what can i do about thoracic outlet syndrome?

By Duke Autret, Myotherapist

If your doctor has diagnosed you with Thoracic Outlet Syndrome (TOS), you may be wondering what to do next to treat the pain, numbness or tingling in your neck, shoulder or arm.

​Lets first look at what this condition is, in easy to understand terms. We'll also look at another condition called Scapulocostal Syndrome that shares similar symptoms.  Then we will look at the ways a Myotherapist can help you with the neck, shoulder, arm or hand symptoms you're experiencing, whether its from Thoracic Outlet Syndrome or Scapulocostal Syndrome.

What is TOS?
Thoracic Outlet Syndrome is a condition characterised by compression of the nerves and blood vessels in the thoracic outlet area, located between the collarbone and the first rib. This compression can lead to a variety of symptoms, including pain, numbness, and tingling in the neck, shoulder, arm, and hand. 

Causes & Symptoms of Thoracic Outlet Syndrome
TOS can be caused by a combination of factors, including:

1. Anatomical Variations: Certain anatomical features, such as a narrow thoracic outlet or an extra rib (cervical rib), can predispose individuals to TOS.
2. Repetitive Movements: Activities that involve repetitive movements of the arms or shoulders, such as typing or carrying heavy loads, can contribute to muscle imbalances and compression of the thoracic outlet structures.
3. Trauma or Injury: Accidents or injuries, such as whiplash injuries or fractures of the collarbone or ribs, can also lead to TOS.

Common symptoms of TOS include:

• Pain, numbness, or tingling in the neck, shoulder, arm, or hand
• Weakness (or even muscle wasting) in the affected arm
• Coldness or changes in skin temperature in the affected arm
• Swelling or discolouration of the arm

Scapulocostal Syndrome is a Related Condition
Scapulocostal Syndrome, also known as snapping scapula syndrome, shares similarities with TOS. It involves excess tension, trigger points, irritation or inflammation of the soft tissues between the scapula (shoulder blade) and the ribs, resulting in pain behind the shoulder blade and upper back with sometimes audible or palpable snapping or clicking sensations during shoulder movement.

Commonalities Between TOS and Scapulocostal Syndrome

1. Muscle Imbalances: Both conditions can result from muscle imbalances or poor posture, leading to compression of nerves and blood vessels in the thoracic outlet or between the scapula and ribs.
2. Repetitive Movements: Activities that involve repetitive shoulder movements or overhead activities can exacerbate symptoms in both TOS and scapulocostal syndrome.
3. Symptoms: Similar symptoms may occur in both conditions, including pain, numbness, tingling, and weakness in the affected arm, shoulder blade or shoulder region.

Myotherapy Interventions for TOS and Scapulocostal Syndrome:
Targeted Manual Techniques

1. Soft Tissue Manipulation: Myotherapists utilise soft tissue manipulation techniques to release tension and alleviate compression of the brachial plexus (nerve bundle) in the thoracic outlet or between the scapula and ribs.
2. Trigger Point Therapy: Targeted pressure on specific muscle points helps relieve pain and improve range of motion of the muscles and joints in the affected areas.

Postural Correction and Strengthening Exercises

1. Postural Awareness: Myotherapists educate individuals on proper posture and ergonomic principles to reduce strain on the thoracic outlet or scapulocostal region.
2. Strengthening Exercises: Tailored exercises strengthen the muscles surrounding the thoracic outlet or scapulocostal area, improving stability and reducing compression.
3. Nerve Glides: These are exercises to help the nerves lengthen and/or slide freely throughout their pathways and relieve compression induced symptoms. 

Thoracic Outlet Syndrome and Scapulocostal Syndrome can significantly impact daily life, causing pain and discomfort in the neck, shoulder, arm, and hand. Myotherapy offers tailored interventions to address the underlying muscle imbalances, reduce compression, and alleviate symptoms associated with these conditions.

​If you're experiencing symptoms of TOS or scapulocostal syndrome or you've been given the diagnosis by your GP, consulting a qualified myotherapist is the first step towards finding relief and improving your overall well-being.
Take proactive steps towards a pain-free life today and book a time with a great Myotherapist here at Simple Wellness Myotherapy.