Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Monday, August 2, 2021
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature

For best results switch to Advanced Search.
Article Detail
Return to Search Results
ID 18200
  Title Diagnosis and treatment of pectoralis minor entrapment with underlying cervical disc herniation: a case study
Journal JACA Online. 2005 Mar;42(2):Online access only p14-19
Peer Review Yes
Publication Type Case Report
Abstract/Notes Objective: To report a case of chiropractic manipulation, soft tissue therapy, and postural exercises in the treatment of pectoralis minor entrapment and to help differentiate the presentation of cervical disc herniation with pectoralis minor entrapment.

Clinical features: A 51-year-old female with a 4-month history of right-sided shoulder pain with numbness and tingling in the right upper extremity presented with an established diagnosis of cervical disc herniation by company physician. Non-response to physical therapy, epidural injections, and work modifications led to a chiropractic referral to evaluate and treat. Symptoms were reproduced with 90° sustained abduction with external rotation and compression of the pectoralis minor tendon. Superior fixation of the right first thoracic rib, along with rounded shoulder posture, was noted. Cervical compression tests were negative and pain was decreased with right lateral flexion.

Intervention and Outcome: A combination of chiropractic manipulation to the first rib, post-isometric relaxation of the pectoralis minor, and corrective postural exercises for the rounded shoulder were performed for 10 weeks. Outcome was measured through subjective pain diagrams using the visual analog scale, response to orthopedic testing, and visual improvement of shoulder position in relation to the opposing shoulder. This type of management resulted in complete resolution of symptoms, improved rounded shoulder posture and produced negative orthopedic testing.

Conclusion: This case report discusses a conservative approach to the diagnosis, treatment, and management of pectoralis minor entrapment.

Key Words: pectoralis minor, entrapment, chiropractic, neurovascular, post-isometric relaxation, manipulation, posture, compression, cervical, disc, herniation .

This abstract is reproduced with permission of the publisher. Full text is available by subscription.

   Text (Citation) Tagged (Export) Excel
Email To
HTML Text     Excel

To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an asterisk*, also called a wildcard or truncation.  Example: chiropract* retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips