Scalenus syndrome.HR

Scalenus syndrome.HR

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  SCALENUS SYNDROME -Hitesh Rohit (3rdyear BPT)
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  Content:-  Introduction  Causes Clinical features  Test  Management  Complications
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  Introduction:-  Scalene myofascialpain syndrome is a regional pain syndrome wherein pain originates over the neck area and radiates down to the arm.  It is usually caused by compression of brachial plexus and subclavian artery against the first rib by hypertonic anterior scalene muscle.
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  Causes:-  Whiplash injuries Excessive coughing  Gasping of air(people who suffer from asthma, emphysema,or have bronchitis or pneumonia are especially susceptible to problematic scalene muscles)  Pulling or lifting with arms level With the waist  Working for long-periods with head turned to one side  Sleeping on the stomach with head turned to one side  Carrying a heavy backpack or purse  Wearing a tight collar or tie
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  Clinical features:  Painin the shoulder and neck  Numbness  Pins and tingling sensation  Reduced sensation of touch  Breathing difficulty  Chest pain
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  Test for scalene:- Individualsposition :-The individual is lying supine with head elevated and rotated to the contralateral side to be assessed;with hand raised above the head. Examiner’s position:- Standing on the head of the table with the fingers of his hand on the forehead of the individual. Description of muscle test:- The individual is requested to flex his/her head to the chest against the examiner’s mild resistance.
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  Management:-  Pain relieverssuch as NSAIDs.  Stretching of the scalene muscles.  Strentghening of the scalene muscles.
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  Complications:-  Permanent paralysisdue to T1 root compression  Pneumothorax  Hemothorax with pneumothorax  Recurrence of symptoms  Subclavian artery and vein injuries  Causalgia  Chylothorax
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  Thank you