#DryNeedling #TriggerPoints #RockClimber #NerveEntrapment Dry Needling of Pec Minor Motor point
Channel: Eyton Shalom, L.Ac.
Date: 2020-06-22

Painful Nerve Entrapment Syndromes occur when muscles and fascia, shortened by exertion, overuse, and nervous system tension, irritate the motor and sensory nerves that pass through and between them. 

And example of this is #ThoracicOutletSyndrome also referred to as #BrachialPlexusSyndrome in which the nerves that supply the muscles of the arms become entrapped by a shortened Pectoralis Minor muscle that entraps the brachial plexus. This is easy to do because the brachial plexus is a smallish area rich in nerves and blood vessels, so easily entrapped. 

The brachial plexus (plexus brachialis) is a nerve plexus formed by  the lower 4 cervical nerves (C5-C8) and the first thoracic nerve (T1). The plexus is responsible for the motor innervation of all of the muscles of the upper extremity, with the exception of the trapezius and levator scapula.

The problem arises in part because of the limited range of muscular movement in modern life, most of which involves forward translation of the head with shoulders curved forwards for all the writing and now keyboarding and texting we do. 

The nerve roots of the brachial plexus (see, below)  can also be entrapped by the Scalene muscles at the sides of the neck, and the nerve roots can also be irritated by shortened muscles of the Cervical vertebrae and the C7-T1 vertebral joint.

"The scalene triangle is bound by the anterior and middle scalene muscles, with the first rib at the base. The brachial plexus nerves (yellow) and the subclavian artery (red) pass through the scalene triangle, while the subclavian vein (blue) passes in front." Stephen Kushner, M.D., Medscape


When the nerves are irritated at both the Pec Minor AND the Scalene, this is called #doublecrush synrome by orthopedic surgeons. Its also true that a cause, sometimes, of #TOS is an extra rib that can be surgically removed.

But surgery is rarely necessary if you #dryneedle the motor points of the above mentioned muscle, which causes the muscle to lengthen, releasing pressure from the nerve. This is akin to taking your foot off of a garden hose and now the water flows freely.

#triplecrushsyndrome is when the nerves are also entrapped in the forearm by the pronator or supinator muscles, or both. 

https://bodymindwellnesscenter.com/dry-needling/

#dryneedling is a very quick and effective way to release nerve entrapment by forcing the muscles and fascia to return to their normal length by bio-mechanically releasing the offending motor point and trigger points. Its most effective when combined with deep tissue release work such as #activerelease and an exercise program that returns normal function, such as #egoscuemethod

The median nerve can become entrapped in the carpal tunnel, which also responds quite well to dry needling or acupuncture to reduce the inflammation in the carpal tunnel that compresses the nerve. This is much more effective and safer than #carpaltunnelsurgery over the long term.

https://bodymindwellnesscenter.com/dry-needling-for-neck-pain/