Dr James Stoxen DC FSSEMM (hon) FWSSEM gave the keynote presentation, The Earliest Detection Intervention And Prevention Of Thoracic Outlet Syndrome, at the 10th Global Orthopedicians Annual Meeting in Kuala Lumpur, Malaysia

Keynote Presentation Title: The earliest detection intervention and prevention of thoracic outlet syndrome

Abstract:
The use of hand held devices (HHD) such as mobile phones, game controls, tablets, portable media players and personal digital assistants have increased dramatically in past decade. This drastic change has led to new batch of difficult to treat, musculoskeletal disorders of the upper extremities such as myofascial pain syndrome of neck and upper back and thoracic outlet syndrome.

According to Google statistics, this month, October 2017, over 60,000 people have used the words, thoracic outlet syndrome, to search for more information on this condition. This almost compares to the number of searches for neck pain. Thoracic outlet syndrome has become more and more common each year we add more hours of manipulating tech gadgets to our day.

The thoracic outlet anatomy and how the bundle passes through the passageway is complex for even musculoskeletal experts. So for doctors trained in other specialties there can be an inadequate understanding about nature and cause of thoracic outlet syndrome.

Thoracic outlet syndrome is a syndrome rather than a disease. The Mayo Clinic, Cleveland Clinic and the National Institute of Neurological Disorders And Stroke, plus top 10 ranked hospitals for neurology and neurosurgery agree persistent compression of nerves, arteries and veins traveling through the thoracic outlet is what leads to thoracic outlet syndrome.

I will discuss the three models of human movement, the inverted pendulum model, the spring-mass model and the integrated spring-mass model (ISMM). The (ISMM), which integrates the spring suspension systems of the foot and shoulder region as well as the torsion spring of the spine and the mass, the head.

I will discuss my clinical findings show compressive disorders like TOS and herniated discs are merely an over control of tension on the human spring mechanism leading to these syndromes.

I will give brief review of the symptoms and their patterns, the common orthopedic tests, and diagnostic tests, the 16 different common conservative therapies and the 10 reasons for when surgery is medically necessary. I will discuss an alternative treatment for this disorder based on the integrated spring mass model.

Plenary Presentation Title: Ways physicians can improve athlete’s human performance by the earliest detection, intervention and prevention of spring stiffness over modulation

Abstract:
The team physician role is to provide treatment not only for the medical management of injuries and illnesses but also to provide for appropriate education and counseling regarding nutrition, strength and conditioning, and ergogenic aids maximize the athletes human performance in sport.

Efficient, stress and strain free movement with efficiency is an essential aspect of survival for living things. Therefore understanding normal movement and how the human organism accomplishes normal movement is vitally important for physicians to understand so they can determine what is normal and what is abnormal movement.

In this presentation I will reveal ways the physician can improve human performance of patients in sport by selecting the most advanced model of locomotion that better describes the biomechanics of locomotion, the integrated spring-mass model.

This model integrates the upper half of the body onto the spring-mass model developed in 1989-90. It is advanced because it integrates the spine as a torsion spring, the discs as compression springs and the head as the non-spring 8-10 pound mass. In this model, the entire body is a giant torsion spring.

If your goal is to provide clinical management of the athlete that is intended to insure or improve human performance you must know the earliest detection and intervention of the over modulation by examining for abnormal movement patterns with gait evaluation and through table examination for the changes in the muscles, tendons, and joints.

By evaluating patients this way, a physician can fairly accurately predict where these compressive forces will be, thus predicting where compressive injuries will occur before the onset of symptoms.