A common example of neuromuscular compromise is Thoracic Outlet Syndrome (TOS), when the nerves and / or blood vessels (brachial plexus) coming from the neck and going down the arm are subjected to pressure or abrasion (impingement) that compromises their normal function.
Symptoms include numbness & tingling, reduced or altered sensation, or pain in the arm or hand.
Causes can be impingement between the scalenes (vertical muscles on the sides of the neck), between the clavicle & 1st rib, or a posterior distal clavicle (result of a direct frontal blow). Sometimes this is a sequela of whiplash injury; or chronic stress & tension affecting the neck, including postural stress; or from repetitive motion / overuse syndrome.
I have precise, gentle adjustments to relieve the impingement, and give the patient stretches, exercises, and ergonomic counseling.
