Thoracic Outlet Syndrome Specialist

Gregory Stayberg, D.C.

Chiropractor located in Culver City, Santa Monica, & Marina Del Rey, CA

Pain and tightness in your neck and shoulder and numbness and tingling in your hand can by signs of thoracic outlet syndrome (TOS), a condition that causes compression of the nerves and blood vessels that travel from your neck to your shoulder. To find out if TOS is causing your symptoms, see Gregory Stayberg, D.C., for a consultation. Dr. Stayberg provides effective conservative treatments for TOS at his offices in Culver City, Santa Monica, and Marina del Rey, California, so you can get relief. Schedule your exam today by calling the office or booking a visit online.

Thoracic Outlet Syndrome

What is thoracic outlet syndrome?

Thoracic outlet syndrome (TOS) is the name for a group of conditions that cause compression of the nerves and blood vessels in your thoracic outlet. The thoracic outlet is located between your neck and shoulder in the space above your rib cage, near your clavicle. It is called the thoracic outlet because it is an opening above your lungs for nerves and blood vessels in your thorax, or midsection.

What are the symptoms of thoracic outlet syndrome?

TOS can cause a variety of symptoms, including:

  • Pain, numbness, and tingling in the arm or hand
  • Local pain near the clavicle or shoulder
  • Pain in the neck
  • Decreased range of motion in the neck
  • Decreased pulse at your wrist

You may also notice that your symptoms increase when you bend your chin to your chest or stretch your chest by pulling your shoulders back and together.

What causes thoracic outlet syndrome?

Since TOS is a term for a group of conditions, different anatomical, traumatic, and repetitive use injuries can all lead to TOS. Possible causes of TOS include:

  • Having an extra first rib, called a cervical rib
  • Trauma, including old clavicle fractures
  • Pregnancy, due to hormonal changes that affect joints
  • Poor posture
  • Repetitive overhead movements
  • Sleeping on the affected side
  • Obesity

Dr. Stayberg performs a thorough assessment to understand what nerves and blood vessels are involved in your condition and how to best relieve your symptoms.

How is thoracic outlet syndrome diagnosed?

Diagnosis of TOS involves an evaluation and physical exam. Dr. Stayberg uses specialized orthopedic tests to assess the function of your neck, shoulder, and the joints that connect your clavicle to your sternum and your shoulder. He also tests your muscle strength and flexibility, nerve function, and blood flow to your affected arm.

In some cases, Dr. Stayberg may refer you for X-rays if he suspects your condition is caused by an extra first rib or previous clavicle fracture that hasn’t healed properly.

How is thoracic outlet syndrome treated?

Dr. Stayberg provides personalized treatment plans to address the specific cause of your TOS. He may recommend any of the following therapies to help you:

  • Chiropractic adjustment
  • Myofascial release
  • Nerve flossing
  • Postural exercises
  • Rehabilitative exercises and stretches
  • Athletic taping
  • Nutritional counseling

These therapies are used to address your pain and nerve or blood-related symptoms as well as decrease the cause of compression at its source for long-term relief.

If you think you might have thoracic outlet syndrome, schedule a visit with Dr. Stayberg online or by phone now for personalized, comprehensive treatment.