Because this compression can affect any nerve of the upper extremity it can create many symptoms. The symptoms can resemble nerve impingements from a herniated disc in the neck to carpal tunnel. Scalene Myofascial Pain Syndrome can also affect muscles in the upper extremity mimicking many common muscular conditions such as rotator cuff injuries and tennis elbow. It is very difficult to diagnose because it mimics many other conditions affecting the upper extremity and we really do not have reliable orthopedic tests to confirm a diagnosis.
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