Is there a link where I can find exercises such as the "walk-out from the knees" or the "inverted lazy bear"? I couldn't find them on the channel through searching
A corner stone of your content is testing. Here you mention again that you will see limited internal shoulder range of motion at 90 abduction if x is compressed. I love this stuff. Do you have any idea where I can get a list of these tests? Like limitation in movement x of limb x below rpughly degrees could indicate compression in area x?
Awesome content here, Bill. Could you clarify why you'd start a wide ISA with DR expansion and go straight to pump handle activities with your narrow ISA peeps? Is it due to your wide being more biased to posterior compression (sacral nutation positioning)? If you had an end game narrow who's pushed forward with TOS symptoms, I'm assuming you'd need to add in the DR expansion first, then progress to pump handle activities. I'm I on the right track here?
Bill - with the overhead pressing variation, would you exhale during the curl and inhale on the press? My thinking is that exhalation facilitates the contralateral compression you want, and then your inhalation with the joint positions you're in on the pressing side cause expansion to happen on the side you want to restore lower cervical rotation/upper DR expansion on.
Got tos or pec minor syndrome myself. Now I have to try and work out how to form these strategies into a plan…. Everyone I have seen just recommend stretches which makes the symptoms worse no matter how minor
Could trigger points or a tight pec minor and major cause pain in the upper mid-back which then leads to trigger points in those regions? Could tight pecs cause pain in the neck? Also, I was informed by my doctor that my blood pressure is different on my left arm compared to my right. Could this be due to severely tight pecs? Thanks!
There's usually a small difference between arms naturally. If the difference is large, there is a concern for compression or occlusion. Compression caused by active muscular strategies may reduce blood flow or nerve movement as seen in things like thoracic outlet syndrome.
I feel worse every time I get manual therapy to the pecs....breathing gets shallow and unopposed....neck gets floppy and base of skull pain when jogging running....until the tone comes back. it is because some sort of delay strategy / concentric yielding is needed at the pecs?
Bill, hope all is well and thanks for the info! Do you have any PT's you refer to in the greater Boston area- in particular for thoracic outlet related presentations? Any info appreciated. All the best.
Bill I saw someone mention your name in one of Neal hallinan's videos. I got diagnosed with bilateral arterial thoracic outlet syndrome about 15 months ago after two "failed" shoulder surgeries. You hit the nail on the head when saying stretching and traditional strength training doesn't work. The only things thats been published as far as alleviating symptoms goes is pri which I've done every day now since the diagnosis. Would love to touch base and talk more if possible... Any shot we can Skype or face time?
Around 4 min you mention a test related to a down pumphandle and another one related to depressed manubrium. I can imagine there is some overlap between a down manubrium and a down pumphandle, how do you define the difference between the two?
Looking for help with tos in Toronto, Canada. Been dealing with no sleep and stress from this with no formal diagnosis yet :( anything would help please
same here i recommend you look up lateral pelvic tilt - neal hallinan, connor harris and greg chapman have some videos on it. on THIS channel its called right oblique orientation or a flat turn. side plank variations and right foot leading split squat helped me alot but there is more than 1 kind of lateral tilt. try not to sleep on your back.
@@Misuk22 Experimentation is part of the process. Start with the activity least likely to affect you negatively. In other words, some variations of swimming will potentially place the upper quarter in a compromising position.
Hi Bill, quick question. So I was doing a set of close grip push ups then felt my this clicking in my shoulder and decided to finish the set still (dummy). Then my symptoms of TOS started again I haven’t felt them in a few years now. It’s been two weeks and I still feel them despite discontinuing compressive training, I still am having symptoms. I just can’t see why after 1 set it retriggered it. Time heals all? Or any suggestions how I should go about this?
Have you only done one set of pressing in the last few years, or is it more likely that this was the final set required to reduce movement resulting in symptoms? Reverse engineer. Scap is elevated and A/P compressed.
@@BillHartmanPT My body just seemed to lock up after this one set and won’t let go it was very weird. But I’m going to revert back to my trusty ole exercises for AP expansion (supine, quadruped) until it subsides. Thanks Bill!
Hey Bill! If someone has a lot of “shaking muscles” in the upper thoracic area during lazy bear on the breathing portion would you say that they are properly challenging themselves or trying too hard? Have you experienced this before while training patients with thoracic outlet syndrome?
@@BillHartmanPT Mostly during low oblique sit and lazy bear, there seems to be more chest movement following the activity so I assume that’s a good sign.
Every video I watch my brain melts. Great info!
Thanks. Not sure if a melting brain is a desired result, however. :)
Man this one was loaded!! 3 full pages of notes, thank you so much.
Ha! most welcome.
Is there a link where I can find exercises such as the "walk-out from the knees" or the "inverted lazy bear"? I couldn't find them on the channel through searching
A corner stone of your content is testing. Here you mention again that you will see limited internal shoulder range of motion at 90 abduction if x is compressed.
I love this stuff. Do you have any idea where I can get a list of these tests? Like limitation in movement x of limb x below rpughly degrees could indicate compression in area x?
it is throughout my videos
😊
Awesome content here, Bill. Could you clarify why you'd start a wide ISA with DR expansion and go straight to pump handle activities with your narrow ISA peeps? Is it due to your wide being more biased to posterior compression (sacral nutation positioning)? If you had an end game narrow who's pushed forward with TOS symptoms, I'm assuming you'd need to add in the DR expansion first, then progress to pump handle activities. I'm I on the right track here?
