Thoracic Outlet Syndrome (TOS)

Here you will get an overview of the pathology, the ability to treat diseases with Oriental medicine, and with acupressure therapies along with other therapies combined.

The information is updated gradually and regularly. For reference only, not a substitute for your doctor.

Thoracic Outlet Syndrome (TOS) is a condition that affects the nerves, blood vessels, and muscles that pass through the thoracic outlet - a narrow space between the collarbone (clavicle) and the first rib. The compression of these structures in the thoracic outlet can cause a variety of symptoms, including pain, numbness, tingling, weakness, and loss of sensation in the affected area. While the exact prevalence of TOS is unknown, it is estimated to affect about 1 in every 1,000 people.

Causes and Risk Factors:

TOS can be caused by a variety of factors, including physical trauma (such as whiplash or a shoulder injury), repetitive strain injuries (such as those commonly seen in athletes or musicians), poor posture, pregnancy, and anatomical abnormalities (such as an extra rib or a narrow thoracic outlet). Certain occupations that require repetitive overhead movements or heavy lifting may also increase the risk of developing TOS. Additionally, some people may be more susceptible to TOS due to genetic factors or underlying medical conditions (such as arthritis, thyroid disorders, or diabetes).

Symptoms:

The symptoms of TOS can vary depending on which structures are affected and the severity of the compression. Some common symptoms include:

Complications:

If left untreated, TOS can lead to a variety of complications, including chronic pain, muscle weakness, and loss of function in the affected arm. In severe cases, TOS can also cause blood clots or other vascular complications.

Prevention and Treatment:

Preventing TOS involves maintaining good posture, avoiding repetitive strain injuries, and staying active to improve muscle strength and flexibility. Treatment for TOS typically involves a combination of physical therapy, pain management, and in some cases, surgery. Physical therapy may involve exercises to improve posture, strengthen the muscles around the thoracic outlet, and reduce compression on the affected structures. Pain management may include medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or nerve pain medications. Surgery may be recommended in cases where conservative treatments are not effective or if there is a clear anatomical abnormality that is causing the compression.

Possibility of Oriental Medicine:

Oriental medicine, acupuncture, and acupressure are alternative therapies that may be helpful for managing the symptoms of TOS. These modalities work by stimulating specific points on the body to promote healing and reduce pain. While there is limited scientific evidence to support the use of these therapies for TOS specifically, some studies have suggested that acupuncture and acupressure may be helpful for reducing pain and improving function in patients with other types of nerve and musculoskeletal disorders. However, it is important to note that these therapies should be used in conjunction with other medical treatments, rather than as a replacement for conventional care.

Conclusion:

In conclusion, Thoracic Outlet Syndrome is a complex condition that can cause a variety of symptoms and complications. While preventing TOS involves maintaining good posture and avoiding repetitive strain injuries, treatment typically involves a combination of physical therapy, pain management, and in some cases, surgery. Alternative therapies such as Oriental medicine, acupuncture, and acupressure may also be helpful for managing symptoms, but should be used in conjunction with other medical treatments. If you suspect you may have TOS, it is important to seek medical attention promptly to prevent complications and improve outcomes.

References: