Upper and Lower Crossed Syndromes. Permission Joseph E. Muscolino. Artwork: Giovanni Rimasti.

Thoracic Hyperkyphosis – The Critical Component of Upper Crossed Syndrome

For most of our clients who present with the postural distortion pattern known as upper crossed syndrome, it is important, perhaps absolutely necessary, to include thoracic spinal joint mobilization technique into extension as part of the treatment plan to address the thoracic hyperkyphosis.

FREE DCOMT video – One Handed Towel Traction for the Neck with Shoulder Girdle Stabilization

Traction for the cervical spine is indicated for the client with a pinched nerve in the neck because it opens up the intervertebral foramina to decompress the spinal nerves. Dr. Joe Muscolino demonstrates how to easily perform neck traction using a towel.

How do we Treat Upper Crossed Syndrome with Manual Therapy?

Especially effective for the pectoralis musculature is to use pin and stretch technique. With the client/patient supine and positioned toward the side of the table, pin the musculature with your finger pads as you bring the client/patient’s abducted arm off the side of the table and down into horizontal extension.

tight neck extensor musculature can cause tension headaches

Tension Headaches

A tension headache is caused by excessive pulling force of tight muscles in the back of the neck that exert tension on their attachments on the head.

cervical spinal joints - posterolateral view of the atlanto-occipital joint

Cervical Spinal Joints

The disc joint is a cartilaginous joint that is composed of outer fibers called the annulus fibrosus that encircle the inner nucleus pulposus.