10/20/2026
Where it hurts isn’t always where it starts.
When the arm has nerve tension, the usual move is nerve glides. Sometimes that’s right. But a lot of the time the upper extremity isn’t the source. The viscera or the CNS create reflexive tension in the cervical fascia, and the arm is just where it shows up.
So before you treat the arm, check under the jaw.
The hyoid floats there, held only by muscles. Those muscles live in the mid-cervical fascia, which runs down the neck, under the clavicle, and into the armpit, right where the brachial plexus lives.
Swipe through for the steps:
1. Test the arm. Straight elbow, wrist back, arm out and up. Note where you first feel the stretch.
2. Find the hyoid.
3. Follow the muscles up to the tongue and jaw, down to the shoulder and clavicle.
4. Follow the fascia down the neck, under the clavicle, into the armpit.
5. Hold the hyoid with one hand. Gently spread the clavicles with the other.
6. Recheck the arm. See what changed.
One small, precise technique. More range of motion, less nerve tension in the arm.
But the technique is only half of it. The other half is knowing when to use it and where to start.
Save this for your next patient with arm symptoms that aren’t changing.
Comment “LTAP” and I’ll send you the details on the LTAP® Level 1 course.