False Carpal Tunnel from Tight Pectoralis Minor

Technique Videos, forearm, hand, pectoralis minor, video

This is a self-help technique video.

If you saw the other videos, you know that numbness in the hands and fingers can come from any of several along the nerve pathways. 

It is not unusual for more than one location to cause the problem.  Doctors frequently only look at the wrist as being a problem. 

Unfortunately people have had carpal tunnel surgery, when the carpal tunnel wasn’t even the problem at all. 

In previous videos we looked at the forearm muscles and how they can cause problems when tight. — And showed a very effective self-treatment.

In spite of it’s name the pectoralis minor muscle is very significant.

However, the pectoralis minor muscle is often overlooked.

But it is often very tight. When tight, it causes the shoulders to round forward. This causes the muscles between the shoulder blades to continually try to counteract that. And that causes pain between the shoulder blades.

As the video tells, when the Pectoralis muscle is tight, it can pinch on the nerves going into the fingers. It can pinch any or all of the major nerves that go into the hand, and can even cause numbness up the arm.

If you experience numbness in any part of the hand when your hands are up, but not down, it is very likely the Pec. minor. Although if very, tight it can create numbness all or most of the time.

If you get numbness, even when you arms are partially raised – as in driving a car, riding a bicycle, motorcycle, operating lawn equipment, etc., the Pectoralis Minor muscle could be the blame. Although you want to look at the forearm muscles first.

This video shows you how to work on this muscle yourself.

Part 2 will show you some stretches for the Pectoralis Minor. But this is sufficent to get you started.

10 Comments

10 Comments

  1. Teresa M.  •  Jan 10, 2009 @10:42 am

    Thank you-Thank you, Thank you !!! I have been using the stretches for false carpel tunnel for a few days and already have at least an 80% improvement. I expect to fully recover now, though I had been suffering for months, but was determined to go to a medical doctor for the problem only as a last resort, and was very concerned about this becomming a chronic problem — you saved me. Thank you !!!

  2. admin  •  Jan 11, 2009 @5:07 pm

    Glad it is working for you. Remember it is not the only place where nerves can be pinched. Check out the forearm videos. I will also be making neck videos in the future.

  3. Henrik  •  Mar 28, 2009 @4:43 pm

    Dear Hilma
    thanks for this information!

    I am pianist and was getting really worried for these symptoms, however now it is already much better. But: what muscle it is, behind the should blade, that starts to ache and this ache also transmits to my hand, is it the serrato muscle?

    How can I take care of it, I have a very important exam coming and I need to solve this problem! Can in it be dangerous to feel these impulses in the elbow and in the hand, as mentioned in you article; to practise when feeling these things?
    Usually though, when playing, I dont feel those.

    Never before I payed attention to the function of shoulder, now for a week I have tried to search and take care as much as I can, it has helped. Could you please explain me also, why these muscles start aching from playing a lot, and, what is the right position of shoulder blades when playing the piano (low, high, in, out, front, back), to stay healthy? what muscles keep the balance in the back, when the hands are straightened in front most of the time?

    Thank you so much, and I will send you a cd, if everything goes well!
    HJ

  4. admin  •  Mar 29, 2009 @12:22 am

    Hi Henrik, thanks for the comments. The pain you feel behind the shoulder blade could be the serattus anterior muscle, but I’m not sure that would go into your hand. This link shows where the pain is felt and also has a stretch for it: http://www.mypressureproducts.com/Serratus%20anterior_trigger_points.htm

    You might also want to search for serattus anterior stretches on the search engines and try youtube. Stretches should never be forced. You will also find strenthening exercises, but I would avoid them for now.

    Anyway, chances are they are aching because you are reaching forward with your arms. You want the height and position of your seat to be such that your elbows hang down from your shoulders.

    Also it is best to have your hand lower than you elbow – but it is important to have the back of the forearm and the back of the hand in a straight line.

    You also want to be balanced, sitting upright as if there is rope pulling you up from the top of your head. That doesn’t mean you want to be stiff and rigid though…. but a place to keep coming back to. HV

  5. admin  •  Mar 29, 2009 @12:32 am

    Henrik, The serattus posterior muscle does refer to pain down the arm and hand. This link shows the pain points and has a stretch for it. http://www.mypressureproducts.com/Serratus%20anterior_trigger_points.htm
    HV

  6. Champie  •  Aug 23, 2009 @11:56 pm

    Hi there. First of all let me thank you for your site. My problem is that my muscles in between my shoulder blades are always extremely tight. I usually do not have much pain but it does create discomfort. The muscles on the back of my neck are also ver tight. Both of these muscles start to bother me the most when I am driving. Myquestion to you is, what do you think may be causing this. I went to the dr they did ct scAns and couldn’t find anything wrong. This has been bothering me for yrs and really affects my sleep. I usually wake up with a stiff neck and never fully rest. Would strengthening my back help? If so could you suggest a few excersises? Thanks again

  7. admin  •  Aug 24, 2009 @7:42 am

    Hello Champie,
    As far as the prob. between the shoulder blades, tight pectoralis muscles are generally the cause. My first video has a self massage (which I prefer), the second has stretches. Strengthening the rhomboid muscles (between the shoulder blades) will also help.

    In a nutshell one way to do that is to get one of those elastic exercise bands. Face the edge of an open door. Wrap the band around both door handles and pull back using only the muscles in your upper back to pinch your shoulder blades toward each other.

  8. Alexandra  •  Jul 20, 2010 @9:33 am

    Wow! Thank you so much for your full explanation. I am a welder and also work on the computer. I have started feeling numbness and tingling in two of my left fingers which travels up the arm occasionally. I knew it was muscle tightness, but didn’t know how to get at it. I love the massages I get, but the problem was that they wouldn’t last. I will be doing this stretch regularly. Thank you again for the generosity of your information,
    Alexandra

  9. Kim  •  Jul 25, 2010 @9:22 am

    Hi Hilma,
    Thanks for the videos. Very informative.
    I have been experiencing daily chronic pain in the left pectoral region. After numerous cardiac and pulmonary tests, I’ve been told that it must be “myofascial pain”. I’ve seen an DO who thinks its pect minor and a massage therapist. They’ve done TP injections and TP massage, but I get no relief.
    The pain I have vascilates between the left nipple and just below the left clavical.
    I have no back pain however.
    Does this sound consistent with pect minor problems? If so, why won’t these therapies resolve it? Any suggestions?
    Thanks!

  10. admin  •  Jul 25, 2010 @10:49 am

    Hi Kim, The usual culprits are the scalene muscles, the pectoralis major and pectoralis minor muscles.

    The most common cause being the scalenes. To find out if it is, rub into your neck just above the collar bone, the entire length of your collar bone. If that is very tender, that is likely the cause. Those muscles go from the side of the upper neck to under the collar bone and attach to the 1st and 2nd rib. See my video on the scalene muscles for a good stretch for it. Even though I say don’t massage it — you actually can. In my opinion – doing it yourself will get you better results, because you can work on it often for a short period of time. When you find a tender spot (not a lump but a tender spot) rub back and forth on that (don’t glide across the skin) with one or two fingers for about 15 seconds, then move on to the next tender spot. Use very firm pressure.

    If it is the pectoralis minor, check for tender spots along the outside of the sternum (breast bone) and also under the collar bone. If you find tender spots, work on them the same way. Also check youtube for stretches.

    Pec minor. see my videos.

    In my opinion (since you have ruled out heart problems) I suggest you try fixing them yourself before you go back to a specialist – since they haven’t helped you.

    Hilma

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