It was such a pleasure talking to you about this Neal! One other consideration that viewers need to be aware of is congenital variants of anatomy. Some people are born with accessory cervical ribs. This can be unilateral or sometimes bilateral. These accessory ribs can also be a source of obstruction in the thoracic outlet in anyone and particularly when coupled with muscular hypertrophy. Vascular ( venous and arterial) causes also exist but were beyond the scope of our chat.

@NealHallinan

Жыл бұрын

Thank you for the follow-up!

Wow! Just checking those channel again after being obsessed with PRI a while back and the channel has grown so much Neil! Great job finding the right titles /clickbait Neil!🎉

Love this! So informative. The doc puts things in such easy to understand terms. Thank you Neal and Dr Kremel

This is me right now and your videos have been a great help. Just knowing the name of this symptom is helping me a lot.

Terrific video Neil, extremely informative.

@NealHallinan

Жыл бұрын

Thank you.

So good!

My TOS is on my left side and, while I don’t do traditional weight lifting, I list students with severe physical and cognitive impairments in and out of wheelchairs with their trunk on my left arm. I’ve been doing this for 28 years and it’s definitely taking its toll on my body. However, I don’t have rib cage extension due to kyphosis, I have rib cage compression.

This is what I have and it makes me afraid to do push-ups and bench press because I don’t want to injure myself

Hello, I've seen your video explaining the correlation between pelvic tilt and jaw structure. I want to ask about APT (anterior pelvic tilt). I have an APT that makes me lose about 2 inches. Will any kind of surgery fix this? If so, will it also make me "gain" my 2 inches of height back? I have a pretty decent jawline and facial structure so I don't think there's a real correlation. Please let me know and thank you for your time :)

Hey Neal, I have asymmetric face. One side of the face is more prominent and forwardly grown (jaw and cheekbones. My left side jaw seems like it lacks bone mass compared to right). I have scoliosis and i think my asymmetry is cause by it, so my question is can face asymmetry due to scoliosis be fixed? And with what it could be fixed?

Which exercise should I do in left AIC right BC right TMCC pattern. I am left hander!

Neal, can you help me? I watched the video about neyrology where you showed the picture of the brain and said your left eye. Can someone help me find it?

Hi, I’m 15 years old and I’ve been watching your videos and I really need help. So I have had an extra tooth in the left side of my mouth for 4 years. It led to an asymetry in my face.I got it out of there today and here is what I have now. Left eye higher than le right, restricted breathing in the right ribs, my right shoulder higher than the left one and the nerves in my arms etc. are all tight. I had to take a break from basketball until I Get that fixed and my right hip feels uncomfortable sometimes. Its been 7 months since this breathing problem and I stopped working out because of it. My collarbone on the left side seems like its pulled down and I have neck tightness too. Also, I have a left rib flare and not much in the pelvic I think except a right leg externally rotated most of the time. I really want to get back to my sport even if I have learned a lot from this injury. can you help? Thanks for Your time

I need to look more into this PRI thing!

What is the best area to get an MRI for suspect TOS?

My left shoulder feel pretty silly when I try to do incline bench..

Such great information. Thank you Neal. Could a tight thorax cause costochondritis?

@NealHallinan

Жыл бұрын

Thanks, Thomas. I’m really not too familiar with costochondritis to be honest.

@thomas2081

Жыл бұрын

Thank you Neal. I couldn’t have done it without your videos to be where l am now. My biomechanics still ‘suffers’, but lots of my pains have gone away. And l couldn’t have done it without watching your channel. At 48, with scoliosis and discs degeneration in my spine, l am back to playing football and jogging again. So far, l haven’t found anyone who would explain it all better than you. Thank you for allowing me to access all that information for free Neal. You are a life saver.

@NealHallinan

Жыл бұрын

@@thomas2081 I’m very happy for you and it makes me feel good that I was able to help.

