Thoracic Outlet Syndrome

Thoracic Outlet Syndrome: Releasing the Pressure, Restoring Function

Thoracic Outlet Syndrome (TOS) is a condition that occurs when the nerves, arteries, or veins running between the neck and armpit become compressed. This narrow space—called the thoracic outlet—is crucial for the blood flow and nerve function of the shoulder, arm, and hand. When it’s compromised, the result is pain, numbness, and reduced function.

At Sarasota Pain Treatment Center, we use Neurosomatic Therapy (NST) to address the postural and muscular imbalances that contribute to this compression—relieving pain at the source.

What Is Thoracic Outlet Syndrome?

The thoracic outlet is the space between your collarbone and first rib, through which pass critical structures like the brachial plexus nerves, subclavian artery, and subclavian vein. When this space becomes compressed, these structures can be pinched or irritated, leading to symptoms such as:

  • Numbness or tingling in the arm or hand

  • Pain in the shoulder, neck, or chest

  • Weak grip strength or muscle fatigue

  • Coldness or discoloration in the hand

  • Visible swelling in the arm or hand

  • Reduced or absent pulse in the arm

  • In rare cases, small black spots (infarcts) in the fingers

TOS is often misdiagnosed or misunderstood because its symptoms mimic other conditions like carpal tunnel syndrome, shoulder impingement, or cervical disc issues.

What Causes TOS?

There are several known contributors to Thoracic Outlet Syndrome:

  • Congenital structural anomalies, like an extra cervical rib

  • Repetitive overhead movement, such as painting, lifting, or prolonged typing

  • Poor posture (especially forward head or rounded shoulders)

  • Trauma, like a car accident or sports injury

  • Weight gain or muscular imbalances

While some cases are labeled idiopathic (no known cause), in our clinical experience, TOS often results from postural distortion and muscle imbalance that go unnoticed in traditional assessments.

Why Neurosomatic Therapy Works

Traditional treatments for TOS may include medication, physical therapy, or in severe cases, surgery to remove the first rib or release compressed tissues. However, these methods often overlook why the compression is happening in the first place.

Neurosomatic Therapy approaches TOS differently:

  • We begin with a comprehensive postural evaluation, identifying imbalances from head to toe

  • We address muscular imbalances that create torsion, rotation, or asymmetry in the upper body

  • We use hands-on techniques to release compression in the thoracic outlet

  • We focus on restoring structural symmetry, especially in the shoulders and cervical spine

By correcting posture and improving biomechanics, we create more space within the thoracic outlet—relieving pressure on nerves and blood vessels, and allowing the body to function as it should.

Restoring Balance = Relieving Pain

The pain and dysfunction caused by TOS aren’t just about the structures being compressed—they’re also about whythey’re being compressed. That’s why our approach focuses on correcting the underlying mechanics, not just managing symptoms.

When the shoulders, spine, and ribs are realigned, the thoracic outlet opens up naturally. Circulation improves. Nerve irritation subsides. And function is restored without invasive procedures.

Don’t Let TOS Control Your Movement

Whether your symptoms have just begun or you’ve been living with them for years, relief is possible. With a careful, strategic approach, Neurosomatic Therapy can help you regain full use of your arm and hand—without surgery or long-term medication.

Call us today to speak with one of our expert therapists and learn how we can help you heal from Thoracic Outlet Syndrome—naturally and effectively.

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