Mississauga Chiropractor Presents: Student Report on Thoracic Outlet Syndrome

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Categories: Lecture Series

Here`s a blog from a Coop-Student with a Chiropractor in Mississauga…

Thoracic Outlet Syndrome



  • Shoulder/Lower Cervical Trauma
  • Repetitive Shoulder Activity
  • Upper Thoracic neurovascular bundle compression
  • Elongated C7 transverse process


Signs and Symptoms:

  • Unilateral Numbness
  • Tingling/ paresthesia of upper limb and shoulder
  • Swelling of the arm
  • If Neurologic: loss of dexterity
  • If Venous: pain/swelling of arm, cyanosis
  • If Arterial: pain, pallor, coldness


Muscles/ Joints Affected:

  • Brachial Plexus
  • Scalene Muscles
  • Pectoralis Minor
  • 1st Rib


Treatment/ Management:

  • Stretch tight and shortened Scalenes, Pectoralis Minor
  • ART (Active Release Techniques) – Affected muscles
  • Massage therapy
  • Ice/heat
  • Acupuncture
  • Electrotherapy
  • Ultrasound Therapy


Rehab Exercises:

Chin Tuck

  • pull chin back, while keeping eye level


Stretch #1

  • Shrug shoulder up and back


Stretch #2

  • Both hands on top of a door, lean in and hold for 30 seconds


Stretch #3

  • Point your nose to your armpit and move it as close as you can for 30 seconds



  • 85% of patients improve after treatments



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