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Bowtech-Bowen Therapy

Locality: Bundaberg, Queensland

Phone: +61 7 4151 5939



Address: 24a FE Walker Street 4670 Bundaberg, QLD, Australia

Website: https://sites.google.com/site/bowentherapybowtechbundaberg

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23.01.2022 TENNIS ELBOW VS. GOLFER'S ELBOW - WHAT'S THE DIFFERENCE? While many people are familiar with the names of these conditions, there is less widespread understan...ding about how they differ. Both tennis elbow, or lateral epicondylitis, and golfer’s elbow, or medial epicondylitis, are injuries to the tendons attaching your forearm muscles to the bone at your elbow. The epicondyle part of epicondylitis refers to the bony bumps or protrusions at your elbow. Lateral epicondylitis affects the tendons attached to the outer (lateral) side of your elbow, which are connected in turn to the muscles that extend your wrist backward and straighten your fingers. Medial epicondylitis affects tendons connected to the inner (medial) side of your elbow, which are attached to the muscles that flex your wrist and contract your fingers when you grip something. Both injuries are usually the result of repetitive strain on the tendons, and although you don’t have to be a golfer or tennis player to experience them, the repeated forceful motions involved in both sports make them very common. The anatomical structures involved in tennis elbow and golfer’s elbow are very similar and the symptoms are also similar, but they appear on opposite sides of the elbow and arm. SYMPTOMS Common symptoms of tennis elbow include: Pain that radiates from the outside of your elbow and down your forearm Tenderness on the outside of your elbow Weakness in your forearm or a weak grip Pain when you grip things, twist something or, if you play tennis, especially with backhand strokes Golfer’s elbow symptoms are similar, but occur on the inside of your arm and include: Pain and tenderness on the inside of your elbow Pain that radiates down your arm from the inside of your elbow Weakness in your hand or wrist Numbness or tingling in your ring and little fingers Pain when you grip or twist things Pain when you flex your wrist



21.01.2022 The best thing in my life was to learn this wonderful therapy

21.01.2022 KNEE JOINT The knee is arguably the most complex joint in the human body. With its daily exposure to high amounts of compressive and torsional forces, it requ...ires an inborn shock-absorbing system. These photos display the complex interconnected network of synovial bursae. The bursae are synovial fluid filled sacs that exist at areas of high friction between tendons and bony prominences. Their function is that of a cushion. Due to the insertion of many large tendons on the tibia, fibula and femur, many bursae are found at the knee. The purple sacs represent the individual bursa, with special attention given to the posterior semimembranosus and medial gastrocnemius bursa and suprapatellar bursa. Both of these structures share direct connection to the joint capsule and internal synovial environment of the knee joint. They are a LINKed hydraulic system. Common disorders of the internal knee (meniscus tears, osteoarthritis) can lead to swelling of these bursae. The most common being the enlargement of the posterior semimembranosus and medial gastroc bursa, known as a Baker's Cyst. Minimizing friction on these tendons via normalizing fascial tensions is critical to bursa health, which minimizes compressive loads on the joints. Healthy fascia-health bursae-health joints-healthy movement! Photo credit to K. Alyhaya. Credit: @anatomylinks #anatomy #fascia #knee #bursitis #fascia #biotensegrity #biomechanics #functionalanatomy #function #yoga #yogaanatomy #dryneedling #acupuncture #physicaltherapy #chiropractic #orthopedics #meniscus #acl #running #joints #massage #jointhealth #squats #pistolsquat #crossfit #knowyouranatomy See more

