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PhysioOsteoGram
@physioosteogram

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THORACIC OUTLET SYNDROME COSTOCLAVICULAR SYNDROME [MANIPULATION OF THE CERVICO-THORACIC-JUNCTION HVLA] The C7-T1 spinal segment, also referred to as the cervico-thoracic-junction (CT-Junction), is located at the very bottom of the neck. More specifically, this is where the neck (cervical spine) connects with the upper back (thoracic spine). Referring to my previous post a blocked first rib can force a CT-Junction restriction which requires a distraction mobilization. Even in this case you should make sure to have released all myofascial structures which are connected to the CT-Junction (Trap muscle, Rhomboids, Serratus posterior superior, Erector spinae and Intrinsic back muscles). Usually if you do a proper myofascial release treatment the CT-Junction won’t cause a problem any more, but sometimes it still can. If so, it requires a high velocity low amplitude (HVLA) thrust technique otherwise it can force thoracic, cervical, shoulder problems, headaches or even TOS! The video shows a sitting distraction manipulation of the CT-Junction executed by myself: The patient is seated, almost the same hight then the therapist. The patient places his hands behind the neck and then the therapist wheels through the space in front of the shoulders and applies a distraction force! #Physiotherapy #SportsPhysiotherapy #Osteopathy #Fisioterapia #Osteopatia #PhysicalTherapy #Yoga #Pilates #Rehab #Therapy #Chiropractic #Fascia #ThoracicOutletSyndrome #TOS #Sportsmedicine #CrossFit #Acupuncture #Muscle #Treatment #Rolfing #ManualTherapy #Massage #Backpain #Headaches #NeckPain #ShoulderPain #ArmPain #ThoracicPain #MusclePain #JointPain