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Art Spotlight With Dr. Leahy
ART Spotlight, By Dr. Michael Leahy
Monday, November 12, 2001


ART Spotlight Article: Woman treated for numbness and pain tingling down arm. Saved from surgury.

I would like to tell you about a case that we treated last month.

A young female in her 20's was facing surgery for numbness, pain and tingling down her shoulder and arm. Various therapies had failed and her workman's compensation doctor said that surgery was likely. They would remove a rib and do a few other things in the process. The problem was that she would most likely never work again.

He did offer one possible alternative and that was treatment with Active Release Techniques. This involved using manual contacts and motion of the shoulder, neck and arm to find and break up adhesions that trap the nerves in several places.

Well, after two treatments the pain was gone. Before treatment she did not have the strength to turn a door knob and now she can do all the normal things with that arm and hand including opening a tight jar. How could this happen so fast?

The nerves to the arm and hand can be trapped in five places between the neck and arm. In this case there was an adhesion (scar tissue) that stuck the nerves to a muscle (pectoralis minor) and a bone in the shoulder. When this was released there was an immediate change in symptoms. The shaking of the hand stopped. The pain stopped and the strength returned in less than five minutes.

The moral of this story is that surgery for thoracic outlet, carpal tunnel and most other nerve entrapments can almost always be avoided. Sometimes surgery is necessary but before you go under the knife, see an ART provider.

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