Thoracic Outlet Syndrome AKA TOS

Friday, February 25th, 2011 At 3:15 pm

The thoracic outlet is the area immediately next to the neck, more precisely the area between the 1st rib and clavicle. When this opening becomes reduced, pressure can be placed on the blood vessels and/or nerves. Cervical ribs, clavicle injuries, muscle spasms, head forward posture, and repetitive stress injuries are usually the cause. Pain, numbness, tingling, weakness in the forearm, are typically experienced in the elbow and the fourth and fifth finger.

In my office we start with a good physical exam along with a thorough history that usually confirms the diagnosis. Sometimes imaging may be a warranted. These tests may include X-Ray, MRI, and CT. Many times treatment such as mobilization of the cervical and thoracic vertebrae as well as strengthening of the neck, upper back, and the shoulder musculature are very helpful.   At Capitol Rehab we have a multi-discipline approach.  We utilize the best in Chiropractic, Physical Therapy, and exercise to help with the symptoms of TOS.  

In our office we find mobilization of the cervical and thoracic vertebrae as well as strengthening of the neck, upper back, and the shoulder musculature are very helpful. If conservative care does not resolve the symptoms, a referral to a surgeon will be made. 

Dr. Jack Ricci DC

Top 3 Exercises for TOS

20 Seconds for 3 Repetitions

5 Repetitions 10 Seconds

10 Repetitions 5 Seconds