This is true even if the cause of your TOS is an abnormality in the bones and muscles. A home exercise program is essential to the treatment of TOS. Your physiotherapist at Physio Connect may start you on some basic exercises that you can do at home. And don't carry a purse or bag on the affected shoulder. Avoid looking up, bending the neck back, or holding your arms up for long periods of time. Rapid breathing and stress can worsen symptoms. Avoid heavy lifting, pulling, or pushing. Overweight patients should seek help with weight loss, and women with especially large breasts may benefit from using a strapless long-line bra. For example, decrease the tension of the shoulder strap of your seat belt. When you begin your Physio Connect rehabilitation program, our physiotherapist may recommend some simple ways to help you combat TOS. It is best to begin treating your pain conservatively, without surgery or other invasive procedures. A herniated disc in the neck, carpal tunnel syndrome in the hand, and bursitis of the shoulder can all cause symptoms very much like those of TOS. TOS symptoms are similar to the symptoms of many other conditions. If you experience these symptoms, you should call your doctor right away. Problems with the blood vessels that go to the arm are serious. The arm may become somewhat blue ( cyanotic), and the constriction of vessels can cause the arm and hand to swell. If the blood vessels are causing symptoms, the arm and shoulder may feel heavy and cold. Symptoms related to the blood vessels are less common. It may be harder to hold and grip things, and the hand may feel clumsy.
The arms may also feel tired when held overhead, as when using a blow dryer. Symptoms tend to get worse when driving, lifting, carrying, and writing. Numbness and tingling, called paresthesia, may accompany the pain, especially in the early hours of the morning before it's time to wake up. Occasionally pain spreads into the hand, mostly into the ring and pinky fingers. The pain may spread along the inside edge of the arm. TOS causes pain along the top of the clavicle and shoulder. For some reason, TOS affects three times as many women as men. Being overweight can cause problems with posture, and women who have very large breasts may also have a droopy posture. Of slouching can compress the nerves and arteries near the thoracic outlet. People with TOS often slouch their shoulders, giving them a drooped appearance. TOS symptoms are also reported by people who have to hold their arms up or out for long periods of time. People who have to hold their neck and shoulders in awkward alignment sometimes develop TOS symptoms. Neck and arm positions used at work and home may contribute to TOS. As they heal, Scar TissueĬan build up, putting pressure on the nerves and blood vessels at the thoracic outlet. In an accident, the shoulder harness of the seat belt can strain or tear the muscles.
Traumatic injury from a car accident can also cause problems that lead to TOS. Heavy lifting and carrying can bulk up the scalenus muscles to the point where the nerve and arteries get squeezed. It can also happen in people who have an extra first rib, although this doesn't always result in TOS.Įxtra muscle or scar tissues in the scalene muscles can put extra pressure on the nerves and arteries.
Pressure on nerves and vessels can happen in people who have fractured their clavicle. The main cause of TOS is that the nerves and blood vessels going to the arm and hand get squeezed near the thoracic outlet.
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