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We take the time needed for a thorough examination to find the underlying cause of your pain.
Airrosti Providers use hands-on manual therapy to treat TOS to reduce pain, increase mobility, and accelerate healing.
No surgery, injections, or prescription medication.
Patients have shorter recovery time with an average of 3.2 visits over 2 weeks.
Speed your recovery and keep your pain from returning.
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.
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.
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.
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
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.
I suffered from severe upper back and arm pain for about a month. I truly thought my career of being a sonographer was coming to an end; I couldn't bear to sit, drive, stand, or complete my job without being in so much pain. I came across Airrosti's website on Memorial Day weekend hoping and praying that this was my answer to better health. I met Dr. Jade Moore that Friday and off the bat I could tell she was very honest about everything and is truly there to help you. After being diagnosed with thoracic outlet syndrome, I must say day one was extremely painful, but at the end of the session, I never thought I would feel normal in my arm and back again. After four sessions with so much laughter and stories to share, I am able to proceed ...+ show morewith being a sonographer, thanks to Dr. Jade Moore. No question asked, I would definitely recommend Dr. Moore to my family, friends, and my own patients at work. Thank you for your service, Dr. Moore.
by Samantha Martinez
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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“Airrosti” is the registered tradename used for Airrosti Rehab Centers, LLC and its various subsidiary and affiliated entities, which provide musculoskeletal treatment services. Airrosti providers are doctors of chiropractic or doctors of physical therapy.
