![]() ![]() You also may be referred for diagnostic testing such as: They may try to provoke symptoms by gently moving the affected limb in different directions. Your physical therapist also will check for any color changes in the affected area. Tests may come back normal (hence, the term "disputed").ĭiagnosis of TOS begins with a thorough health history and exam.Pain, numbness and tingling in the hand, arm, shoulder, and often the neck.Numbness and tingling of the arm, often waking a person during the night.Pain, numbness, and tingling in the hand, arm, shoulder, and often the neck.Numbness and tingling in fingers and hands.Symptoms worsen when the involved arm and hand is over the head.Pain in the hand, rarely in shoulder or neck.More than 90% of TOS cases are likely due to nerve compression (neurogenic). Edgeglow technique, aimed at helping the patient to listen to his body and control the onset of any pain or tension.Symptoms of TOS may vary, depending on the type of structures compressed. Hyperbaric Oxygen Therapy, in which the patient breathes 100% oxygen in the hyperbaric chamber, helping to repair damaged nerves.ġ2. TENS (Transcutaneous Electrical Nerve Stimulations) Unit, relieving pain by sending small electrical impulses through electrodes placed on the skin.ġ1. Ice/heat for decreasing inflammation and relieving sore muscles respectively.ġ0. Feldenkrais, teaching the patient to improve postureĩ. Chiropractic and acupuncture, as alternate therapiesħ. Stretching and massage, allowing the muscles to stay looser, thus preventing pain or injury.Ħ. Nerve gliding, to keep nerves moving and free of scarring.ĥ. Muscle strengthening, for better body support and stabilization.Ĥ. Postural therapy to reduce stress and pressure on the nerves.ģ. General physical therapy, to gain full range of motion and building muscle strength.Ģ. Here we list the main techniques, along with their objectives:ġ. The treatment plan for the thoracic outlet syndrome is devised by combining various physical therapy techniques, followed by prescription of analgesics in some cases and surgery in rare cases. Poor posture and obesity can often aggravate the condition. The thoracic outlet syndrome is primarily considered a result of injury, disease or a congenital abnormality. Parasthesia along the inside forearm and the palm Causative factors.Cramps of the muscles on the inner forearm.Difficulty with fine motor tasks of the hand.Tingling and numbness in the neck, shoulder region, arm and hand.Deep, boring pain (like tooth-ache) in the neck and shoulder region, especially intense at night.Pulsating lump above the clavicle (collarbone).Feeling of heaviness in the arm or hand. ![]() Swelling or puffiness in the arm or hand.The key symptoms of thoracic outlet syndrome include: Iii) People working on assembly lines, keyboards, 10-key pad and on filing and stocking shelves overhead are more vulnerable. Ii) People born with a ‘cervical rib’ (extra rib in the neck) are 10 times more likely to develop TOS. I) The disease has higher occurrence in women than in men. Incidence and PrevalenceĬertain unique facts have been observed regarding the occurrence of the thoracic outlet syndrome. The main area affected is known as the brachial plexus, which comprises of the nerves that pass into the arms from the neck. The thoracic outlet is the area between the base of the neck and the armpit. Thoracic outlet syndrome (TOS) is the term used to describe symptoms produced from the compression of nerves or blood vessels running through the thoracic outlet. ![]()
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