Presentations at Colloquium 2018 by Mica Rosenow


Variance in Anatomy: Treatment for the Individual? 

Surgical intervention for carpal tunnel surgery has a long-term success rate between 75 and 90 percent. With surgical rates in the hundreds of thousands per year, many people are left with less than desirable outcomes after surgical intervention for a wide array of reasons. Generally, the cause of recurrent pain is from returning to the same type of work, non-compliance with physical therapy, and complications from the surgery.  The focus of treatment remains at the wrist with little to no attention given to individual anatomy of the patient. Variations of the brachial plexus can alter referral pain patterns used in identifying trigger points within muscles and provides greater opportunity for neural compression throughout the upper limb. Creating individualized treatment options by manual practitioners taking in consideration the common occurrence of brachial plexus variation can reduce the need for and increase the long-term success rate of surgical interventions.