Thoracic Outlet Syndrome - Chiropractic Treatment

Thoracic Outlet Syndrome
by American Chiropractic Association

Diagnosis and Treatment of TOS

Because TOS doesn't have unique symptoms, it can be difficult to diagnose. A detailed health history and thorough physical examination are the most important components in establishing the diagnosis of TOS. Your doctor of chiropractic may also recommend X-rays, MRI (magnetic resonance imaging), laboratory tests, or a nerve conduction velocity test if he or she suspects TOS. It is important for your provider to differentiate TOS from other conditions, such as carpal tunnel syndrome, shoulder tendinitis, and a herniated cervical disc—just to name a few of the many conditions that can cause signs and symptoms. In the vast majority of neurological TOS cases, a conservative, non-surgical approach to treatment is most effective, especially when the condition is diagnosed early. A chiropractic treatment plan for TOS may include a mix of joint mobilization/manipulation, physical therapy modalities, home stretching exercises, and soft-tissue therapy. Patients should avoid prolonged positions that cause them to hold their arms out or overhead. For example, avoid sleeping with the arm extended up behind the head. It is also helpful to have rest periods at work to minimize fatigue. Weight reduction can be helpful for obese patients. Patients should avoid sleeping on the stomach with arms above the head. They should also avoid repetitively lifting heavy objects.

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