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Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
4.3K
Lower thoracic syndrome
1Dr. Muhammad Nazim Farooq, Islamabad College of Physiotherapy, Margalla Institute of Health Sciences, Rawalpindi, Pakistan.
Pakistan Journal of Medical Sciences
|August 17, 2017
Summary
Thoracic spine dysfunction may cause lower extremity symptoms. Patient education and mobilization can reduce symptoms linked to sympathetic nervous system dysfunction and thoracic hypomobility.
Area of Science:
- Physiotherapy
- Neurology
- Spinal Health
Background:
- The connection between thoracic spine dysfunction and lower extremity symptoms remains unclear.
- This case study investigates a patient experiencing low back pain and bilateral lower extremity (BLE) symptoms.
Observation:
- The patient presented with low back pain and BLE symptoms.
- Assessment revealed lower thoracic hypomobility potentially linked to sympathetic nervous system (SNS) dysfunction.
Findings:
- Patient education focusing on postural awareness was effective.
- Passive mobilization techniques also contributed to reducing BLE symptoms.
- These interventions addressed the identified SNS dysfunction and thoracic hypomobility.
Implications:
- Clinicians should consider examining and treating the lower thoracic spine in patients with BLE symptoms.
- Further research is needed to fully understand the role of SNS dysfunction in BLE symptoms.
- This case highlights a potential therapeutic target for managing complex lower extremity pain presentations.
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