15.01.2022 NECK PAIN, HEADACHES OR TEMPOROMANDIBULAR JOINT (TMJ) SYNDROME? [NEUROMUSCULAR INTERACTION BETWEEN SUBOCCIPITAL MUSCLES AND TMJ MUSCLES] The TMJ is a complex ...joint that allows us to open/close our mouth. TMJ disorders do not only create pain and limitations with the jaw. Oftentimes, there are associated issues with the neck, face, and ears. The body is classically divided into systems such as muscular, skeletal, nervous system etc. However, this is a mirage as these systems are all a part of one super-system that works in unison to create function. An excellent example of this is the links between the muscles of the suboccipital region, the jaw muscles and the central nervous system. As you know the suboccipitals are short and have only minor contributions to gross movements of the spine. However, they are loaded with sensory muscle spindles which indicate these muscles have a strong link to the cerebellum and the CNS. Postural distortions that affect the position of the skull and upper cervical vertebrae are immediately relayed to the CNS via these spindle receptors and the ganglion of C2 which is the largest in the body with 49,000 neurons. For comparison, the T4 ganglion has 24 neurons. More neurons = higher speed delivery of information to the brain. The muscles of the jaw include the masseter as well as the deeper pterygoid muscles. They obviously allow for chewing but also have an interesting link to the CNS. The masseter has been shown to spontaneously activate during periods of stress. The masseter will also activate in unison with the subocciptal muscles during sudden postural changes in order to keep the eyes stable on the horizon. The suboccipital and TMJ muscles may not be physically linked but they are absolutely connected in the cerebellum and in most clinical cases. This relationship tells us these muscles have a large role in stress/sympathetic nervous system syndromes as well as global postural regulation. A patient may present with complaints of neck pain, but now we see how we must look globally at posture, TMJ function, vestibular function and stress management!



14.01.2022 SUBSCAPULARIS TENDINITIS: CAUSES, SYMPTOMS, TREATMENT Subscapularis muscle is a large triangular-shaped muscle which fills the subscapular fossa. The term "su...bscapularis" means under (sub) the scapula (the wingbone). The subscapularis muscle originates beneath the scapula. It is a part of the Rotator Cuff muscle group. It is the largest and the strongest muscle in this group. The subscapularis muscle is the most-used muscle in the shoulder. CAUSES Subscapularis Tendinitis usually occurs due to a direct trauma to the arm like that in a fall on the shoulders or arm or as a result of a sporting injury. A rupture of the tendon may also occur after a surgical procedure such as a shoulder replacement surgery in which the subscapularis tendon is removed and repaired. SYMPTOMS Some of the symptoms of Subscapularis Tendinitis are pain with any type of movement of the shoulder, especially overhead motions. Pain may also be induced with inward motion of the arms. In few cases pain is observed during sleep and early morning. Pain is often caused by hyperextension of shoulder joint during sleep resulting in hyperextension of rotator cuff and subscapularis tendon. The subscapular tendon inflammation is mild to moderate and responds to treatment. TREATMENT The treatment of subscapular tendinitis depends on severity of the inflammation. Mild to moderate inflammation of the subscapular tendon is treated by resting and initially with ice to reduce pain and inflammation. Massage and proper exercise will help the tendon and the muscle to recover. EXERCISE Performing isometric exercises that target the subscapularis involves contracting the muscle for five to 10 seconds at a time without moving your shoulder joint considerably. Start on your back with your elbow about 6 inches away from your side and flexed to 90 degrees, so your forearm points upward. Place a large book by your hip on the same side. Inwardly rotate your shoulder, placing your hand on top of the book, and press downward for five to 10 seconds. Relax briefly, then move your elbow about 3 inches farther away from your side and repeat the same exercise. Perform the exercise twice more -- once with your upper arm pointed away from your shoulder and once with your elbow even with your ear. Repeat the series with your opposite arm.

