Thoracic Outlet Syndrome (TOS) refers to a group of conditions that occur when there is compression of the nerve or vascular structures passing through the thoracic outlet – the space at the top of the thoracic cavity. This can lead to pain, numbness, tingling, and other neurological or vascular symptoms. At York-Med Physiotherapy & Wellness Centre in Richmond Hill, our experienced team of physiotherapists and chiropractors specialize in the evaluation and treatment of Thoracic Outlet Syndrome to help restore function and relieve discomfort.
What is Thoracic Outlet Syndrome (TOS)?
The thoracic outlet is a narrow passageway located between the collarbone and the first rib, through which several vital structures pass, including:
Nerves of the brachial plexus (which control sensation and movement in the arm and hand).
Arteries and veins supplying blood to the upper extremities.
Thoracic Outlet Syndrome occurs when one or more of these structures become compressed, leading to a range of painful and debilitating symptoms.
The most common causes of Thoracic Outlet Syndrome are:
Trauma: Whiplash injuries, traction injuries, or repetitive stress on the shoulder and neck.
Postural Changes: Poor posture, such as forward head posture or rounded shoulders, can place repetitive strain on the structures of the thoracic outlet, leading to compression over time.
Anatomical abnormalities: In some cases, extra ribs, muscle abnormalities, or congenital variations in the anatomy of the neck or chest can contribute to TOS.
Symptoms of Thoracic Outlet Syndrome (TOS)
Symptoms of Thoracic Outlet Syndrome can vary depending on which structures are compressed. The neurological symptoms are the most common and are associated with the brachial plexus, but vascular symptoms can also occur. Common symptoms include:
Pins and needles or numbness radiating down the arm or into the hand.
Cold sensation or weakness in the arm or hand.
Pain in the shoulder, neck, or upper back.
Weakness in the hand or arm muscles, which may affect grip strength.
Swelling or discoloration in the arm in some cases.
At York-Med Physiotherapy & Wellness Centre, our registered physiotherapists will create a personalized treatment plan tailored to your specific symptoms and condition. The primary goal of treatment is to reduce compression of the nerves and blood vessels in the thoracic outlet and restore proper function.
Soft tissue mobilization to reduce muscle tightness and improve mobility in the upper body.
Joint mobilizations to improve the function of the cervical spine and shoulder girdle.
Postural education to address forward head posture, rounded shoulders, and other contributing factors that can increase thoracic outlet compression.
Ergonomic recommendations for work and daily activities to avoid prolonged postures that contribute to TOS.
Strengthening and Stretching Exercises:
Targeted exercises to strengthen weak muscles and improve the stability of the shoulder and upper back.
Stretching exercises to alleviate tension in muscles around the neck, shoulder, and upper back.
Special exercises that aim to mobilize the nerves in the upper extremities, helping to reduce nerve tension and improve mobility.
Education and Advice:
Guidance on activity modification and techniques to reduce the risk of re-injury.
Lifestyle recommendations to maintain healthy posture and movement patterns.
Techniques such as ultrasound therapy, heat and cold therapy, and electrotherapy may be used to relieve pain and inflammation during the healing process.
At York-Med Physiotherapy, we pride ourselves on offering personalized care for individuals with Thoracic Outlet Syndrome. Our experienced physiotherapists take a holistic approach, addressing both the symptoms and underlying causes of TOS. We work with you to design a treatment plan that focuses on pain relief, postural correction, and strengthening to promote long-term recovery and prevent future flare-ups.
Comprehensive assessment to identify the cause and severity of your TOS symptoms.
Expert manual therapy and exercise prescription to target the affected structures.
Long-term solutions through education on posture and ergonomics to prevent re-injury.
If you are experiencing symptoms of Thoracic Outlet Syndrome such as pain, numbness, tingling, or weakness in your arm or shoulder, don’t wait to seek treatment. York-Med Physiotherapy & Wellness Centre in Richmond Hill is here to help.
Contact us today to schedule an appointment and begin your journey toward pain relief, improved mobility, and a full recovery from Thoracic Outlet Syndrome. Our team is ready to guide you through the healing process and restore your quality of life.
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