Thoracic Outlet Syndrome

Thoracic Outlet Syndrome

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Thoracic Outlet Syndrome (TOS) results from a compression of the nerves that pass into the arms from the neck (brachial plexus). The corridor through the area between the neck and the armpit (thoracic outlet) is narrowed causing the compression. This compression causes pain in the shoulder, arm or hand or some combination of the three.

Advantages of Treatment:

• Increase elasticity and facilitate effective stretching and/or manipulation, especially for the scalene.
• Decrease irritability and pain and enhance conservative treatment results
• Help decrease muscle tightness and restriction
• Relax muscles and induce a state of calmness can help people with TOS
• Improves blood-flow to affected limbs
• Reduce the severities of  the symptoms by boosting up the immune system

Causes of Thoracic Outlet Syndrome:
In many cases, no specific cause of TOS is found. However, any other condition, which results in growth or movement of the tissues near the thoracic outlet, can cause the syndrome to form. Examples of other conditions include:

• Muscle enlargement
• Injuries to the area
• Extra rib from the neck at birth (cervical rib)
• Large callus from a healed clavicle fracture in an adult
• Tumors at the upper part of the lung
• Poor posture, especially in women with large breasts

Many other problems may predispose an individual to TOS, some of which are classic perpetuators of myofascial pain syndrome, including the following:

• Sleep disorder
• Hormonal imbalance (estrogen, thyroid)
• Inflammatory disorder (rheumatoid arthritis)
• Fibromyalgia
• Nutritional insufficiency (B vitamins, folate, vitamin C)
• Anemia
• Infection
• Masses, tumors, axillary lymph nodes
• Mechanical disorders (short leg, hyperlordosis, hypolordosis)
• Psychologic (stress, depression)
• Nerve entrapment/impingement (other sites)