16/03/2016
When understanding upper body pain, it is critical to consider scapular movement and it's influence on your thoracic and cervical spine, your clavical and pectoralis major and minor and of course circulation into the arms and hands.
Commonly in our society we are put our scapulae in a protracted position (shoulder blades moving forward or anteriorly) and typically this movement includes elevation (a shrug like position). So while all of this scapular movement in happening our arms are taking a new position as well, and this is called internal rotation (if your hands are by your side and thumbs are facing forward, if you turn your arms so your thumbs move towards your belly button, this is internal rotation, and the opposite is called external rotation).
So, what do all these movements do:
1. Increase the curve in your thoracic spine giving you that burning ache and pain in your mid back as well as decreasing rotation through this area.
2. Numbness and tingling into your arms. Commonly thought to be carpal tunnel, what is actually happening is the protraction of scapula along with internal rotations at your glenohumeral joint (shoulder joint) is impinging your vascular flow as well as interrupting neurological conduction which leaves you with that pins and needles feeling in your arms and hands.
*if this wakes you up at night, you may want to consider speaking with a medical professional*
3. Increases your cervical spine lordosis (the natural curve of your neck). As your arms take this position of internal rotation, protraction and an increase in the thoracic spine kyphosis (the curve in your mid back) your cervical spine (neck) will begin to compensate by extending and therefore increasing the curve in your neck. This can commonly result in headaches and a decreased range of motion.
The video below looks at a basic stretch to assist in releasing tension from the front of your thoracic ribs to allow for a reduction in this symptoms.
If you have any questions, please feel free to contact me directly.
Change your normal, youre the only one who can,
Tycson
A common issue in today's world is constant scapular protraction (shoulder blades coming forward) accompanied by internal rotation at the glenohumeral joint....