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Thoracic Outlet Syndrome Clinic

Airrosti can fix the causes and symptoms of TOS!

woman with thoracic outlet syndrome

Have questions or would like to schedule over the phone? Call us at 844-719-5079

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How Airrosti Can Help: Thoracic Outlet Syndrome: Diagnosis, treatment, and pain Relief

Accurate Diagnosis

We take the time needed for a thorough examination to find the underlying cause of your pain.

Targeted Manual Therapy

Airrosti Providers use hands-on manual therapy to treat TOS to reduce pain, increase mobility, and accelerate healing.

NonInvasive

No surgery, injections, or prescription medication.

Shorter Recovery Time

Patients have shorter recovery time with an average of 3.2 visits over 2 weeks.

Over 1.4+ Million
injuries treated!

Personalized Recovery Exercises

Speed your recovery and keep your pain from returning.

Over 1.4+ Million
injuries treated!

The Benefits of Airrosti

In this video, Brittany Bankson, DC discusses the common causes and symptoms of Thoracic Outlet Syndrome, a condition that causes shoulder, neck, and arm pain.

She also touches on how traditional healthcare usually treats TOS and how Airrosti handles it a little differently.

Still have questions or concerns about your thoracic outlet syndrome? Schedule a no-cost video chat with one of our Providers.

WHAT IS THORACIC OUTLET SYNDROME?

The thoracic outlet is a small space that lies between your lower neck and the front of your shoulder, where nerves, arteries, and blood vessels travel to reach the arms. When these parts become compressed or injured in the thoracic outlet, a disorder known as thoracic outlet syndrome (TOS) occurs. There are three main types of thoracic outlet syndrome, and all three forms cause pain in the shoulder and neck. Many people with TOS also experience pain radiating down the arm into the hand. If this disorder is left untreated, the pressure on the cardiovascular system caused by thoracic outlet syndrome can lead to blood clots, muscle atrophy, and even permanent nerve damage.

WHAT ARE THE RISK FACTORS OF TOS?

Although it’s a rare condition, thoracic outlet syndrome is typically caused by:

• poor posture

• obesity

• repetitive arm and shoulder movements

• anatomical abnormalities

Those who play sports or have a job that requires repetitive overhand movements are more likely to suffer from TOS. You may also be at a higher risk of developing TOS if you’re between 20 and 40 years old, pregnant, or if you’ve suffered from a traumatic injury to the neck or back.

Some TOS cases are caused by a congenital variation, such as having an extra rib. These anatomical abnormalities can limit the space in the thoracic outlet and put pressure on your nerves and arteries.

WHAT ARE THE CAUSES AND SYMPTOMS OF TOS?

The three main types of thoracic outlet syndrome are neurogenic, venous, and arterial TOS. Each type of TOS is slightly different, with causes and treatment options varying slightly for each.

These three types of thoracic outlet syndrome may have similar symptoms, but getting the proper diagnosis can lead to more treatment recommendations and faster recovery.

This is the most common form of TOS. It happens when the brachial plexus nerves are compressed. Many patients respond well to conservative treatment. Symptoms of neurogenic TOS include:

• pain in the neck, shoulder, and arm

• headaches

• numbness, tingling, or weakness in the arm or hand

• arm or shoulder pain when reaching, lifting, throwing, or catching objects

• hand coldness and intolerance to cold

This condition develops when the subclavian vein is compressed between the clavicle and first rib. A blood clot will form in the compressed vein, leading to arm swelling, discoloration, numbness, and pain. This syndrome is also known as Paget-Schroetter disease. It’s not as common as neurogenic TOS, but it is one of the most common vascular disorders in competitive athletes and should be treated swiftly to avoid worsening symptoms.

This is the rarest form of TOS, affecting only about 5% of all patients with TOS. Arterial TOS happens when the subclavian artery is compressed. This can lead to aneurysms and blood clotting. Symptoms of arterial TOS include:

• hand pain

• coldness, paleness, and tingling sensations in the hand

• chronic arm weakness and cramping when in use

man with hand pain caused by thoracic outlet syndrome

Thoracic Outlet Syndrome FAQS

Surgery is not always necessary for thoracic outlet syndrome. Most cases can be managed with physical therapy, Airrosti care, lifestyle modifications, and pain management strategies. However, in severe cases where nerves or blood vessels are significantly compressed and conservative treatments fail, surgery may be considered to relieve the pressure. A healthcare provider will assess the severity of your condition and recommend surgery only if absolutely necessary. 

Yes, medications can help manage the pain and inflammation associated with thoracic outlet syndrome. Over-the-counter anti-inflammatory drugs like ibuprofen or prescription pain relievers may be recommended by your healthcare provider. In some cases, muscle relaxants may also be used to alleviate tension in the muscles. Always follow your doctor’s advice on medication use, especially if you are taking other medications or have underlying health conditions. 

Yes, self-care techniques and specific exercises can be very effective in managing thoracic outlet syndrome. Posture correction, stretching tight muscles in the chest and neck, and strengthening exercises for the shoulder and upper back can help reduce pressure on the nerves and blood vessels. Exercises such as shoulder rolls, neck stretches, and pectoral stretches can relieve symptoms. Physical therapy is often recommended to develop a targeted exercise plan and improve overall function.

Yes, limiting activities that worsen symptoms is important. Avoid repetitive overhead motions, carrying heavy objects, or positions that strain the neck and shoulders. While it’s essential to reduce activities that aggravate symptoms, staying active with low-impact exercises and postural adjustments can promote recovery. Gradual reintroduction of normal activity with proper technique and posture, under the guidance of a healthcare provider, is key to preventing flare-ups and ensuring long-term recovery. 

Patient Testimonials

If you’re experiencing TOS pain, don’t wait.

We offer both in-clinic and telehealth appointments to best suit your needs.

Reviewed by Casey Crisp, Doctor of Chiropractic

Disclaimer: Always consult with your doctor before starting any exercise program. If you experience any numbness, tingling or reproduction of your symptoms, please contact your doctor.

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