Your friendly Chiropractor in Chandler AZ, Dr. Dan Rae, is back at the computer after a wonderful Thanksgiving holiday with my family back in St. George, UT. Today, I am going to continue with a condition that is related to the postural conditions that we have talked about in previous posts with T4 Syndrome.
The cause of T4 Syndrome has yet to be determined; however, it is believed there is some sort of sympathetic nervous system dysfunction somehow associated with vertebral dysfunction in the area of the upper to mid back (T2-T7) causing a a referred or reflex phenomenon in the arms or hands. These individuals may reports incidences during the night or upon getting up in the morning. We see this syndrome more frequently in women at a 4:1 ratio between the age of 30 to 50. Sitting for long periods, sustained reaching and activities that require pulling, shoveling, and overhead cleaning have all been reported as inciting factors by patients.
These individuals tend to come into my office complaining of upper back stiffness and pain as well as numbness and tingling (often in a stocking and glove distribution) in the arms and hands. These individuals may also complain of associated headaches.
Again, we treat these patients very similar to those suffering from Postural Syndrome/Upper Crossed Syndrome or Thoracic Outlet Syndrome (TOS). Chiropractic Manipulation is performing to mobilize the fixated vertebrae in the upper back. Soft-tissue therapies such as Active Release Technique (ART) and Graston Technique are utilized to lengthen chronically shortened muscles, and Kinesiology Tape is applied in a posturally corrective manner to reduce the stress being placed on the upper back.
If the symptoms diminish, the patient is transferred into a posture correcting shirt called a Posture Shirt that can be worn under their everyday clothing.
Strengthening and stretching exercises are also prescribed based on individual needs.
If you are struggling with upper and/or mid back pain, call my office today (480) 366-4041. We can Help!