sports medicine PT group in my area but they won't treat unless referred by a doctor. Just another way to trap a fee for a visit.
instant relief thanks
Can TOS increase blood pressure?
v good sir its work .....load some more for neck. pain
Thanks for the great content. I tried a few of them and I felt the scalene muscles engaging the numbing of the elbow and the tingling of my fingers, and then relief later on. I'll work on that some more. Meanwhile I'm also feeling a deep blunt pain coming from the rhomboid muscles area (same side as the tingling / numbing elbow and fingers) and especially when I sneeze. Would that be the scalene muscles triggering that as well? Thx so much!
The scalene muscle is contracted. So stretching to the side actually involves using a 10 pound head pulling a contracted muscle to pull up on the first rib higher and higher into the outlet putting the artery, vein and nerves at risk of becoming compressed. We never stretch the scalenes in side bending. So many patients get worse after stretching scalene muscles with side bending of the neck. -
So what do you suggest?
Is this good for elongated c7 transverse process?
How does the band not keep the clavicle locked down in addition to the 1st rib?
I know you can do mobilising the first rib a bit but I have over my first rib another full cervical rib.... Seen this ribs on xray. So which stretches I can do with this special forum of tos?
Can rotator cup causes pain in my side of my neck and pinching
nice video!
Can this cause a chills or coldness between shoulder blades in upper back. Thanks
What if this is from a stretch injury? Would stretching still be wise?
Can you do a video for stretches/exercises laying down? I'm bed bound and sitting/standing long enough to do these is not possible at the moment
Would pull ups work? It seems by these exercises that would be a great thing but it seems to make mine worse.
I have pinching everytime I move.also when I wake up it's feels like my arm is gonna fall off. Hard to turn my head. HELP 8 DAYS NOW!!!
Does this help for thouracic Iinlet syndrome? I did have a thrombosis last year. I don’t want to get the first ripe surgery. Do i have to take anticoagulants for live time? I am only 28 years old. Or can this condition be treated by those stretches and better posture?
I have a fused 1st and 2md rib so nothing seems to help but surgery is very risky. Feeling trapped but its only deliberating since working in office so aggravated it worse. Caused raynauds and neck and thoraric inpringement and arm tremmors. At a loss what to do may have to have the ribs detatched
When i take a deep breath or shrug my shoulders, the rib on my left side is noticably higher and I can feel it. Been having a lot of neck/trap tightness, as well as scapula instability on that side. Do you think a first rib release would benefit me at all? Doctors I've seen don't have a clue whats causing my issues, because MRI doesn't show nerve issues
Can a chronic practice release the rib
You mention posture but whenever i retract my scaps my scalenes just pop out
I wish the web had been around in the early 1990s when I had much of the pec minor removed from my right side. I had worked with a couple of therapists including one at the Rehab Institute in Chicago but I don't know. It was one doctor after another but unless the malady shows up on an x-ray, they just assume it is in the patent's head. I never mentioned I had scoliosis and nobody seemed to notice but I think the scoliosis and my bulked up muscles from working out were the causes of the pain.
The bulk of doctors in the 90s became doctors for money, not to help patients. Luckily that generation of doctors are retiring and now we've got a great new generation of true health advocates entering the system.
@@amandavenhaus Lol Doctors today will do the same don't kid yourself. True health advocates would have everyone on diets and exercising, not surgeries and pills. But surgeries and pills are where the money comes from.
I thought my rib pain was coming from my Romboid. I'm in tears watching this i just want the pain to go away. 😥
Literally me hope youknow you ain’t alone
What if you have abnormal first rib
Can dis syndrome also cause pain in the rib under my breast like i get pain when i breath especially
Thank you for this video!! I am a PT always looking for new treatment ideas. I wonder if you can clarify something for me? During the stretch where you use a strap to depress the scalenes with deep breathing and shoulder elevation, you turn the head toward the affected side to relax the muscle. I thought the scalenes contract ipsilaterally to cause lateral flexion to the same side? Any input would be greatly appreciated :)
@@seemarie hi Carissa. Basically, a side tilt of the head (as is seen in the stretch with the strap) is caused by contraction of the scalene muscle group on the same side (or ipsilateral side). I was wondering how you can stretch a muscle while it’s contracting, but, upon reviewing the video again I can see the benefit of stretching in this way as the muscle becomes shortened & allows for mobilization of the 1st rib.
wow feel like this released alot of endorphins, neck feels alot more relaxed than ever after taking oxycodone for the last 2 years and being cut off it. only thing is that the scalene muscles seem to tighten straight back up, but i presume thats because the fibres have been tight for years.
next parts missing?
Does the First Rib Release actually improve TOS or is it just a Symptom relief? My arms feel so much better after doing it.
Don’t forget to massage the trigger points in the scalenes.
Hi everyone, please also add Diaphragmatic Breathing it is important ti realease on sclaene from breathing process.
Where is he “next video” that you mention at the end of this one? Thanks!
Brent Pourciau thank you!!
THANK YOU! For months I've been trying to figure out if these thin fibers I've been messing with were nerves/vessels/muscles! So it is the bastard scalenes!
