TOS Interventions
A rehabilitation program for thoracic outlet syndrome (TOS) should be designed based on results of the clinical examination that includes provocative testing. Effective treatment of TOS requires first identifying the underlying cause(s) of the neurovascular compression or tension. Failed attempts at conservative management may be related to improper or incomplete diagnosis of the underlying dysfunctions causing the patient’s symptoms (Hooper et. al., 2010).
General Approaches to the Management of TOS
Disputed Neurogenic TOS
A trial of conservative therapy should be attempted before surgical options are considered (Hooper et. al., 2010).
|
True Neurogenic TOS
Conservative treatment is effective for the majority of patients (Hooper et. al., 2010). Surgical management is controversial and may be considered for patients with the following (Hooper et. al., 2010):
|
Arterial or Venous TOS
Surgical management is indicated because of the potentially serious complications that may arise from vascular compromise (Hooper et. al., 2010). |