What is Thoracic Outlet Syndrome (TOS)?
Thoracic Outlet Syndrome (TOS) consists of a group of distinct disorders that affect the nerves in the brachial plexus (nerves that pass into the arms from the neck) and the subclavian artery and vein blood vessels between the base of the neck and axilla (armpit). Thoracic Outlet Syndrome is often mistaken for carpal tunnel syndrome; the former affects the ulnar nerve while the latter affects the median nerve.
Symptoms of Thoracic outlet syndrome (TOS)1
Symptoms include neck, shoulder, and arm pain, numbness, or impaired circulation to the extremities (causing discoloration). Often symptoms are reproduced when the arm is positioned above the shoulder or extended. Patients can have a wide spectrum of symptoms from mild and intermittent, to severe and constant. Pains can extend to the fingers and hands, causing weakness.
Causes of Thoracic outlet syndrome (TOS)2
The three groups of people most likely to develop TOS are those suffering neck injuries in motor vehicle accidents, instrumental musicians, and those who use computers in non-neutral postures for extended periods of time. Patients should avoid prolonged positions with their arms held out or overhead. For example, it is best to 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.
Prevention /Treatment of Thoracic Outlet Syndrome (TOS)3
The following guidelines are for information purposes only. Seeking professional advice before beginning rehabilitation is recommended.
Massage Therapy
Myofascial Release Massage / Injury Specific Techniques performed by the therapists at Advanced Alternatives Massage Therapy have proven to be effective by encouraging the lengthening of the pectoral muscles thus allowing more space for the Thoracic Nerve to pass. Addressing Trigger Points and reducing pain referral patterns help to relieve the discomfort associated with soft tissue injury. Increasing flexibility through assisted range of motion and Myofascial Release (MFR) are very effective and offer long lasting results.
Sources:
- http://www.medicinenet.com/thoracic_outlet_syndrome/article.htm
- http://en.wikipedia.org/wiki/Thoracic_outlet_syndrome
- http://en.wikipedia.org/wiki/Thoracic_outlet_syndrome