What is it?
It is a compression injury to the nervous or blood vessel bundles from narrow passageways at the base of the neck passing under your collarbone and into your arm.
Site/Area of pain
Shoulder and Arm
Type of pain/Symptoms
The arms and hands feel cool and tire easily.
Vague, aching pain in the neck, shoulder, arm, or hand.
Overhead activities are particularly difficult.
Most Common Occupational Related Causes
Sitting unsupported and leaning forward in chair for prolonged periods
Unnecessary repetitive reaching (especially, overhead movements).
Insufficient back support from chair forcing neck and spine to slouch as the shoulders follow
Typing with your elbows and forearms unsupported and shoulders rolled forward can compress nerves and blood vessels in the armpit.
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Conservative measures of treatment consist of;
Use of nonsteroidal anti-inflammatory drugs to ease the pain
Physical therapy can help strengthen the muscles surrounding the shoulder so that they are better able to support the collarbone.
Postural exercises can help you stand and sit straighter, which lessens the pressure on the nerves and blood vessels.
If you are overweight, your physician may recommend that a weight loss program.
You will need to change your workstation and avoid strenuous activities.
In rare instances, surgery may be recommended if conservative treatment fails.
Ergonomic Suggestions;
Take regular breaks every 30-40 minutes, avoid prolonged unsupported sitting positions.
Use a monitor arm or monitor stand to promote optimal monitor height
Make sure all necessary documentation and equipment are within easy reach.
In- line Document stand to neutralise neck position and prevent unnecessary head tilting while referring to documents
Make sure the chair back is a high back chair to support the spine while seated and not push the shoulders forward.
Forearm support to promote forearm and wrist support while seated
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