chest wall pain

Viewing 2 posts - 1 through 2 (of 2 total)
  • Author
    Posts
  • December 11, 2019 at 8:34 pm #79211
    thomasjohnson

      I had a pt sent to me by a PM&R doc. Wants me to DN and cupping for chest wall pain. Pt had CABG in April 2019 and continues to have pain in L pecs lateral to sternum. Very tender to palpation.No pain at incision. Cleared by cardiologist. Pt bends forward to relieve pain. I know I can do the 25 to 50 mm laterally at the Lat Pec homeostatic point. Any other thoughts, suggestions, advice? Needle size, angle?

      December 11, 2019 at 9:30 pm #79212
      Nick
      Participant

        Hey Thomas,

        I really love cupping over these areas. If palpation / compression is noxious give it distraction. This is most likely residual irritation of the anterior emergent point of the anterior primary rami. I would assess the lateral emergent point as well near the mid axillary line. Cupping or gentle skin stretching at this area should work well in these thinner areas.

        For needling, I would trace back and needle the associated thoracic paravertebral level (posterior primary rami).

      • Author
        Posts
      Viewing 2 posts - 1 through 2 (of 2 total)
      • You must be logged in to reply to this topic.