Thoracic Outlet Syndrome (TOS)
Clinical management for neurovascular compression at the thoracic outlet, addressing radiating upper extremity numbness, tingling, and postural dysfunction.
Phase 1: Mobilize Structural Boundaries
We utilize precise Chiropractic Adjustments targeting the upper thoracic spine, lower cervical vertebrae, and the first rib to mechanically clear skeletal restrictions and immediately widen the anatomical outlet.
Phase 2: Open Muscular Choke Points
Chronic neurovascular compression frequently occurs beneath hypertonic soft tissues. We apply Myofascial Release & Soft Tissue Therapy (ART) to safely lengthen the anterior scalenes and pectoralis minor muscles, releasing the trapped brachial plexus bundle.
Phase 3: Restore Peripheral Nerve Gliding
To clear residual numbness, tingling, or weakness moving down the arm, we integrate targeted Clinical Neurodynamics & Nerve Mobilization protocols. This safely slides the tethered nerve fibers through their fascial pathways to reduce neural inflammation.
Phase 4: Scapulothoracic Re-patterning
To eliminate static postural collapse and prevent ongoing compression at the desk, we program a Custom Exercise Therapy & Rehab routine focused on serratus anterior and lower trapezius endurance to structurally support the shoulder complex.