Testing for:
Neurovascular Compression (TOS) caused by the anterior scalene.
Procedure:
- Patient is seated
- Passively extend and slightly externally rotate their affected arm
- Monitor their radial pulse
- Patient rotates their head towards the affected side, slightly elevate their chin
- Patient takes a deep breath and holds it from 15-30 seconds.
Positive Sign:
Patient’s symptoms reoccur (numbness, tingling in hands and fingers) or the patient’s radial pulse diminishes.
Bryson Ingram R.M.T. 