Tingling/Numbness/Weakness in Hand/Arm But Not Carpal Tunnel or Yr Neck; A NYC Chiropractor/Applied Kinesiologist/NeuroKinetic Therapist Explains

Do you have tingling or numbness in your hand that goes beyond your first three fingers?  Do you have weakness in your forearm, arm or shoulder despite your weight training routine?

It’s not carpal tunnel since it involves more than the fist three fingers. And you have no history of neck problems, all orthopedic tests and X-rays/MRI of the neck are negative.

You might have an entrapment syndrome of the brachial plexus nerves or subclavian artery/vein to the before mentioned structures.

This entrapment syndrome called Thoracic Outlet Syndrome is caused by three major conditions; Anterior Scalene Syndrome, Costoclavicular Syndrome and Pectoralis Minor Syndrome as well as some minor causes.

TOS

In the first condition called Anterior Scalene Syndrome, the brachial plexus nerves arising from C5, C6, C7, C8 & T1 nerve roots is trapped between the anterior and middle scalene muscles which may be in spasm or compensating for inhibited neck muscles.

This can be assessed by palpating for a decrease in strength of the radial pulse at the wrist. The patient is asked to ipsilaterally rotate, contralaterally laterally flex, and extend his neck at the spinal joints, while the radial pulse is palpated; this called Adson’s Test. Decrease in strength of the radial pulse is positive for the syndrome.

Treatment consists of using spindle work on the bellies of the scalene muscles or golgi tendons of the scalene attachments and of balancing the other neck muscles which can be either inhibited or compensating.

In the second condition Costoclavicular Syndrome, the brachial plexus and subclavian artery and vein run between the first rib and clavicle in the medial pectoral region. If the posture of the relationship of the clavicle and first rib changes and they approximate each other as often happens with rounded and slumped shoulders and impingement may occur.

This can be assessed by palpating for a decrease in strength of the radial pulse at the wrist when the patient is asked to stick his chest out and pull the shoulder girdle back and down similar to the military posture of attention. Again, weakening of the strength of the radial pulse would be considered to be a positive sign. This is called Eden’s test.

Treatment consists of checking muscles such as the SCM and the subclavius that attach to the area, improving the patient’s posture and checking muscles that resist this bad postural pattern such as the rhomboids and the middle trapezius.

In the third condition Pectoralis Minor Syndrome, a tight pectoralis minor muscle compresses the brachial plexus and/or subclavian vessels against the rib cage. The assessment is to bring the patient’s arm up and back. This position called Wright’s Test stretches and pulls the pectoralis minor taut against the rib cage

Treatment consists of checking for either an inhibited or facilitated pectoralis minor, or other muscles that can be inhibiting or compensating such as the serratus anterior, latissimus dorsi or the lower trapezius.

Other minor conditions such as  when both the medial and ulnar nerve getting entrapped by a spastic muscle such as the pronator or by a misalignment of the radius and ulna bone can happen and need to be ruled out.

forearm muscles

For additional information, please check out:  https://drvittoriarepetto.wordpress.com/2015/09/20/a-nyc-chiropractorapplied-kinesiologist-starts-adding-neuro-kinetic-therapy-to-the-mix/

https://drvittoriarepetto.wordpress.com/2010/06/21/muscle-balancing-in-applied-kinesiology/

https://drvittoriarepetto.wordpress.com/2012/05/23/how-a-nyc-chiropractorapplied-kinesiologist-treats-carpal-tunnel-syndrome/

 

© 2015-Dr. Vittoria Repetto

© Revised 2016 – Dr Vittoria Repetto

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic/ NKT practice at 230 W 13th St., NYC 10011; please go to www.drvittoriarepetto.com

And please check out the Patient Testimonials page on my web site.

 Want to be in the know on holistic information and postings? 

https://www.facebook.com/wvillagechiropracticappliedkinesiologynkt/

Or join me at Twitter: www.twitter.com/DrVRepetto

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How an Applied Kinesiologist Uses Neuro Lymphatics to Improve Health

First before we talk about Neuro-lymphatics, we need to talk about lymphatics and the lymphatic system, what they are and their role in your health.

Lymph is a clear colorless liquid carrying microscopic particles such as white blood cells, food, protein, and other substances such as water necessary for the cell’s health; also it may contain bacteria , viruses, toxics and other foreign material. This lymph is collected by a system of collecting tubes located near our organs, and muscles that drain the lymph is called the lymphatic system.

In this system of collecting tubes are lymph nodes; lymph nodes produce a type of white blood cell that engulfs and destroys invaders like bacteria or viruses. The lymph nodes are concentrated in areas such as the neck, shoulder axilla, elbow, groin, behind the knee, and in the abdomen. Most people at one time or another have had swollen glands around the neck; the lymph nodes are actively helping to control the infection

So your lymphatic system has two major functions: to maintain the fluid balance in our bodies and to help w/ our immunity.

There are neurologically controlled muscle fibers in the large lymph vessels. Contraction of the vessels helps propel lymph drainage into the venous system.

Neurologic reflex points thought to affect lymphatic drainage were developed by an osteopath, Frank Chapman, in the 1930s who believed that manipulation of tender spots in the body could increase lymphatic drainage in different organs and improve health

Goodheart who founded Applied Kinesiology started working w/ Chapman’s points and found that working these points also affected muscles as well as organ drainage. Goodheart started observing (for example) that points for stomach drainage also helped the pectoralis clav. muscle. Goodheart continued his research and found that there was a organ-muscle- lymphatic connection for each organ and muscle.

chapman reflexes

For example: let’s talk about muscular imbalance and postural distortion in the upper chest and neck region. Imbalance in this area may interfere with the proper movement of one’s rib cage in respiration. Movement of the rib cage, along with diaphragm contraction, makes a major contribution to lymphatic drainage; it is especially important in the vital function of lung lymphatic drainage.

Chronic muscle strains & back pain, chronic infections, how much water is the patient drinking, poor circulation, nighttime urination, morning stiffness, tingling in extremities. allergies are all clues to an Applied Kinesiologist that the lymphatic system may be involved and that stimulation of neuro-lymphatics points are needed to help the patient.

 

 © 2011-Dr. Vittoria Repetto

 

Want more information on Dr. Vittoria Repetto and her NYC Applied Kinesiology/Chiropractic/ NKT practice at 230 W 13th St., NYC 10011; please go to www.drvittoriarepetto.com

And please check out the Patient Testimonials page on my web site.

 Want to be in the know on holistic information and postings? 

https://www.facebook.com/wvillagechiropracticappliedkinesiologynkt/

Or join me at Twitter: www.twitter.com/DrVRepetto