What is Thoracic Outlet Syndrome (TOS) and the link to Brachial Plexus / Subclavian Artery

http://www.johngibbonsbodymaster.co.uk John Gibbons is a registered Osteopath, Lecturer and Multi-published Author and is discussing thoracic outlet syndrome (TOS). This is a compression of the neurovascular bundle of the brachial plexus (C5-T1) and the Subclavian Artery / Vein as it exits the thoracic outlet. Causes are a cervical rib, which is a projection from the C7 transverse process and pretty rare. The clavicle can be depressed and is called costoclavicular syndrome, the pec minor shortened, scalenes anticus syndrome – a thickening of the anterior fibres. Adson’s , Allens & Roos test can help confirm or deny pathology. John shows you in his other neurological videos to assess the nerve root level of the adductors (obturator nerve through L3 reflex), patella tendon (femoral nerve through L4 reflex), semitendinosus (tibial / sciatic nerve of L5 reflex) and Achilles / plantar (tibial nerve of sciatic through S1 reflex) and a normal response is classified as 2++. Any reduced hypo-reflex (1+) or increased hyper-reflex (3+++) with Clonus and Babinski positive as might indicate some form of upper motor neurone lesion like Multiple sclerosis, stroke, spinal cord tumour or brain injury. Any altered reflex will need further investigation as a possibility of disc or neural pathology. These techniques and more is taught on the Neurological Master-Class at the University of Oxford. In terms of his courses he offers, you can attend one at a time if you prefer or book all ten and receive a discount. Once you have completed all the courses you will be able to call yourself a Bodymaster Method ® Practitioner and be registered on his website with the letters 'BmP' after your name. John is the Author of the highly successful book and Amazon No 1 best seller called 'Muscle Energy Techniques, a practical guide for physical therapists'. John has also written many more books and these include: 1. A Practical Guide to Kinesiology Taping and comes with a complimentary DVD. 2. The Vital Glutes, connecting the gait cycle to pain and dysfunction 3. Functional Anatomy of the Pelvis, SI joint & lumbar spine 4. The Vital Shoulder Complex 5. 2nd Edition of Kinesiology Taping (released early 2020) 6. The Vital Nerves (released early 2020) All his books are available to buy now through his website http://www.johngibbonsbodymaster.co.uk... or from Amazon http://www.amazon.co.uk John now offers Advanced Training in all aspects of Sports Medicine to already qualified therapists (athletic trainers, sports massage therapists, osteopaths, chiropractors, physiotherapists, physical therapists, personal trainers, pilates teaches etc) in manual therapy to 'Diploma' Level. You need to have attended all of his ten individual Therapy Courses before the diploma is awarded. His venue is based at the idyllic venue of Oxford University, home of the first four-minute mile by Roger Bannister. Courses available and all the dates are online https://www.johngibbonsbodymaster.co.uk: 1. Spinal Manipulation & Mobilisation 2. Advanced Spinal Manipulation 3. Kinesiology Taping 4. Muscle Energy Techniques 5. The Vital Shoulder Complex 6. The Vital Cervical spine 7. The Vital hip & groin 8. The Vital Knee 9. Advanced Soft Tissue techniques 10. The Vital Neurological system 11. Pelvis, SIJ & Lumbar spine 12. The Vital Glutes & Psoas 13. Acupuncture & Dry needling