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Thoracic Outlet Syndrome

Thoracic Outlet Syndrome (TOS) is a condition caused by the compression of nerves, arteries, or veins in the thoracic outlet — a narrow space between the collarbone and the first rib.

This compression can lead to a variety of symptoms that range from mild discomfort to debilitating pain, making early diagnosis and treatment essential.

Types of Thoracic Outlet Syndrome
  • Neurogenic TOS

    Caused by compression of the brachial plexus (a network of nerves). This is the most common type.

  • Venous TOS

    Results from compression of the subclavian vein, leading to swelling and discoloration of the arm.

  • Arterial TOS

    Caused by compression of the subclavian artery, which is the least common but potentially the most serious.

Symptoms of Thoracic Outlet Syndrome
  • Numbness or tingling in the arms or fingers.

  • Stiffness or restricted movement

  • Weakness in the arm or grip.

  • Swelling, bluish discoloration, or cold sensitivity in the affected arm (venous TOS).

  • A pulsing sensation near the collarbone (arterial TOS).

Causes and Risk Factors
Anatomical Abnormalities

Extra ribs (cervical ribs) or tight fibrous bands.

Poor Posture

Slouching or forward head posture can exacerbate compression.

Repetitive Activities

Sports or occupational activities requiring repetitive arm movements.

Trauma

Injuries such as a car accident or a fall.

Why consider
Chiropractic Care
for TOS?

Chiropractic care offers a non-invasive and drug-free approach to managing Thoracic Outlet Syndrome.

By addressing musculoskeletal imbalances, chiropractors can help reduce the compression in the thoracic outlet and improve overall functionality.
Benefits of Chiropractic Care
for TOS
Pain Relief

Through gentle adjustments, chiropractic care can alleviate nerve and muscle compression.

Improved Mobility

Chiropractic treatments restore proper alignment and reduce restrictions in the neck, shoulders, and upper back.

Postural Correction

Addressing postural issues can prevent the recurrence of symptoms.

Enhanced Nerve Function

Spinal and shoulder adjustments improve nerve conduction, reducing symptoms like numbness and tingling.

Chiropractic Techniques for TOS

Spinal Adjustments

Focus on the cervical and upper thoracic spine to improve alignment and relieve nerve pressure.

Soft Tissue Therapy

Myofascial release and trigger point therapy target tight muscles contributing to compression.

Postural Exercises

Strengthening and stretching exercises to promote proper posture and prevent future flare-ups.

Thoracic Outlet-Specific Mobilisation

Targeted techniques to reduce compression and improve blood flow.

Conclusion
Chiropractic care is a holistic, patient-centered approach that not only treats the symptoms of Thoracic Outlet Syndrome but also addresses its underlying causes.

With the right care plan, individuals can experience relief and regain their quality of life.
Conclusion
Chiropractic care is a holistic, patient-centered approach that not only treats the symptoms of Thoracic Outlet Syndrome but also addresses its underlying causes.
With the right care plan, individuals can experience relief and regain their quality of life.
Frequently Asked Questions (FAQs) About Thoracic Outlet Syndrome

Early warning signs of TOS include tingling or numbness in the fingers, persistent pain in the neck and shoulder area, weakness in the hand, or swelling in the arm. These symptoms can gradually worsen without treatment.

Individuals with poor posture, repetitive arm movements, trauma, or anatomical abnormalities like cervical ribs are at a higher risk.

Diagnosis involves a physical exam, imaging studies like X-rays or MRIs, and tests such as nerve conduction studies to identify the compression.

Chiropractic care addresses the root cause of TOS by improving alignment, reducing compression, and promoting nerve health through non-invasive techniques. It is an effective alternative to surgery and medications.

Maintaining good posture, avoiding repetitive stress on the shoulders, and performing regular stretching and strengthening exercises can help prevent TOS.

Testimonials

Testimonials

He did some adjustments and I felt like a new person and slept so well for the first time in months! 100% recommend

I want to see Dr Tom the other day for my neck and lower back pain from sitting down all day. He's very friendly and funny and addressed my concerns

Eslyn

Our Locations

Ang Mo Kio (Town Centre)

Blk 727, #01-4268
Ang Mo Kio Ave 6

Singapore 560727

Ubi (Techpark)

10 Ubi Crescent #04-49
Ubi Techpark, Lobby C

Singapore 408564

Bukit Timah (Guthrie House)

1 Fifth Avenue, #04-07
Guthrie House Singapore

Singapore 268802

Orchard (Paragon)

290 Orchard Road, #06-11
Paragon

Singapore 238859

Marine Parade (Town Centre)

1 Marine Parade Central #03-04
Parkway Centre

Singapore 449408

Tanjong Pagar (Aibi Maxwell)

#01-02, Aibi MaxWell,
30 Maxwell Rd

Singapore 069114

Raffles Place (PLUS)

20 Cecil Street, #05-09 PLUS

Singapore 049705

SPINEHEALTH Center Of Care

1 Fifth Avenue, #04-07
Guthrie House Singapore

Singapore 268802

Sports Performance Excellence Clinic
(Guthrie House)

1 Fifth Avenue, #04-07
Guthrie House Singapore

Singapore 268802

Our Locations

Blk 727, #01-4268
Ang Mo Kio Ave 6

Singapore 560727

10 Ubi Crescent #04-49
Ubi Techpark, Lobby C

Singapore 408564

1 Fifth Avenue, #04-07
Guthrie House Singapore

Singapore 268802

290 Orchard Road, #06-11
Paragon

Singapore 238859

1 Marine Parade Central #03-04
Parkway Centre

Singapore 449408

#01-02, Aibi MaxWell,
30 Maxwell Rd

Singapore 069114

20 Cecil Street, #05-09 PLUS

Singapore 049705

1 Fifth Avenue, #04-07
Guthrie House Singapore

Singapore 268802

1 Fifth Avenue, #04-07
Guthrie House Singapore

Singapore 268802

Get in touch

Feel free to contact us through any of the following channels to schedule an appointment or enquire about our services and will be get back to you within 3 working days.
Call us
6747 6165
WhatsApp us
8383 9898
Terms and Conditions
  1. Valid for new customers to TRUE Chiropractic only.
  2. Strictly by appointments only.
  3. Trial options are non-refundable & valid for 60 calendar days from date of payment.
  4. No retrospective discounts or other promotions will be applied.
  5. Treatment shall be served only if Patient is suitable for Chiropractic care and the top up fee is completed. No refunds shall be made if Chiropractic care is deemed inappropriate.
  6. Patients below 21 years old must be accompanied by parents or legal guardians.
  7. Provision of any complimentary gifts while stock lasts and/or fulfilment of requirements.
  8. Cost excludes other medical practitioner fees.
  9. X-Ray may be recommended by Chiropractors based on current examination findings and/or when a patient presents a history of MSK issues with outdated diagnostic imaging records. The GP decision is final on need, type & extent of imaging coverage required.
  10. TRUE Chiropractic decision is final.