Thoracic Outlet Syndrome (TOS) is a condition that occurs when the nerves or blood vessels between the collarbone and the first rib become compressed. This may be caused by cetain muscle spasm/hyeprtonicity or joint restrictions in the cervical/thoracic. This can cause pain in the shoulders and neck and numbness in the fingers or arm. While conventional treatments include physical therapy(incdlucing therapeutic exercise), medication, pain specialists and in some cases, surgery, there are also alternative care options that may help alleviate symptoms.
Therapeutic Exercise
Therapeutic exercises remains one of the most recommended non-surgical treatments for TOS. You can have a designed program tailored to strengthen the shoulder muscles, improve posture, and enhance flexibility. Key exercises might include:
- Stretching: Gentle neck and shoulder stretches can reduce tension and improve range of motion.
- Strengthening: Exercises focused on the shoulder girdle can help stabilize the area and reduce compression on nerves and blood vessels.
- Posture: Posture exercises can be beneficial too.
Chiropractic Care
Chiropractic care involves manual manipulations along with other therapies to the spine or extremities. It may help with managing TOS by improving alignment and reducing nerve compression. It is important to seek a chiropractor such as Fletcher Chiropractic whom is experienced in treating nerve-related conditions.

Massage Therapy
Massage therapy and other soft tissue therapies can offer relief by targeting the muscles in the neck, shoulders, and upper back. This can help release tension, improve circulation, and reduce inflammation around the compressed areas.
Acupuncture
Acupuncture, an ancient Chinese therapy, involves inserting thin needles into specific points on the body. For some individuals with TOS, acupuncture may help alleviate pain and improve circulation by stimulating the nervous system.
Yoga and Pilates
Both yoga and Pilates can be beneficial for TOS sufferers. They emphasize body awareness, posture, and controlled breathing, which can reduce muscle tension and increase flexibility. Specific poses and exercises can be adapted to focus on the neck and shoulder areas.
Nutrition and Herbal Remedies
Nutrition is based on the individual. Food journals and different tests can be benificial. Anti-inflammatory diet to reduce inflammation could be helpful. Some herbal remedies are believed to have anti-inflammatory and pain-relieving properties. These might include:
- Turmeric: Known for its curcumin content, turmeric may help reduce inflammation.
- Ginger: Often used for its anti-inflammatory effects, ginger can be consumed in tea or supplements.
Lifestyle Adjustments
Incorporating certain lifestyle changes can also support the management of TOS:
- Posture Correction: Maintaining good posture can reduce pressure on the thoracic outlet. Ergonomic adjustments in workspaces may also be beneficial especially if you sit at a desk.
- Stress Management: Practices such as meditation and deep breathing exercises can help manage stress, which may exacerbate symptoms.
Considerations
Alternative therapies can provide relief but consult with your healthcare professionals before starting any new treatment. Each individual’s experience with TOS is unique, and what works for one person may not work for another. Combining alternative options with conventional treatments under professional guidance can form a comprehensive care plan. Feel free to reach out to Fletcher Chiropractic at 402.261.5766 or info@fletcherchiropracticllc.com. You can also find more information at www.fletcherchiropracticllc.com.