Thoracic Outlet Syndrome (TOS) in Orlando

What is Thoracic Outlet Syndrome(TOS)?

Thoracic Outlet Syndrome (TOS) is a condition that can cause pain, numbness, and tingling sensations in your neck, shoulder, and arm. It happens when there’s pressure on the nerves and blood vessels that pass through a narrow space between your collarbone and first rib, known as the thoracic outlet.

How Does it Happen?

TOS can occur when there’s too little space in the thoracic outlet for these important structures. This can be due to a variety of reasons, including extra ribs, muscle tightness, or injury.

How to Tell if You Have Thoracic Outlet Syndrome?

Here are some common signs and symptoms that might show you have Thoracic Outlet Syndrome:

Neck and Shoulder Pain: You may feel pain in your neck or shoulder that can sometimes spread down your arm.

Numbness and Tingling: Your arm, hand, and fingers may feel numb or tingly.

Weakness: Your arm might feel weak, and it can be challenging to hold or grip things.

Coldness and Color Changes: Your hand or fingers may turn pale or bluish, especially when it’s cold.

What Causes Thoracic Outlet Syndrome?

TOS can happen for different reasons:

  1. Anatomy: Some people are born with an extra rib or muscle that narrows the thoracic outlet.
  2. Injury: An accident or injury, like a car crash or repetitive arm movements, can lead to TOS.
  3. Poor Posture: Slouching or having poor posture can increase the risk of developing TOS.

Types of TOS

There are different types of TOS, including:

  1. Neurogenic TOS

This type affects the nerves and can cause symptoms like numbness and tingling.

  1. Vascular TOS

Vascular TOS affects the blood vessels and can cause coldness and color changes in the hand.

  1. Nonspecific TOS

Some people may have TOS without clear nerve or blood vessel involvement.

How Can TOS Be Treated?

The treatment for TOS depends on the type and severity of the condition. Here are some common approaches:

  1. Physical Therapy

Physical therapy exercises and stretches can help relieve symptoms and improve posture.

  1. Medications

Pain relievers or muscle relaxants may be prescribed to manage pain and discomfort.

  1. Lifestyle Changes

Improving posture, avoiding activities that worsen symptoms, and practicing relaxation techniques can be helpful.

  1. Surgery

In severe cases, surgery may be necessary to relieve pressure on the affected nerves or blood vessels.

What to Expect During Recovery

Recovering from Thoracic Outlet Syndrome can be a unique experience for each individual, depending on the type and treatment. Here’s what you can anticipate as you work toward improvement:

Physical Therapy Progress: With consistent effort, physical therapy can lead to gradual improvements in muscle strength, posture, and mobility, reducing discomfort and enhancing your overall well-being.

Medications and Symptom Relief: Medications prescribed by your healthcare provider can help manage pain and discomfort, allowing you to feel more comfortable as you progress.

Embracing Lifestyle Adjustments: Over time, implementing lifestyle changes, such as ergonomic enhancements in your workspace, reduced strain-inducing activities, and the adoption of relaxation practices, can contribute to your overall recovery.

Surgery Recovery and Regaining Functionality: If surgical intervention is necessary, your commitment to post-operative care and rehabilitation programs will play a vital role in optimizing your recovery and regaining full functionality.

Can TOS Be Prevented?

While not all cases of TOS can be prevented, there are steps you can take to reduce your risk:

Maintain Good Posture: Practice proper posture when sitting, standing, and working on the computer.

Stretch and Exercise: Regularly stretch and strengthen your neck and shoulder muscles.

Take Breaks: If you have a desk job or do repetitive tasks, take breaks to change your position and stretch.

In Need of Thoracic Outlet Syndrome Services?

In conclusion, Thoracic Outlet Syndrome is a condition that can cause pain and discomfort in your neck, shoulder, and arm. It can affect anyone, and the severity varies from person to person.

If you suspect you have TOS or are experiencing symptoms, it’s essential to see a healthcare provider for a proper evaluation and diagnosis. 

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Patrick B

So everyone…listen up…if you have any I repeat any issues with tightness, pain, restrictions, go see Chris Miller .  I have had back  and knee pain for almost 18 years (natural spinal fusion due to no cartilage on my lower spine, and I grew too fast as a kid so my knees shredded) and have never seen a PT for it as I thought I would be dealing with it with Ibuprofen/acetaminophen/naproxen sodium, well guess what??? Pain free after 530 today.  I usually have pain driving in my car because of the angle, not today.  Chris asked me how I felt after spending a really long amount of time with me.  I couldn’t say anything but great.  I’ve been so close to proper stretches all these years but was never quite correctly targeting the problem areas.  I left with at least 4 specific stretches to target my back and hips, yes hips, who knew that’s where a lot of my problems were coming from.

I look forward to building on this.  Chris left me with this piece of knowledge, (as I told him I am really broken in a lot of places) you do have lots of history and little issues, but they’re all fixable.  Most doctors prescribe pain meds and send you on your merry way.   Chris did not, thank you Chris and I look forward to our next session! ” 

Traci J

“Dr. Chris Miller is the best physical therapist that I have ever worked with.

After almost 3 years following a total knee replacement surgery, I was still having severe pain and stiffness in my left knee.  I was taking Tramadol to reduce the pain at night in order to sleep.  My initial goal in working with Dr. Chris was to only play golf again.   I was lacking the range of motion and confidence to get back on the course. Dr. Miller provided very effective and focused therapy, including manual manipulation and tailored exercises to strengthen the muscles around my knee.   His caring and encouraging demeanor ensured that all of my concerns and issues were addressed. Due to Dr. Miller’s personal attention and positive reinforcement, I am now able to kneel, jog and play golf again.  I feel better than I have in several years! I highly recommend Dr. Miller to anyone who would like to improve his or her physical condition, especially after surgery. His personal touch and skilled knowledge are unsurpassed.  I am so happy to have found Dr. Miller and he has changed my life!” 

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