Well, while it is not mentioned here - You can also get severely injured in your posterior neck/ scalenes /brachial plexus/pec minor while doing dumbell shoulder press (for whatever reason, it might be inevitable). It happened to me in an early morning workout session (6am), perhaps I did some neck hyperextension when lowering the dumbells or was not in focus, I'm using a standing position. It did cause me chronic damage (Almost 4 years have passed since then) which could be described as TOS. 7.7.1 Post-Traumatic Onset The large majority of NTOS patients give a history of some type of hyper-extension neck injury preceding the onset of symptoms. Whiplash injuries in motor vehicle accidents is the most common cause, but other causes include falls on ice, slippery floors, down stairs, and athletic injuries. In these patients the usual sequence of symptom development is neck pain within the first 24 hour followed within a few days by headaches and pain over the trapezius muscles. Anywhere from a few days to a several weeks later pain moves into the upper extremities and paresthesia develops in the fingers and hands. The microscopic pathology as noted in Fig. 7.7, is a significant increase in scar tissue spread diffusely throughout the scalene muscles. Putting together the history of an injury along with the pattern of symptom development and subsequent muscle pathology gives a plausible explanation for the pathophysiology: Following a neck injury the initial neck pain is due to two things: Cervical spine neck strain and tearing of the scalene muscle fibers. There is probably some muscle hemorrhage in the scalenes which causes muscle swelling and increased neck pain over the first few days. The symptoms of arm pain and paresthesia that develop in the first few days are due to swelling of the injured scalene muscles. If the muscle injury is mild so there is not much swelling, arm pain and paresthesia may not appear for a few weeks. This is because the later arm and hand symptoms are due to the healing process in the scalene muscles by which the intramuscular blood is absorbed and replaced by fibroblasts which later are replaced by collagen. This normal healing process results in scarred, tight muscles. Since normally the nerves roots of the brachial plexus are in contact with the scalenes, when the muscles become scarred they compress the nerve roots causing the arm and hand symptoms, usually with activity of the arm and neck, but also in some patients at rest as well. Even though these muscles appear normal when viewed during supraclavicular surgery, the microscopic picture (with special stains) is far from normal as seen in Fig. 7.7 (old Fig. 7.2). The predominance of type I muscle fibers and the reduction in type II fibers in addition to the significant muscle fibroses further confirms that there has been significant structural changes in the muscles. In addition to the pathology noted in the scalene muscles, other pieces of evidence are available to incriminate the scalenes as the primary pathology in most cases of NTOS. These are the scalene muscle block with local anesthetic and the response to surgical scalenotomy and scalenectomy; that scalene muscle blocks can temporarily relieve symptoms and reverse physical findings within a few minutes supports the scalenes as the primary source of pathology in NTOS; finally, that dividing or removing the scalene muscles surgically gives good long-term relief in the majority of patients is more support for this theory.

So what's the alternative to overhead barbell press? Alternating single-arm dumbbell press?

@NealHallinan

Жыл бұрын

Yes, I have a card for it during the video and a link to it at the end of the video.

@neoleegdg

Жыл бұрын

​​​@@NealHallinanThanks for taking the time to respond! Some of the most common workouts we do seem to reinforce bad compensations. It seems like there are 2 extra steps to do before any PRI technique can stick. And none of them can work on its own. Would you agree? 1. Don't do any exercise or have any daily habit that reinforce bad compensations. 2. Release any compensatory or overactive muscle. 3. Relearn how to use the side of your muscles (with proper breathing) that have been dormant via PRI techniques.

@dipendermaan1315

Жыл бұрын

don't depress your shoulder blades and elevate your scapula a little, watch msk neurology for more information on this.

Neal do I get internal obliques in all on fours technique by strenghtening more left serratus and rounding?

@heal2hair517

6 ай бұрын

You could lift your left arm from the ground while focusing on keeping the right glute max engaged. This may help you to remain more grounded and flexed on the left in a less compensatory way. The goal would be to maintain spinal flexion while reaching, using more L obliques and serratus instead of your back and neck (extension).

@adamchmelovsky9941

6 ай бұрын

@@heal2hair517 I cant feel left serratus If I lift my left arm. Didnt you mean to lift right arm?

@heal2hair517

5 ай бұрын

@adamchmelovsky9941 the left serratus helps to retract your left side of the ribcage, reaching with your left arm maintaining your L serratus engaged is more difficult but helps you keeping the ribcage retracted and the thoracic spine more flexed. While reaching with the right arm is less challenging in keeping the L serratus active, it's harder to maintain R scapular compression. Speaking of a traditional L AIC R BC pattern.

@adamchmelovsky9941

5 ай бұрын

@@heal2hair517 Yeah I remember now that Neal said something about feeling conpression in right scapula but I didnt achieved it. Im so weak in Left serratus that I barely can lift right arm so thats why.

What’s the story behind that framed quote :)

@NealHallinan

Жыл бұрын

I think you are referring to the Bob Dylan song? It’s just in the room. It’s not actually mine.

Escape the matrix he is a part of it.

jeps,Trapezius,first Rib(Scalenis)b,SCM-Muscle,Masseter Muscle,Pectoralis Minor & not forget the hole Arm-lines & wrists ! greetings from Germany :) PS: after 2 Years of TOS, i fixed the hole Body. My ears,my nose,my Skull are totally in Re-Balanced!

@NealHallinan

Жыл бұрын

I’m glad you are fixed!👍

@blueburch

Жыл бұрын

What type of TOS did you have?