Thoracic Outlet Syndrome
Thoracic Outlet Syndrome (TOS) is a condition, which includes several upper extremity neurological and vascular symptoms. These symptoms are a result of compression of nerve, blood vessels, or both which run in the Thoracic Outlet. The anatomy of this outlet is compressed of several muscles in the neck region and the first rib under these muscles. This area is roughly between the base of the neck and the armpit. Any compression of the contents within the outlet can result in symptoms.
Symptoms of Thoracic Syndrome
Some of the Symptoms associated with Thoracic Outlet syndrome include:
- Diffuse aching pain or abnormal sensation, which extends from the neck area down the arm.
- Pins and Needles sensation or numbness down the arm.
- Numbness and pins and needles, which force the individual to wake at night.
- Intolerance to cold sensation.
- Loss of dexterity in the hand.
- Upper extremity limb may feel “tired”
- Loss of muscle mass in the upper extremity
Reasons for These Symptoms
Compression of Neurovascular Bundle
Compression of nerves and blood vessels can occur because of a decrease in the space in which these structures must go through. This compression can occur because of the muscles in this area being too large, an abnormality in the rib structure, or a lesion within the area.
Poor Posture
Various postures tend to put increased pressure in the Thoracic Outlet. For example, forward head posture, rounded shoulders, and a rounded thoracic back can decrease the space by which the nerves and blood vessels can travel.
Pressure on Neural Tissue as a Result of Scar Tissue
Previous injuries can also play a role in the development of nerve tension within the outlet. BY entrapping the nerve fibers, the nerves are unable to move properly during various activities.
Effects of TOS on Activities of Daily Living
- Difficulty sleeping as a result of abnormal sensation
- Inability to carry certain items
- Difficulty driving, doing extended desk work and any over head movements
Treatment
Treatment may consist of improving the mobility of restricted nerve tissue and strengthening weak muscles. Also, increasing the flexibility of tight structures and educating the patient to eliminate provoking postures and activities. The health care professionals at SEMI are trained in treatment techniques as well as therapeutic exercises to help you achieve your maximum physical potential.
References
Kisner C., Colby L, (2002). Therapeutic Exercise: Foundations and Techniques. 4th Edition F.A. Davis Company, Philadelphia
Table Of Contents
- EREPORTS
- Achilles Tendinopathy
- Active Release Technique
- Acupuncture and You!
- An Introduction to the Sacro-iliac Joint
- An Introduction to Viscero Somatic Pain Referral
- Anterior Cruciate Ligament Injury
- Assessing Your Mental Game
- Back Pain - Courtesy of the Iliopsoas Muscle
- Biodex
- Bunions
- Choosing the Right Shoe
- Chronic Proximal Hamstring Pain in a Runner
- Golfer's Back
- Groin Strain
- Hamstring Strains
- Heat Alert! Exercise and Hyperthermia
- Iliotibial Band Syndrome
- Intravenous Nutrition
- Is Acupuncture for You?
- Is Your Computer Hurting you?
- Knees - Your Friend or Foe?
- Leg Pain in Runners
- Low Back Pain and the Core Stabilizers
- Meniscus Tears
- Overtraining Syndrome
- Patellofemoral Paim Syndrome
- Pilates
- Piriformis Syndrome
- Plantar Fasciitis
- Platelet Rich Plasma Injections
- Plyometrics in Rehabilitation
- Predictable and Unpredictable Pain
- Q & A for the Injured Athlete
- Running Too Much? How to Stay Injury-Free as Race Day Approaches
- Shockwave Therapy
- Shoulder Instabilities Dislocations
- Shoulder Tendonitis
- Skier's Thumb
- Snowboarding Injuries
- Spring into Action ... Prevention!
- Stretching
- Tennis Elbow
- The Bothersome Hammertoe
- The Female Athlete Triad
- The No-Crave Diet
- The Thoracic Spine
- Thoracic Outlet Syndrome
- When It Comes to Orthotics, First Impressions Count
My thanks to you and your staff, because with the benefit of your expertise and care I was able to complete my first marathon in 4 hours, 22 minutes and 43.2 seconds. I came to you at the beginning of October with IT band trouble. Here I was trying to complete a marathon that was less than 3 weeks away and I could not run more then 45 minutes without being stopped by the pain. What I appreciate most, and what makes your practice so unique and valuable, is that you acknowledged my drive to compete. So often when speaking with medical professionals regarding sports injuries they focus on the injury and not what the athlete is trying to accomplish. Thank you, for working with me and giving me the tools and treatment to accomplished my goal.
