Thoracic outlet syndrome is a condition in which the nerves and or vessels that exit the neck and travel down the arm become trapped or “pinched”.  This can occur in a number of different regions but there are three that are the most common.

1. The scalene muscles in the neck.

2. The first rib.

3. The pectoralis minor muscle.

Symptoms can include pain, numbness or tingling and or weakness of the arm. Orthopedic tests can be used to differentiate between TOS and other conditions. A combination of services like manipulation, manual therapy and exercise have been proven over and over in the research to be very successful in managing TOS.