13.01.2022 SHIN SPLINTS - MEDIAL TIBIAL STRESS SYNDROME WHAT IS IT? Clinically referred to as medial tibial stress syndrome, shin splints describe pain that develops ...at the front of the shin bone (tibia). It’s caused by excess stress and strain to the shins which may occur in multiple ways, including a bending stress on the tibia and excess strain on the musculature at the front of the legs. CAUSES While runners may be most familiar with this pain, other individuals may suffer from them as well. Repetitive activities, like running, are the most well known cause, but flat feet, tight calves, inappropriate training or poor shoes may also contribute to shin splints. SYMPTOMS Symptoms may include pain and swelling along the front and/or the inside aspect of the lower leg. Shin splints may go away for some runners after they become accustomed to the activity, but for others, the pain can persist. It is important to get treatment as the condition can progress to stress fractures of the tibia. SELF-CARE FOR SHIN SPLINTS Self-care for shin splints begins with RICE: rest, ice, compression, and elevation. If the client/patient has anterior shin splints that is caused by running or some other physical activity that involves running, the client/patient should stop the activity until the condition is resolved. If the condition is not severe, then the client/patient might be able to continue participating in the sport if either the distance that is being run is decreased or the client switches to running on a softer surface. However, it is also likely that continuing to run will delay healing and prolong the condition. If the client has posterior shin splints that is caused by an activity that involves plantarflexion, the client should stop or lessen this activity. Once the acute phase of shin splints is over, strengthening the involved musculature can be helpful. Individual muscle groups can be easily exercised at home with resistance tubing. Plantarflexion musculature (e.g., the soleus) can be easily exercised with heel raises. The client/patient simply stands and then rises up on their heels (engaging the muscles of plantarflexion concentrically) and then slowly lowers their body back down (engaging the muscles of plantarflexion eccentrically). The client/patient should do one set of heel raises until the musculature reaches exhaustion, working up to the goal of performing a set of 100. One to three sets should be done per day. HOW MASSAGE CAN HELP IN SHIN SPLINTS? Massage can improve shin splints as it relaxes the tension on the calf muscles and other nearby attachments. The massage should be done in both front and back portion of the leg for better results. It reduces pain and swelling.

11.01.2022 Sinus Tarsi Syndrome The sinus tarsi is a small bony canal which runs into the ankle under the talus bone. Damage to this can be caused by overuse or from an ...sprained ankle. Symptoms Pain which may difficult to pinpoint. Pain is usually just in front of the lateral malleolus. Tenderness will be felt at the opening of the sinus tarsi which is located on the outside of the ankle. The patient may have pain or difficulty running on a curve, for example, running around a left-hand bend with a painful left foot. Inverting the ankle may be painful. An anesthetic injection into the painful area will confirm the diagnosis. An MRI scan may indicate excessive fluid in the sinus tarsi canal. Treatment What can the athlete do? Rest from all painful activities. (Continuing to train on a painful ankle will make the injury worse or at least prevent healing.) Apply ice or cold therapy to reduce pain and inflammation. (10 to 15 minutes every hour initially if the injury is very painful but reducing later to 3 or 4 times a day as required.) What can a professional do? Anti-inflammatory medicine and a gradual rehab program. Electrotherapy such as ultrasound may help reduce inflammation and swelling caused by sinus tarsi syndrome. Mobilization of the subtalar joint is an important part of treatment and rehabilitation. A professional therapist should be able to help with ankle mobilizations for sinus tarsi syndrome. Correction of any biomechanical problems such as overpronation. Overpronation is when the foot flattens or rolls in too much. This could change the way the ankle bones move restricting the space in the sinus tarsi channel. A podiatrist or similar can prescribe orthotic insoles which go in shoes to correct biomechanical foot problems. It is very important to have the correct running shoes for your type of feet also! Exercises Strengthening exercises for the ankle esp. proprioceptive exercises can strengthen the proprioception and make re-injuring the ankle less likely. Stretch and release the muscles of the lower leg. Tight lower leg muscles may affect the biomechanics of the ankle. Check and subscribe my YouTube channel for more information about treatment and exercises: www.youtube.com/stefanduell #physiotherapy #osteopathy See more



