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Thoracic Outlet Syndrome

Thoracic outlet syndrome (TOS) is a condition in which there is compression, injury, or irritation of blood vessels and nerves in the space between your collarbone and your first rib.

TOS pathology labeled.png

Symptoms include:

  • ​Neck pain

  • Shoulder pain

  • Arm pain

  • Numbness and tingling of fingers

  • Impaired circulation to the extremities (discolored, cold hands)

  • Weakness or heaviness of the hand and arm muscles​​​

  • May be triggered by positional activities such as reading, driving, lying on side

How is TOS diagnosed?

Following a detailed history, orthopedic tests and a neurological evaluation will be performed to determine if you have TOS.  X-rays may reveal an extra rib (cervical rib) that is contributing to your TOS.  X-rays may also rule out other conditions that may be causing your symptoms.  In some cases, a specialized protocol of MRI studies may be recommended.  

What conservative options do your offer for TOS?

Chiropractic Adjustments

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Class IV laser

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Spinal Decompression

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Stimpod NMS 460 Pulsed Radiofrequency system​

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Dry Needling

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Rock Tape

© 2024 by Brain & Spine Wellness Center, PLLC.

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(p) 615.463.0550

(f) 615.463.8474

2300 21st Ave S Ste 103 Nashville, TN 37212

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