Sternocostal syndrome has been difficult to gain control of the symptoms for most treating doctors and are often considered enigmatic (13). Often, it make take 2-3 months for symptoms to resolve if they ever do during standard medical treatment. The disorder is seen more prevalent in patients that have had open heart surgery, which is where more of the data is found when researching the topic (12). Over the years, Dr. McDougle has seen it become prevalent in the fitness, strength, and exercise patrons. Much of the symptoms resemble T-4, Thoracic Flat-back, and occasionally Thoracic Outlet syndromes. The sternum in this case is often the most compromised of the functional outlet. Breathing tends to be difficult, may be painful, feel like an elephant is sitting on the chest, and has a multitude of upper extremity symptoms with no hard neurological or vascular signs blatently obvious. Clearly with excessive chest pressure or pain, if a heart attack is feared, the Emergency Room is the right place to start. But, with clearance of that as a diagnosis, IN Chiropractic & Wellness, Inc. may be the next place on your list to save the patient both time and money with an experienced provider in this specific set of circumstances.


(1) Acute Muscle Stretching Inhibits Maximal Strength Performance

Joke Kokkonen Physical Education Division , Brigham Young University-Hawaii Campus , USA , Arnold G. Nelson Department of Kinesiology , Louisiana State University , USA & Andrew Cornwell

Pages 411-415 | Accepted 30 Mar 1998, Published online: 08 Feb 2013

 

(2) Dynamic Gait Assessment for Chiropractors

IN Chiropractic & Wellness, Inc. / Indiana Scoliosis Specialists, McDougle Chiropractic Methods Research Center, Fishers Indiana, USA

Dr. Todd McDougle, Vince Rizzo  Non-Published Released Date Dec. 2015

(3) Chiropractic Care for Children

Lee, Anne CC, Dawn H. Li, and Kathi J. Kemper. “Chiropractic care for children.” Archives of pediatrics & adolescent medicine

154.4 (2000): 401-407.

(4) Dose-responsefor Chiropractic Care of Chronic Low Back Pain

Mitchell Haas, DCa, , , Elyse Groupp, PhDa,Dale F. Kraemer, PhDb a Center for Outcome Studies, Western States Chiropractic College, 2900 NE 132nd Avenue, Portland, OR 97230, USA b Department of Medical Informatics and Clinical Epidemiology, and Department of Public Health and Preventive Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098, USA

Received 26 June 2003, Accepted 23 February 2004, Available online 9 September 2004

(5) Acute Ballistic Muscle Stretching Inhibits Maximal Strength Performance Arnold G. Nelson and Joke Kokkonen Research Quarterly for Exercise and Sport Vol. 72 , Iss. 4,2001

(6) Hox gene; From Wikipedia, the free encyclopedia

(7) Projections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005 to 2030 Steven Kurtz, PhD; Kevin Ong, PhD; Edmund Lau, MS; Fionna Mowat, PhD; Michael Halpern, MPH, MD, PhD J Bone Joint Surg Am, 2007 Apr; 89 (4): 780 -785 . https://doi.org/10.2106/JBJS.F.00222

(8) Advanced Peripheral Nerve Surgery and Minimal Invasive Spinal Surgery Volume 97 of the series Acta Neurochirurgica pp 7-12 TOS pathophysiology and clinical features Francesco Maria Crotti , A. Carai, M. Carai, N. Grimoldi, E. Sgaramella, W. Sias, F. Tiberio

(9)  Dunning J ,Mourad F ,Giovannico GMaselli FPerreault T ,Fernández-de-Las-Peñas C   PhD Student, College of Health Care Sciences, Nova Southeastern University, Ft. Lauderdale, FL. Electronic address: jamesdunning@hotmail.com. Journal of Manipulative and Physiological Therapeutics [2015, 38(6):382-394] Type: Evaluation Studies, Journal Article, Comparative Study DOI: 10.1016/j.jmpt.2015.06.008  {Notes Content}

(10) The T4 syndrome. DeFranca GGLevine LJ Journal of Manipulative and Physiological Therapeutics [1995, 18(1):34-37] {Slide Content}

(11) Revision Spine Surgery Management of iatrogenic flat-back syndrome

Gregory C. Wiggins, M.D., Stephen L. Ondra, M.D., and Christopher I. Shaffrey, M.D.

Neurosurgical Focus September 2003 / Vol. 15 / No. 3 / Pages 1-9

(12) Seyfer, Alan E., et al. “Upper extremity neuropathies after cardiac surgery.” The Journal of hand surgery 10.1 (1985): 16-19. Alan E. Seyfer. Author links open the author workspace. M.D.Opens the author workspaceNadja Y. Grammer. Author links open the author workspace. B.S.George P. Bogumill. Author links open the author workspace. Ph.D., M.D.John M. Provost. Author links open the author workspace. M.D.Usha Chandry. Author links open the author workspace. M.D. Plastic Surgery and Orthopaedic Surgery Services, Walter Reed Army Medical Center, Washington, D.C.

(13) Landry, Gregory J., et al. “Long-term functional outcome of neurogenic thoracic outlet syndrome in surgically and conservatively treated patients.” Journal of vascular surgery 33.2 (2001): 312-319.