Vertebrocoastal joints

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Vertebrocoastal joints - December 20, 2004 6:29:00 AM

fantast

Posts: 8
Joined: June 17, 2003
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hi every1
I have a question regarding the association between shoulder pain in general and vertebrocoastal joints VCJ dysfunction
because I have found VCJ tenderness and dysfunction in many patients with shoulder problems on the same side

so what do you think
gald to see your inputs

Post #: 1

Re: Vertebrocoastal joints - December 21, 2004 5:11:00 AM

VagusX

Posts: 220
Joined: March 26, 2003
From: Savannah, GA, USA
Status: offline

The VCJ is not part of the shoulder complex. There could be some indirect effects on the VCJ from the upward or downward scapular rotators that attach onto the ribs or vertebrae. Possibly tight romboids, U/M/L trap tightness could contribute to dysfunction at the VCJ. Just some thoughts. Are you speaking of referred pain from the VCJ to the shoulder? Are you clearing the cervical spine?

Dan

(in reply to fantast)

Post #: 2

Re: Vertebrocoastal joints - December 21, 2004 5:28:00 AM

Alex Brenner PT MPT OCS

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Joined: February 29, 2004
From: Kentucky
Status: offline

I know with shoulder impingment patients I look closely at the thoracic spine and a lot of times incorporate thoracic mobilization or manipulation in addition to work with the shoulder girdle. Are the vertebrocoastal joints that you name the same as Costovertebral? I have not heard them called that or spelled that way.

_____________________________

Alex Brenner, PT, MPT, OCS

(in reply to fantast)

Post #: 3

Re: Vertebrocoastal joints - December 21, 2004 6:56:00 AM

PTupdate.com

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Joined: October 8, 2001
From: Pittsburgh, PA USA
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Can't say I have ever seen a shoulder issue develop due to a CV joint dysfunction. I can see how a shoulder problem, anything from frozen to scapular dyskinesia, causes a problem to the soft tissue around the CV joint, and perhaps even the joint itself. Usually, the upper trap and levator suffer more on these patients due to the average compensation pattern. I would find a problem in this (interscapular) area more likely rooted in either a cervical or actual thoracic problem.

John Duffy, PT OCS
[URL=http://www.PTupdate.com]www.PTupdate.com[/URL]

_____________________________

John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com

(in reply to fantast)

Post #: 4

Re: Vertebrocoastal joints - December 27, 2004 11:49:00 PM

fantast

Posts: 8
Joined: June 17, 2003
Status: offline

Hi every1

Thank you for your value inputs

for the different names, I know that it's named Costovertebral joints, but I used to call it this way which I think is still correct Vertebracostal joint)

any way, for me I would accept the idea that when there is a problem in shoulder muscles specially the supraspinatus, there will be a compensation from the levator scapulae, trapezuis and the rhomboids which are attached to the thoracic spine where CVJ and facets might be affected.

Does this look reasonable?!

(in reply to fantast)

Post #: 5