Arm and hand pain: Pectoralis minor entrapment


Arm pain, Backpacks, Chest pain, Hand pain, Nerve entrapment, Shoulder pain, Stretches, Stretching (Active Isolated method)

Entrapment by the pectoralis minor muscle can block blood and nerve flow to the arms causing pain, tingling, numbness (dysesthesia) and unusual sensations (parasthesias). The pectoralis minor’s very strong tendon overlies the brachial plexus of nerves and the axillary artery that make up the neurovascular bundle that serves the arm. When the muscle is tight […]

May 21, 2010

Neck pain: The case of Sukie B.


Headaches, Neck pain, Shoulder pain

When Sukie B. came into my Neuromuscular Therapy center near her hometown southwest of Boston, her neck pain was chronic and so bad that any kind of exercise hurt. Sometimes it made her nauseous. Even walking with her arms swinging could cause a flare-up. It was becoming a real problem at work. She had taken […]

July 12, 2009

Shoulder and arm pain reaching: A Neuromuscular Therapy point of view


Arm pain, Bursitis, Muscle information, Neuromuscular therapy, Repetitive strain, Rotator cuff, Shoulder pain, Surgery, Tendonitis

As a Neuromuscular Therapist practicing in the Boston area for nineteen years, how do I think about the causes of pain in the shoulder and arm when patients lift their arms or reach for something? With everyone on computers now, it is a common problem to have a work station that is too high and […]

June 23, 2009

Chronic back pain from uneven leg length: A Neuromuscular Therapy point of view


Acute pain, Arm pain, Back pain, Chronic pain, Low back pain, Scoliosis, Shoulder pain

Pain from a curvature of the spine caused by LLLI (Lower Limb Length Inequality) is a common condition usually overlooked in medical evaluations. Having LLLI  doesn’t always cause a problem, but when Trigger Points have formed, even one-eighth inch difference in the length of the legs can perpetuate pain if left uncorrected. (MDs Travell and […]

June 11, 2009

Thumb and wrist pain: The case of Ruby Q.


Acute pain, Arm pain, Carpal tunnel syndrome (CTS), Chronic pain, Hand pain, Neck pain, Repetitive strain injury (RSI), Shoulder pain, Thumb pain, Wrist pain

Ruby Q. was a regular Neuromuscular Therapy patient in my metro-west Boston clinic for stress-related muscle pain in her neck and shoulders. Upper body tension is often the cause of pain in the forearm and hand when there is repetitive stress. (E.Pascarelli, MD) The connection between upper body tension and hand and arm pain is […]

June 2, 2009

Relieving bursitis pain: An explanation that makes sense


Acute pain, Bursitis, Healing, Neuromuscular therapy, Rotator cuff, Shoulder pain

Medical relief of bursitis treats inflammation and pain, but doesn’t always correct the condition because the source may not be effectively diagnosed. Here is an explanation of bursits and its treatment that makes sense. Bursitis means inflammation of a bursa. Bursae are found between body parts that rub across each other to prevent friction during […]

May 27, 2009