09.01.2022 TIBIALIS POSTERIOR TENDONITIS Tibialis posterior (TP) tendonitis is an overuse injury causing inflammation of the TP tendon. Tendinopathy is probably a more a...ccurate term to use as it refers to wear and tear or degeneration of the tendon rather than acute inflammation. The TP passes down the back of the leg and under the medial malleolus. It inserts on the lower inner surfaces of the navicular and cuneiform bones in the midfoot and the base of the 2nd, 3rd, 4th and fifth long metatarsal bones under the foot. It is used to plantarflex the foot and to invert the foot. Causes Athletes who overpronate are at increased risk as this places more strain on the TP causing it to repeatedly overstretch and overwork more. Sports that increase the risk of TP tendinopathy are those which require prolonged stretching of the TP like ballet dancing, Ice skating or sprinting. Diagnose Passive eversion/resisted inversion. Heel raise on a step difficulty keeping the ankle straight, remains rolled in & flattened. MRI scan. Signs & Symptoms Pain on the inside/behind the ankle with radiation along the TP tendon length. Pain comes on gradually over time. Crepitus can be felt when the tendon moves. Swelling most likely in later stages around the back of the malleolus.If a lot of swelling acute partial tear? Treatment Decrease initial pain and inflammation. Improve mobility and flexibility. Improve strength. Re-establish neural control and coordination. Return to full fitness. What can the athlete do? Cold therapy: 10 minutes every hour. After acute stage, heat may be more beneficial. Compression bandages. Stretching exercises for TP & calf muscles if not painful. Specific strengthening exercises for the TP. What can a therapist do? Electrotherapy Anti-inflammatory medication. Deep tissue treatment. Rehab program to strengthen the TP with focus on developing eccentric strength. Exercises can begin as soon as they can be performed without pain. Orthotic inserts can be prescribed & fitted if required to correct poor foot biomechanics. If the tendon is ruptured then it must be repaired surgically. Check and subscribe my YouTube channel for more information about treatment and exercises: www.youtube.com/stefanduell See more

06.01.2022 Open now for Bowen Therapy Appointments 41515939Open now for Bowen Therapy Appointments 41515939

06.01.2022 WHY ARE THE PSOAS MUSCLES CONSTANTLY CONTRACTED DURING PROLONGED PERIODS OF STRESS? Whether you run, bike, dance, practice yoga, or just hang out on your couc...h, your psoas muscles are involved. That’s because your psoas muscles are the primary connectors between your torso and your legs. They affect your posture and help to stabilise your spine. The psoas muscles are made of both slow and fast twitching muscles. Because they are major flexors, weak psoas muscles can cause many of the surrounding muscles to compensate and become overused. That is why a tight or overstretched psoas muscle could be the cause of many or your aches and pains, including low back and pelvic pain. ANATOMY Structurally, your psoas muscles are the deepest muscles in your core. They attach from your 12th thoracic vertebrae to your 5 lumbar vertebrae, through your pelvis and then finally attach to your femurs. In fact, they are the only muscles that connect your spine to your legs. Your psoas muscles allow you to bend your hips and legs towards your chest, for example when you are going up stairs. They also help to move your leg forward when you walk or run. Your psoas muscles are the muscles that flex your trunk forward when bend over to pick up something from the floor. They also stabilize your trunk and spine during movement and sitting. THE PSOAS AND FIGHT OR FLIGHT RESPONSE The psoas muscles support your internal organs and work like hydraulic pumps allowing blood and lymph to be pushed in and out of your cells. Your psoas muscles are vital not only to your structural well-being, but also to your psychological well-being because of their connection to your breath. Here’s why: there are two tendons for the diaphragm (called the crura) that extend down and connect to the spine alongside where the psoas muscles attach. One of the ligaments (the medial arcuate) wraps around the top of each psoas. Also, the diaphragm and the psoas muscles are connected through fascia that also connects the other hip muscles. These connections between the psoas muscle and the diaphragm literally connect your ability to walk and breathe, and also how you respond to fear and excitement. That’s because, when you are startled or under stress, your psoas contracts. In other words, your psoas has a direct influence on your fight or flight response! During prolonged periods of stress, your psoas is constantly contracted. The same contraction occurs when you: sit for long periods of time engage in excessive running or walking sleep in the fetal position do a lot of sit-ups Here are some tips for getting your psoas back in balance: Avoid sitting for extended periods Add support to your car seat Try Resistance Flexibility exercises Get a professional massage Release stress and past traumas Stretch HOW TO STRETCH Roller Psoas Stretch Use a foam roller for this passive, relaxing stretch that lengthens your psoas, one of your deep hip flexors. 1. Place the roller perpendicular to your spine and lie with your sacrum (the back of your pelvis) not your spine on the roller. 2. Pull your left knee toward your chest, keeping your right heel on the ground. You should feel a stretch on the front of your right hip. 3. To increase the stretch, reach your right arm over your head and open your left knee slightly out to the left. Hold for 30 seconds, then switch legs. Repeat as needed.

