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Thorocic Outlet Syndrome ( TOS ) – MG Osteopathy

What is Thoracic Outlet Syndrome? Thoracic Outlet Syndrome occurs when nerves or blood vessels are compressed between the collarbone and the first rib, leading to pain, numbness, and weakness in the shoulder, arm, and hand.

Risk factors for developing Thoracic Outlet Syndrome

The following can contribute to the development or persistence of Thoracic Outlet Syndrome:

  • Overuse & Repetitive Strain – Repetitive overhead motions, such as lifting or swimming, can place excessive stress on the shoulder and neck, increasing the risk of compression in the thoracic outlet.
  • Posture & Muscle Imbalances – Poor posture, such as slouching or forward head posture, can contribute to compression of the nerves and blood vessels in the thoracic outlet.
  • Trauma or Injury – Previous shoulder injuries, whiplash, or accidents can cause structural changes that lead to compression in the thoracic outlet.
  • Anatomical Abnormalities – A cervical rib, an extra rib above the first rib, can narrow the thoracic outlet and increase the likelihood of compression.
  • Pregnancy & Hormonal Changes – Hormonal changes during pregnancy can increase ligamentous laxity, which may contribute to compression of the nerves and blood vessels in the thoracic outlet.
  • Biopsychosocial factors – Anxiety and depression can increase muscle tension and sensitivity to pain, potentially making the symptoms of Thoracic Outlet Syndrome worse.

Diagnosis

Osteopaths take a holistic approach to diagnosing Thoracic Outlet Syndrome by assessing:

  • Posture & Alignment – Identifying forward head posture, rounded shoulders, or other misalignments that may contribute to nerve or vessel compression.
  • Range of Motion & Joint Mobility – Evaluating restrictions in the neck, shoulder, or upper back that may be contributing to compression.
  • Nerve Function & Sensitivity – Testing for signs of nerve impingement or reduced blood flow in the arm, hand, and shoulder.
  • Muscle Strength & Flexibility – Checking for muscle imbalances or tightness that may be causing or exacerbating the compression in the thoracic outlet.

Other diagnoses for shoulder and arm pain include rotator cuff injuries, cervical spine disorders, and brachial plexus injuries, so it’s important to seek a professional opinion to determine the exact cause of symptoms. Our osteopaths at MG Osteopathy can help in diagnosing and providing treatment for Thoracic Outlet Syndrome.

Osteopathy Treatment for Thoracic Outlet Syndrome

A comprehensive treatment plan for Thoracic Outlet Syndrome focuses on pain relief, rehabilitation, and injury prevention. Treatment options may include:

  • Osteopathic Manual Therapy – Hands-on techniques to release muscle tension, improve joint mobility, and restore normal function in the neck, shoulders, and upper back.
  • Targeted Strength & Mobility Exercises – Strengthening muscles of the shoulder girdle and upper back, as well as improving flexibility to reduce compression in the thoracic outlet.
  • Postural Retraining – Teaching strategies to improve posture, reduce strain, and prevent further compression of the nerves and blood vessels.
  • Neuromuscular Re-education – Exercises designed to improve nerve and muscle function, helping to alleviate symptoms and prevent recurrence.
  • Ergonomic & Activity Modifications – Recommendations for changes in posture, workstation setup, or daily activities to prevent excessive strain on the thoracic outlet.

Why Book an Initial Osteopathy Consultation?

At MG Osteopathy, we create personalized treatment plans to help you recover from Thoracic Outlet Syndrome. Our experienced osteopaths will assess your condition and design a customized plan to reduce pain, improve mobility, and prevent future problems.

Book an Initial Osteopathy Consultation & Treatment Today
If you’re experiencing symptoms of Thoracic Outlet Syndrome, an initial consultation is the first step toward recovery. We will guide you through a personalized rehabilitation plan to ensure safe, effective healing.

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