Join Steve Talajkowski PT, MPT for a free, live streaming event as he discusses 3 different outcomes achieved by patients utilizing The Edgelow Method. This interesting discussion with Steve (who authored the ‘Thoracic Outlet Syndrome’ chapter in the book Physical Therapy Treatment of Common Orthopedic Conditions) will help patients understand the different potential outcomes using The Edgelow Method that might be achieved with different presentations of TOS.

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ind your information today i understand you're going to do some case studies i am all right take it away okay look forward to it and actually i i am not in california right i'm in i'm in beautiful madison wisconsin um visiting a dear friend bridget so um and it's cold here so but i'm in hotel room so that's that's where i'm at today and so i'm not in my normal settings but let me start off we're going to do some uh case studies it's going to be a little different um in that they're going to be a little bit more generic uh not but i sort of sort of maybe a fictitious patient but i think uh once we get through this you'll see the i mean the reasoning for this so um again i i use the invest program um that's the um the angelo neurovascular entrapment syndrome treatment program it was developed by peter edgelow a physical therapist i worked with peter for 14 years in the hayward clinic where i'm still at um peter's no longer with us he passed away almost four years ago and um i also have 29 years of experience so working as a physical therapist in 24 years which is the time i started with peter so it's been 10 years since he's uh since i stopped working with him due to his health problems but um there's a picture of peter amazing guy he would have loved to do this and he would have appreciated deeply all the work that scott's put into this and he would have he would have been the first guy up here to talk so um so we always do an anatomy review i think if you can understand the anatomy you will understand um the problem better so i'm just going to mention a few things and not get too deep into it but talk about the scalings uh the scalenes are two muscles or a group of muscles that go from the neck to the first rib they either flex the neck forward if they both contract or they do a lateral side bending to the side of the muscle that's contracting what's important also is that they elevate the first and second rib during accessory inspiration or breathing the subclavius muscle is a small muscle that goes from the first rib underneath the collarbone or clavicle that muscle helps to kind of stabilize the clavicle during shoulder movements and it can also though pull the clavicle down towards the first rib then of course we have the pectoralis minor muscle and that's uh a muscle that comes from the third through fifth ribs and attaches to the coracoid process which is actually in the front you can palpate this is a front attachment on the clavicle i'm sorry the scapula and just understand that the scapula has a lot of muscles attached to it so

movements differ depending on which muscles work together but let's make it simple is that the pectoralis minor is going to pull the shoulder forward and away from the midline so think of a rounded shoulder position so here's a picture this is uh from peter uh that's the cervical spine the scaly muscles are here um can't quite see the first rib very well maybe part of it the brachial plexus is going through this space between here and here is the thoracic outlet here's the subclavian clavis muscle going under the collarbone and then the pectoralis minor again attaching to the ribs into that coracoid process which is in the front of the scapula another picture here showing uh the scalenes a little better the anterior and middle attached to the first rib and the posterior is attached to the second rib and the scalenes are coming through here again with an artery in the vein to the side we're going to mention this a little bit later but these are the longest coli muscles they're important in the program we need to strengthen these it helps maintain better posture and it takes some of the responsibility of the compensation of using the using the uh of the scaling muscles to help stabilize the neck another picture of the pectoralis minor muscle a little bit better you can see uh there's no brachial plexus going through h