Thoracic Outlet Syndrome

Thoracic outlet syndrome refers to a group of conditions that develops when there is compression of the nerves, arteries, or veins in the passageway from the collarbone to the first rib called the thoracic outlet. Compression of these structures occurs when the thoracic outlet becomes too narrow which may lead to pain in the shoulders, neck, and arms as well as numbness and tingling in your hands. In most cases, the cause of thoracic outlet syndrome is normally not preventable; however, this painful condition is treatable at Silky Oak Chiropractic.

It is often misdiagnosed as a nerve compression from the neck vertebrae and treat accordingly, with very poor results and a waste of time. Thoracic Outlet Syndrome happens a lot more frequently than we think, and can be caused by a variety of instances be it from direct or repetitive trauma such in sports or simply poor sitting shoulder posture.

Common Symptoms

Fatiguing or weakness of the hands, arms and upper limb
Swelling of the arm
Numbness or tingling in the arms and fingers
Tender lump near your collarbone

Common Causes

Anatomical Defects
Poor Posture
Injury
Repetitive Strain

Symptoms of Thoracic Outlet Syndrome

The symptoms associated with thoracic outlet syndrome can vary depending on whether it is a nerve or blood vessel that has been affected.

Compressed blood vessels (less common) may lead to;

Fatiguing or weakness of the hands, arms and upper limb
Swelling of the arm
Discoloration of the hand
Cold hands or arms
Numbness or tingling in the arms and fingers
Tender lump near your collarbone

Compressed nerves may lead to;

Pain in the neck, shoulder or hand
Numbness or tingling in your arms and fingers
Weakness of your grip

Causes of Thoracic Outlet Syndrome

The cause of a compression of the nerves or blood vessels in the thoracic outlet can vary, but typically is attributed to one or more of the following;

Anatomical Defects – inherited defects present at birth. Some people are born with an extra rib located above the first rib (cervical rib) which has the ability to reduce the size of the thoracic outlet and cause a compression of the nerves or blood vessels.

Poor posture – poor posture causes undue pressure on the joints. Drooping shoulders, or sitting at a computer with your head extended forward for a long period of time can cause compression in the thoracic outlet.

Injury – Car accidents are known to cause a compression of the thoracic outlet due to the impact coupled with a seatbelt running very closely over this area.

Treatment of Thoracic Outlet Syndrome

Chiropractors may be able to help manage symptoms of TOS through a combination of manual therapies, exercises, and lifestyle modifications. Some of the techniques that may be used by chiropractors to treat TOS include:

Spinal adjustments: Chiropractors may perform spinal adjustments to realign the spine and improve nerve function, which can help to alleviate symptoms of TOS.
Soft tissue therapies: Chiropractors may use soft tissue therapies such as massage or myofascial release to help reduce muscle tension and improve blood flow to the affected area.
Stretching and exercise: Chiropractors may prescribe stretching and exercise programs designed to improve posture and alleviate compression in the thoracic outlet.
Ergonomic modifications: Chiropractors may make recommendations for ergonomic modifications to a patient’s workspace or lifestyle to reduce the likelihood of aggravating TOS symptoms.

It is important to note that the effectiveness of chiropractic care for TOS may depend on the underlying cause of the condition and the severity of the symptoms. Chiropractors may work in conjunction with other healthcare professionals, such as physical therapists or medical doctors, to provide a comprehensive approach to care for individuals with TOS.

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