Ruby I think the scalene muscles are pure evil. I know mine are! lol.
fibromyalgia , issues numbness , scalene, vertical scalene, tingling , respiratory muscles , shoulder pain,
I've got my right side scalenectomy and first rib resection in two days to correct my venous and arterial TOS. Going to take a year to get the other side operated on to correct the arterial TOS on the left, this'll come in handy to keep me going until the other side can be operated on.
Have you gotten relief from the surgery? I have a patient who is considering this surgery but what to continue to look at people's personal experiences before I recommend the surgery to him. Also have you been exercising or playing sports after the surgery?
@@daceclumfitness I had the operation 24 hours ago, I'll advise once I know more.
how did you know you had it on both sides? did you have thrombosis on both sides? What did your scans reveal? thanks
@@zacspruill So my symptoms were largely intermittent, luckily I managed to stay very mobile throughout the three year diagnostic process thanks to a high pain tolerance. I stretched a TON and credit a lot of my recovery to that. Coldness and nerve zaps were my primary symptoms as well as a "glove like" feeling anywhere from the shoulder girdle down.
I had a thoracic MRI with contrast, a cervical MRI, shoulder MRI and wrist MRI that all showed nothing (doctors had no fucking clue what we were looking for). 3 EMG's that showed nothing, ultrasound of the elbow (cubital tunnel) that showed nothing. Once I finally got in with a vascular surgeon who understood TOS they did a bilateral active ultrasound, both lying down and sitting up where I moved through a range of motion while receiving the ultrasound which showed a complete lack of arterial and venous flow in my right arm during movement (primarily when sitting/standing) and full arterial restriction in my left arm. From there we booked my right side scalenectomy and first rib resection, and did a CT scan with iodine contrast to confirm I hadn't had an aneurysm or clot, and operated just over 5 weeks ago.
Symptoms are currently still present, but I had a man diddling my nerves with his hands for 5 hours....so it'll take a bit to chill out. Full recovery is 6 months. But even if the symptoms persists a bit (impingement can now come from scar tissue as opposed to the tissues that were removed) I'm no longer at risk for clot and aneurysm which is great of course.
If you want to speak further you can message me on instagram @saverio.sq I'm always pleased to help someone not go through the 3 year battle I went through to get help.
@@IAmSaveRio I messaged you on Insta earlier today. I really really appreciate it, man. I've been trying to get some answers regarding VTOC because it's so rare and I'm concerned I have it.
I am dealing with this due to scoliosis.
Whatever you do, do NOT do stretches since it will not only do it worse, but even damage the nerves and blood vessels. Prolonged stretching can lead to surgery. Weakened muscles should be strengthened, not stretched.
This makes sense, I’d agree
everything i try seems to help at first, placebo maybe idk, then it's bad whenever it feels like, i'll never be cured and never lift weights again, i'm so depressed
If you’ve gone months or years with pain it won’t take days or weeks to fix. You must be consistent. Do bodyweight training instead of lifting weights - practice planks in push-up position with your feet elevated. Dont ever give up
Does TOS limit external rotation in throwing ?
It does majorly in my left shoulder.
6:45 i did this and my right armpit is making a crackling sound, to be frank it has been sore for a very long time.
sport chord is gunna be my band name
I combined a Massaball with a belt, this gave me a real good streach.
Wonderful video. Can TOS cause the top of your wrist to swell? My fingers are stiff, weak, can't grab anything. Have had numb finger issues, TOS, over the yrs and trigger point release always helped. Need to see someone my fingers, wrist, palm on, l. hand hurt and have no strength to do TP self release. Is there a point where surgery is the only option?
Not a doctor. Just my personal experience. YES! I ultimately had to have the surgery. Scalenectomy and first rib resection. They found my rib had been broken before and the scar tissue was getting out of control. Instead of taking two inches they had to take four.
It’s been 11 months. The surgery didn’t fix everything so I’m doing PT on and off to help control it. It was worth it for me. I tried two years of PT beforehand, did the MRI (which almost always comes back negative) and then did the brachial plexus injection.
I’m all in for PT, but learned the hard way that the non surgical preaching can become detrimental and dangerous for patients who suffer. The surgical approach is probably best for more patients than go that route because they’ve been convinced that surgery is of the devil 😂.
I went from pinching my nerves to pinching my blood vessels. If you’re getting swelling in the wrist and hand like I did you should consider seeing a surgeon that specializes in the procedure. What I didn’t want was to get to the point where the hand starts turning blue. At that point you might not have time to get into a specialist. You’ll wind up with someone who might have never performed the procedure.
I live in the Kansas City area. I only have one surgeon here who does it. My next options were one person in St Louis, or Mayo Clinic in MN.
I’m praying for you my friend.
Good info Wish your autofocus worked. =)
WHAT ABOUT RELEASING THE FIRST RIB FROM THE T1 ATTACHMENT???! NOT ONLY SCALENES.. MY FIRST RIB NEEDS ALL ATTACHMENTS RELEASED! My kyphoscoliosis is a huge part plus bad cervical hyper lordosis and lateral translation.. These type of things are neglected in healthcare!?
