Bodystance Backpod - Backpod for T4 Syndrome

T4 syndrome is essentially an add-on to the common
musculoskeletal problems that involve the mid-thoracic
vertebrae and ribs. It takes its special character from
the proximity of the sympathetic neural chain which
travels down the necks of the ribs. This can produce
distal sympathetic symptoms including whole hand
and/or forearm paraesthesia, swelling, blotchiness and
feelings of hot or cold in the hands.
The postulated mechanism is that sustained or extreme
thoracic postures can lead to relative ischemia within
multiple tissues, triggering the sympathetic signs and
symptoms. These may not be derived solely from the
fourth thoracic vertebra, hence ‘T4 syndrome’ may also
be referred to as ‘upper thoracic syndrome’.
In practical terms, treatment is the same as for the
vast majority of local thoracic and/or costovertebral
problems, so the Backpod
®
is ideal here. It can be used
by the patient to stretch out the common excessive
thoracic hunch and/or any hypomobile CV joints, or by
the therapist to mobilise the small sub-group of straight
or concave thoracic spines as detailed on page 17. The
Backpod
®
programme of support strengthening, home
massage and posture understanding also applies. Once
the thoracic spine and ribs have been restored to full
range supported movement, the distal sympathetic
symptoms will clear.
Health practitioner additions may include manipulation
to unlock any specifically jammed facet or CV hinges,
work station adjustment to limit excessive hunching,
brachial plexus stretching exercises, and non-steroidal
anti-inflammatory medications which are very helpful in
the acute phase. Deep sports massage is very useful
to tease out built-up adhesive fibrotic scarring fibres
in the surrounding muscles, especially around the T4
area and including the rhomboids and middle trapezius,
but also the pecs, the lats and the shoulder girdle, and
down the affected arm(s).
Backpod
®
for T4 Syndrome
27
Health Practitioner pages