![]() ![]() Patients with thoracic outlet syndrome will most often complain of pain that extends down the arm, usually in the hand - specifically, the fourth and fifth fingers (the ring finger and pinky only) - but can also involve the forearm and upper arm. This syndrome usually results from excess pressure placed on them by either muscles in the neck, called the anterior scalene muscles, or bony structures of the thoracic outlet. From a diagnostic perspective, this interaction is invaluable.Thoracic outlet syndrome is a relatively rare disorder in which the nerves of the brachial plexus and/or subclavian blood vessels are compressed as they pass from the neck down to the arm. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy. In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. ![]() To get the best results in the least amount of time, contact NYDNRehab today, and get back to pain-free movement. Our one-on-one personalized approach to patient care sets us apart from average physical therapy clinics that rely on generic templates and timelines, and old-school approaches to physical therapy. ![]() Our state-of-the-art clinic is equipped with some of the most advanced technologies available in rehabilitative medicine to treat your condition and accelerate your recovery. When diagnosis is based on symptoms alone, inappropriate treatment may be prescribed that does more harm than good, costing you time and money while prolonging your pain.Īt NYDNRehab, we use the most advanced diagnostic equipment and gold-standard assessments to accurately diagnose your condition. Because of the region’s complexity, many musculoskeletal issues can arise that share similar symptoms with related conditions. The area surrounding the neck and shoulder region is made up of a complex network of muscles, connective tissue, bones and nerves that affect both your brain and your body. For fast and effective treatment that really works, NYDNRehab is your physical therapy clinic of choice in NYC. We never take a one-size-fits-all approach to patient care - we treat the whole patient, not just the symptoms. Our treatment protocols are personalized, based on your diagnostic results. Our advanced methodologies are rarely found in ordinary physical therapy clinics. When appropriate, we may use shock waves or electromagnetic therapies to reduce pain and inflammation, and to relieve pressure on the neurovascular bundle prior to beginning physical therapy. In some cases, beginning physical therapy prior to addressing other issues may actually make the condition worse.Īt NYDNRehab, we use high-resolution diagnostic ultrasonography to get a clear picture of the structures that make up the lower neck and clavicle region, to identify the exact cause of pain and rule out other conditions. Physical therapy is the conventional first line of treatment for thoracic outlet compression, but physical therapy alone may not be sufficient to rehabilitate the thoracic outlet. ![]()
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