❤️heavy rack pulls cause my pain this is now my secret weapon
Great video. I’ve noticed lately that whenever I do stretches/mobility exercises to open up my chest and get out of thoracic flexión, my left clavicle makes a popping or cracking sound when I initially move into the stretch/ perform the first rep. My upper traps and scalenes are very tight. I am working on correcting my breathing mechanics and properly acting my core so that I don’t flare my ribs as much but I’m not sure what this piping is about. Any ideas?
I have something similar if I twist my neck towards the opposite side so right for my left scalene it almost feels like it’s flexing over something or getting caught idk but it feels so strange and not right. Shit gets my anxiety pumping then I pay too much attention to sensations in my body 😭
nice
how can a doctor determine if you have thoracic outlet syndrome? What type of DR is best to see? I'm currently in PT for upper back, shoulder, arm and neck pain. It doesn't seem to be getting better, either. But worse. The pain has now spread to my scalene and jaw area. My shoulder feels super heavy and I feel the pain go down my whole arm and it puts this pressure into my elbow, wrist, and fingers. No Dr, chiro, or PT has been able to help and I'm at a loss of what to do next.
You need to be tested by a good nerve doctor. Do not let them lay you on your back.it relieves pressure. Must sit upright. I have had this now for 14 years. I do not wish for operations...so I suffer. Look up thoracic outlet scars on Google...you will understand why.
Scalenes + PEC minor offer as secondary muscles to supplement inefficient breathing patterns. Which over works them and can make them chronicly tight.
You can check if this is the cause by putting the scalenes into stretch to the side and breathing deeply. Compare the difference between breathing with your diaphram & upper chest (scalenes). If the scalenes are chronicly tight due to TOS or similar then there should be a significant difference in inferred pain.
Seems that poor posture and forward head posture eventually lead to TOS. Fixing posture should be number one priority. You might not need to have the TOS diagnosis, just work on your posture, do these exercises and life will be good!
@@philipbrennan4045 i have scalenes tight following your test. please could this be solved ?
Tried this and now my sternum and arms feel like they burn whenever I breathe in. Unfortunately it's the weekend and I can't go see any doctor.
It did take the thumb pain away, but now I'm sure I damaged something else.
Are you OK?
Great videos. May ask you, I'm worried that putting pressure on the brachial plexus and thoracic out with the ball or fingers might crush the nerves more. Is that possible? My thumb itself is wasting. Ice cold, thumb muscles going. It's already been eating my other arm and hand for 3 years.
MRI shows no root compression.
My back is very kyphotic and lordosic. Pain in should blades like toothache, feels like laying on lego bricks when laying down. Pain and tightness in tricep. Lumped up arm now. Regular cubital tunnel swelling and pain. Neck muscles hurt. I'm in the UK. The NHS is under staffed, under funded, too many patients. Getting nowhere apart from taking 3 years to have an MRI. No money for private.
My life is my music, I finger pick guitar the same as Mark Knopfler.
It is my whole life and has been since around 6 years old. I can't play.
Peter Gull, I know you posted 7 months ago but just wondered how you are now? Im in the UK too and have almost all the same symptoms as you. My physiotherapist actually showed me these exercises today. I have seen him twice and today he requested an Mri and told me I might need referred to the surgeons. NHS waiting times are horrendous, so will be waiting quite a while for surgery. Have you had nerve conduction studies? if you haven't had surgery, have you found anything that helps?
As for using the ball for exercises in this video, no I don't think you will cause more nerve compression, I think the aim is to encourage the 1st rib to stay down in the correct position rather than popping up and compressing the nerves. I hope you are feeling a bit better, it's difficult living with chronic pain
Athlean x forward head posture. Do all the exercises. Wrap a band around the back of your neck and pull forward on the band then push your chin back. It's called the pro L. Do his exercises and this exercise and you'll be better immediately. Also strengthen your lower traps, stretch your upper pec and use active release.
These will work for you.
This puts into perspective how minor my ailments are, hope you can get relief and get back to playing music again bud.
Hi, I know it's 3 years ago now, but, I hope you were able to get some relief. Can I ask If you ended up needing surgery, and if so, how it went? or are you still waiting? :(
My son has taken two bouts of upper limb ischemia ....after playing at school guitar performances. He's in a guitar scholarship program #music/life.
He has been diagnosed with Arterial Thoracic outlet by the head of cardiothoracic at our local children's hospital and will require surgery, probably removal of the first rib and part of scalene.
Dynamic ultrasound was used in the Diagnosing of his vascular TOS.
How are you now?
Access to that fire extinguisher is blocked!
Thanks for the video! Will try this.
For a toddler or someone with T-Rex arms maybe it's blocked... you're the kinda person that puts your socks and t-shirt on before your bottoms amiright?
@@JayR-ct8pv Socks then underwear (doing it in this order can help prevent jock itch). Then shorts. Shirt is last.
I just noticed they are stacking a bunch of stuff near it. Also the fire extinguisher is lacking signage. I am in the fire service and also do safety/emergency response. Probably more annoying than helpful but I am aiming to be the latter. =D