06.01.2022 A pretty good explanation, been around for a while.

03.01.2022 TENNIS ELBOW [REHAB EXERCISES] On the pictures you can see several rehab exercises which should be done as a daily training routine if you suffer from Tenni...s Elbow! STRETCHING EXERCISES Wrist active range of motion, flexion and extension: Bend the wrist of your injured arm forward and back as far as you can. Do 2 sets of 15. Wrist stretch: Press the back of the hand on your injured side with your other hand to help bend your wrist. Hold for 15 to 30 seconds. Next, stretch the hand back by pressing the fingers in a backward direction. Hold for 15 to 30 seconds. Keep the arm on your injured side straight during this exercise. Do 3 sets. Forearm pronation and supination: Bend the elbow of your injured arm 90 degrees, keeping your elbow at your side. Turn your palm up and hold for 5 seconds. Then slowly turn your palm down and hold for 5 seconds. Make sure you keep your elbow at your side and bent 90 degrees while you do the exercise. Do 2 sets of 15. Active elbow flexion and extension: Gently bring the palm of the hand on your injured side up toward your shoulder, bending your elbow as much as you can. Then straighten your elbow as far as you can. Repeat 15 times. Do 2 sets of 15. STRENGTHENING EXERCISES Eccentric wrist flexion: Hold a can or hammer handle in the hand of your injured side with your palm up. Use the hand on the side that is not injured to bend your wrist up. Then let go of your wrist and use just your injured side to lower the weight slowly back to the starting position. Do 3 sets of 15. Gradually increase the weight you are holding. Eccentric wrist extension: Hold a soup can or hammer handle in the hand of your injured side with your palm facing down. Use the hand on the side that is not injured to bend your wrist up. Then let go of your wrist and use just your injured side to lower the weight slowly back to the starting position. Do 3 sets of 15. Gradually increase the weight you are holding. Wrist radial deviation strengthening: Put your wrist in the sideways position with your thumb up. Hold a can of soup or a hammer handle and gently bend your wrist up, with the thumb reaching toward the ceiling. Slowly lower to the starting position. Do not move your forearm throughout this exercise. Do 2 sets of 15. Forearm pronation and supination strengthening: Hold a soup can or hammer handle in your hand and bend your elbow 90 degrees. Slowly turn your hand so your palm is up and then down. Do 2 sets of 15. Wrist extension with broom handle: Stand up and hold a broom handle in both hands. With your arms at shoulder level, elbows straight and palms down, roll the broom handle backward in your hand. Do 2 sets of 15. Svernlöv B, Adolfsson L. Non-operative treatment regime including eccentric training for lateral humeral epicondylalgia. Scand J Med Sci Sports. 2001 Dec;11(6):328-34. Check and subscribe my YouTube channel for more information about treatment and exercises: www.youtube.com/stefanduell See more



02.01.2022 Bowen can help relieve most shoulder issues gently

02.01.2022 TRIGEMINAL NERVE (CN V) The trigeminal nerve (CN V) is the largest cranial nerve (if the atypical optic nerve is excluded). It emerges from the lateral asp...ect of the pons of the brainstem by a large sensory root and a small motor root. The roots of CN V are comparable to the posterior and anterior roots of spinal nerves. CN V is the principal somatic (general) sensory nerve for the head (face, teeth, mouth, nasal cavity, and dura mater of the cranial cavity). The large sensory root of CN V is composed mainly of the central processes of the pseudounipolar neurons that make up the sensory trigeminal ganglion. The ganglion is flattened and crescent shaped (hence its unofficial name, semilunar ganglion) and is housed within a dural recess (trigeminal cave) lateral to the cavernous sinus.