On track.
Bill - with the overhead pressing variation, would you exhale during the curl and inhale on the press? My thinking is that exhalation facilitates the contralateral compression you want, and then your inhalation with the joint positions you're in on the pressing side cause expansion to happen on the side you want to restore lower cervical rotation/upper DR expansion on.
Pressing side facilitates compression on same side. I want lower cervical rotation left (left upper D-R expansion).
Got tos or pec minor syndrome myself. Now I have to try and work out how to form these strategies into a plan…. Everyone I have seen just recommend stretches which makes the symptoms worse no matter how minor
you figure out a strategies?
@@mikeliao3445 not really. Upright healths program is the way to go
@@huntonworld Matt has no clue what he’s doing with TOS, he still has symptoms himself.
@@TOSUnbound fixed it for me so personally I don’t agree
@@huntonworld you probably didn’t have posterolower or upper dorsal rostral compression then. Congrats on recovery!
Could trigger points or a tight pec minor and major cause pain in the upper mid-back which then leads to trigger points in those regions? Could tight pecs cause pain in the neck? Also, I was informed by my doctor that my blood pressure is different on my left arm compared to my right. Could this be due to severely tight pecs? Thanks!
There's usually a small difference between arms naturally. If the difference is large, there is a concern for compression or occlusion. Compression caused by active muscular strategies may reduce blood flow or nerve movement as seen in things like thoracic outlet syndrome.
I feel worse every time I get manual therapy to the pecs....breathing gets shallow and unopposed....neck gets floppy and base of skull pain when jogging running....until the tone comes back. it is because some sort of delay strategy / concentric yielding is needed at the pecs?
is biceps curl in heels elevated squat position, with resting elbows on knees and why? 😉
Bill, hope all is well and thanks for the info! Do you have any PT's you refer to in the greater Boston area- in particular for thoracic outlet related presentations? Any info appreciated. All the best.
I do. email me at my q&a address
@@BillHartmanPT all set, thanks bill!
Bill I saw someone mention your name in one of Neal hallinan's videos. I got diagnosed with bilateral arterial thoracic outlet syndrome about 15 months ago after two "failed" shoulder surgeries. You hit the nail on the head when saying stretching and traditional strength training doesn't work. The only things thats been published as far as alleviating symptoms goes is pri which I've done every day now since the diagnosis. Would love to touch base and talk more if possible... Any shot we can Skype or face time?
Where are you located?
@@BillHartmanPTOhio
@@KT-ed8hj If you narrow it down a bit, I may be able to get you some help.
@@BillHartmanPT Cleveland Ohio
?
Around 4 min you mention a test related to a down pumphandle and another one related to depressed manubrium.
I can imagine there is some overlap between a down manubrium and a down pumphandle, how do you define the difference between the two?
search on shoulder internal rotation. you should find supportive videos.
the excercise @ 6:23 [you against wall is there a link to that]?
It's in this youtube channel somewhere. Haha
For bilateral rather yhan unilateral Tos would you skip the curl and press?
It may not be a useful strategy for bilateral for the reasons described.
Looking for help with tos in Toronto, Canada. Been dealing with no sleep and stress from this with no formal diagnosis yet :( anything would help please
same here i recommend you look up lateral pelvic tilt - neal hallinan, connor harris and greg chapman have some videos on it. on THIS channel its called right oblique orientation or a flat turn.
side plank variations and right foot leading split squat helped me alot but there is more than 1 kind of lateral tilt.
try not to sleep on your back.
What kind of cardio would you recommend to a narrow with TOS symptoms - backstroke (or other) swimming, running/jogging, something else?
That which does not provoke or worsen symptoms.
@@BillHartmanPT Thanks, for the quick response, hoped you would have some advice, so I do not have to try all of them ;-)
@@Misuk22 Experimentation is part of the process. Start with the activity least likely to affect you negatively. In other words, some variations of swimming will potentially place the upper quarter in a compromising position.
@@BillHartmanPT Thanks Bill - thought that backstroke could be a good start as it opens the chest more compared to freestyle, but was unsure
Hi Bill, quick question. So I was doing a set of close grip push ups then felt my this clicking in my shoulder and decided to finish the set still (dummy). Then my symptoms of TOS started again I haven’t felt them in a few years now. It’s been two weeks and I still feel them despite discontinuing compressive training, I still am having symptoms. I just can’t see why after 1 set it retriggered it. Time heals all? Or any suggestions how I should go about this?
Have you only done one set of pressing in the last few years, or is it more likely that this was the final set required to reduce movement resulting in symptoms?
Reverse engineer. Scap is elevated and A/P compressed.
@@BillHartmanPT My body just seemed to lock up after this one set and won’t let go it was very weird. But I’m going to revert back to my trusty ole exercises for AP expansion (supine, quadruped) until it subsides. Thanks Bill!
Hey Bill! If someone has a lot of “shaking muscles” in the upper thoracic area during lazy bear on the breathing portion would you say that they are properly challenging themselves or trying too hard? Have you experienced this before while training patients with thoracic outlet syndrome?
Unsure. Does it occur at any other time?
@@BillHartmanPT Mostly during low oblique sit and lazy bear, there seems to be more chest movement following the activity so I assume that’s a good sign.
@@TOSUnbound If you're outcome is favorable and you're not producing pain, stay the course.
@@BillHartmanPT awesome, thanks Bill.