![]() These can include changes to the type and amount of exercise, athletic activities, and activities of daily living. Your physical therapist will work with you to identify and suggest changes to any factors causing your pain. Your physical therapist will educate you about thoracic outlet syndrome to help you make decisions. Some general treatment techniques may include: In addition, your physical therapist will rule out other conditions, which may mimic TOS.īased on their findings, your physical therapist will develop a customized rehabilitation program to help ensure a safe return to your desired activities. Are there certain positions that bring on your symptoms?.Have you noticed any changes in the appearance of your arm or hand?.Have you noticed any significant changes in your ability to do physical tasks that require hand movements?. ![]() ![]() Have you noticed any change in your symptoms when the temperature changes?.When did you begin experiencing symptoms, and when are they the worst?.During their exam, your physical therapist may ask you questions such as: This is because of how it effects your physical function. Your physical therapist may be the first to recognize the onset of TOS. Nerve conduction velocity testing to help confirm a neurogenic TOS.Doppler ultrasound, which can confirm arterial and venous TOS.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). Symptoms of TOS may vary, depending on the type of structures compressed.
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