01.01.2022 HIP (GREATER TROCHANTERIC) BURSITIS In between tendons and bones all over the body, small sacs of fluids called bursae are present. These fluid sacs provide n...ecessary cushion to the tendons and protect them from sudden damage. The trochanteric bursa is one such fluid sac present in the back of the thigh separating the muscles and tendons of the thighs and buttock from the greater trochanter of the hip. The greater trochanter or great trochanter of femur is the part of the skeletal system of the femur that is irregular in shape, with coarse surface, but to some extent looks quadrilateral. Greater Trochanteric Pain Syndrome or GTPS is also known as Trochanteric Bursitis that is symptomized by a pain in the upper surface of the hip and thigh. What is Greater Trochanteric Pain Syndrome? Due to any injury to the greater trochanter or the adjoining parts and trochanteric bursa, pain on the upper surface of the upper thigh and the hip may occur, which is known as Greater Trochanteric Pain Syndrome. The main cause of the pain is the inflammation or injury to the trochanter bursa, which is why it is also called Trochanteric Bursitis. In the adjoining area of the Greater Trochanter, several other small fluid sacs are present, but trochanter bursa is the largest fluid sac in that part, and it faces the maximum damage during an injury. In contrary, some recent research shows that inflammation of the trochanter bursa is not the sole cause of the pain; minor damages to the adjoining muscles and tendons also add to that pain along with an inflamed trochanter bursa. So, these days, experts call the condition as greater trochanteric pain syndrome. Following are the most known symptoms of Greater Trochanteric Pain Syndrome: - Mild to severe hip and upper thigh pain. The pain may spread up to the knee area. The pain intensifies while walking, running, carrying heavy weights, and sitting cross legged. - Tenderness in the affected areas. - Painful walking or normal movements is also a symptom of Greater Trochanteric Pain Syndrome. - Swelling of the affected area, with a sensation of warmth. - In severe situations, the affected area may be discolored or look reddish. Causes of Greater Trochanteric Pain Syndrome The main causes of greater trochanteric pain syndrome include the following: - Sudden fall with the hip area facing the ground and the maximum body weight concentrates on the hip and upper thigh area mainly. - Excessive pressure on the hip and thigh muscles and bones for a long time for many days may also cause greater trochanteric pain syndrome. This is the main reason of occurrence of the condition in athletes, weight lifters, and bodybuilders. - Some other problems like osteoarthritis, leg gait disturbances, and problems in the spinal cord may also lead to greater trochanteric pain syndrome. - In some small number of cases, it is found that greater trochanter pain syndrome has been formed after an arthroscopic surgery on the hip. - Infection due to any other reason like tuberculosis may also cause inflammation in the trochanter bursa leading to greater trochanteric pain syndrome. Treatment and Management of Greater Trochanteric Pain Syndrome The treatment of Greater Trochanteric Pain Syndrome includes the following: - Application of ice pack can help relieve greater trochanteric pain syndrome - Giving rest to the legs - Application of corticosteroid injections - Administration of non-steroidal anti-inflammatory drugs (NSAID) - If required, application of local anesthetic - Physical Therapy Exercise Clamshell Exercise for Greater Trochanteric Pain Syndrome: The exercise is to be done in the below mentioned way: The patient needs to lie on one side with the head on the pillow and the hand in the lower side bent with the head resting on the palm. The two legs will remain one over the other. The feet will also touch one another. In this posture, the patient needs to lift his or her leg up as much as possible without separating the two feet. Remain in this position as long as possible and when tired bring down the leg to the normal position once again. This exercise is to be practiced for 30 minutes, at least two times a day. Can massage therapy help with hip bursitis? Stay tuned.

