Thoracic Outlet Syndrome

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Thoracic Outlet Syndrome

Thoracic Outlet Syndrome (TOS) is a pain syndrome that often affects the upper limbs.  There is usually a sharp, burning, or stabbing pain in side of the neck, the chest area below the collarbone, the upper back, or in the shoulder blade region.  Oftentimes, people will also experience a loss of sensation or numbness and tingling in the arms and hands.  There can also be accompanied muscle weakness in the arm and hands.  Some people who are more prone to developing TOS are people who have bad posture at a computer for extended period of time, athletes who frequently raise their arms above their heads, and those suffering neck injuries in auto accidents.

Types of Thoracic Outlet Syndrome

There are 3 different types of TOS.

  1.  The first type is called Neurogenic TOS, which is usually caused by compression on nerves running between the neck and shoulder region, also known as the brachial plexus.  When these nerves are compressed, they will not send the necessary signals that they are supposed to send.  This can lead to a loss of muscle function, as well as a feeling of numbness and tingling along the nerves’ path.  Tight muscles or muscles in spasm can cause compression on the nerve bundle, as can structural abnormalities such as cervical ribs or first rib dysfunction. Neurogenic TOS is the most common type of TOS.
  2. The second type of TOS is called Arterial TOS, which is occurs because of compression of the Subclavian Artery.
  3. Venous TOS is the third type and is caused by compression of the Subclavian Vein.

If you are experiencing symptoms that may be similar to TOS, it is important to get those diagnosed by a healthcare professional.  A diagnosis is made after a complete history and examination, including any relevant testing that may need to be performed. Tests performed may include special orthopedic testing, x-ray evaluation, and, in some rare instances, referral for MRI.  Typically TOS will respond favorably to conservative care.

Chiropractic Treatment For TOS

At Mountain View Pain Center, our doctors will typically treat a patient using soft tissue techniques, such as Graston or massage therapy, to help relax any tightened tissues.  They may also use manipulative techniques to correct any structural abnormalities. A key component of treatment also includes physical therapy to stretch tight muscles and strengthen weak muscles. In some extreme cases of TOS, surgery may be warranted to decompress any constricted structures, but this is the last resort should conservative care not relieve you of your symptoms.  If you think that TOS may be a condition you are suffering from, don’t hesitate to contact one our many locations at Mountain View Pain Center.

The Chiropractic Solution to Your Mid Back Pain

At Mountain View Pain Center, our multidisciplinary team of chiropractors can help ease your pain and cure your mid back disorder. Our chiropractors are specialists in hands-on adjustments to the mid back muscles, upper back muscles, ligaments, and spinal bones. With our expert chiropractic doctors and physiotherapists working together, we will apply the latest techniques and use the most advanced technology to diagnose and treat your condition.

We will not only work hard to relieve your mid back pain, we will solve your upper back pain’s underlying cause. In conjunction with chiropractic care, our massage therapists will work hard to help relieve muscle spasms and fix any soft tissue damage. We will also work with you to improve your exercise habits and return you to a pain-free active lifestyle.

If you experience pain in the mid back or upper back region, or suffer from Thoracic Outlet Syndrome, call the specialists at Mountain View Pain Center. Our offices are state-of-the-art facilities with cutting-edge technology. You won’t need an outside referral to visit with any of our wonderful healthcare practitioners. We relieve your pain and cure its cause, all within the comfort and relaxation of our upscale offices. Call us or send us a message today to make an appointment. We look forward to hearing from you today.

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We are double board-certified in pain management and specialize in spinal and neuromuscular pain conditions. Beyond providing safe and appropriate medication management options,We are highly-skilled experts in non-surgical interventions, using state-of-the art treatments to relieve pain and improve function.



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At Mountain View Pain Center,  it is our mission to deliver the very best chiropractic care to all of our patients. Our Chiropractors deliver first class care incorporating the latest developments in treatment standards to make sure you get out of pain and stay out of pain. Contact any of our eight treatment offices to get started today!




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Mountain View Pain Center accepts almost every insurance plan. If you have been in a car accident, we accept all auto insurance providers as well. If you do not see your insurance plan in the list of major plans we work with, please contact our office to verify that we accept your plan provider.

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