01.01.2022 UPPER BACK, SHOULDER, ELBOW, ARM OR HAND PAIN? TRICEPS BRACHII MUSCLE [ANATOMY, FUNCTION & PATHOLOGY]... The triceps brachii is the muscle that runs down the back of the humerus and ends at the top of the ulna. The triceps brachii gets its name because it contains three muscle 'heads' or points of origin. These include the medial head, lateral head and long head. Origin of long head: Infraglenoid tubercle of the scapula. Origin of lateral head: Lateral and posterior surfaces of the humerus above the radial groove and lateral intermuscular septum. Origin of medial head: Posterior surfaces of the humerus below the radial groove and from the medial intermuscular septum. It inserts at the posterior surface of the olecranon process of the ulna, capsule of the elbow joint and antebrachial fascia. It helps in extension of the elbow joint and also act as an antagonist of the biceps and brachialis. The triceps brachii also helps to stabilize the shoulder by keeping the head of the humerus in its correct position in the shoulder joint. When the shoulder is internally rotated, the ability of the long head of the triceps brachii to extend and adduct the shoulder is diminished. The shoulder must be externally rotated in order for the long head of the triceps brachii to assist shoulder adduction. The triceps brachii muscle is able to send pain to your shoulder, elbow, forearm and hand (Pic 3). If your triceps contains trigger points (TPs), you might experience pain mainly in your upper back, shoulder and your arm, depending on the location of these points. Hence, it can be involved in the following conditions: Pain at the back of the shoulder, Pain at the tip of the elbow, Tennis elbow, Golfers elbow, Forearm pain. TPs or a very tight triceps brachii muscle may hinder you from fully extending your arm or it might be painful to do so. Maybe you will not realize it because you unconsciously keep it flexed permanently and thus prevent the painful extension/straightening. Also any strong extension pushing against something for example of your elbow can be painful if you have TPs in this muscle.

01.01.2022 SHOULDER OR ARM PAIN? TRIANGULAR INTERVAL SYNDROME (TIS) [ANATOMY LESSON]... The Triangular Interval (also known as the lateral triangular space, lower triangular space and triceps hiatus) is a space connecting the axilla to the posterior compartment of the arm. It is one of the three intermuscular spaces found in the axillary space. The other two spaces are Quadrangular Space and Triangular Space. Triangular Interval (4) Borders superior: teres major lateral: lateral head of the triceps or the humerus medial: long head of the triceps Contents profunda brachii artery radial nerve Quadrangular Space (5) Borders medial: long head of triceps lateral: humeral shaft superior: teres minor inferior: teres major Contents axillary nerve posterior humeral circumflex artery Triangular Space (3) Borders inferior: teres major lateral: long head of triceps superior: lower border of teres minor Contents scapular circumflex artery Triangular Interval Syndrome (TIS) was described as a differential diagnosis for radicular pain in the upper extremity. It is a condition where the radial nerve is entrapped in the triangular interval resulting in upper extremity radicular pain. The radial nerve and profunda brachii pass through the triangular interval and are hence vulnerable. The triangular interval has a potential for compromise secondary alterations in thickness of the teres major and triceps. It is described based on cadaveric studies that fibrous bands were commonly present between the teres major and triceps. When these bands were present, rotation of the shoulder caused a reduction in cross sectional area of the space. Hypertrophy of the teres major can occur secondary to weight training and potentially compromise the triangular interval with resultant entrapment of the radial nerve. Shoulder dysfunctions have a potential for shortening and hypertrophy of the teres major. The triceps brachii has a potential to entrap the radial nerve in the triangular interval secondary to hypertrophy. The presence of a fibrous arch in the long head and lateral head further complicates the situation. #Anatomy #Physiotherapy #Osteopathy #Doctor See more

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