Join Dr. Farid Gharagozloo and Steve Talajkowski PT, MPT for a free, online live streaming event as they discuss why standard physical therapy is ineffective when helping patients with Thoracic Outlet Syndrome. This interesting discussion between Dr. Gharagozloo (author of “Thoracic Outlet Syndrome - A Historic Perspective”) and Steve (who authored the ‘Thoracic Outlet Syndrome’ chapter in the book Physical Therapy Treatment of Common Orthopedic Conditions) will help patients understand why the standard physical therapy approach to TOS often fails.

https://www.toseducation.org/video-options

https://www.tosmri.com/thoracic-outlet-syndrome-education/thoracic-outlet-syndrome-educational-videos/

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Physical Therapy

Physical therapy remains one of the mainstays of conservative treatment of patients with neurogenic TOS. Physical therapy aims to reduce pain and improve function. Physical therapists help their patients recover from sports injuries, trauma, or strokes, improve flexibility or movement, and learn to use a cane or function with a splint.

Physical therapists must undergo specific training, including a masters degree or a doctorate. They also must pass a qualifying examination, and are licensed in every state. It is important to remember that just like physicians, physical therapists often specialize within their field. Thus, a patient should strive to work with a physical therapist who is knowledgeable about and experience in the treatment of neurogenic TOS.

Physical therapists who treat patients with neurogenic TOS may use one or more of the following techniques:

Massage therapy
Postural correction
Breathing control and retraining
Electrical stimulation
Stretching
Superficial heat or deep heat therapy (ultrasound may be used)
Myofascial release, including mobilization and manipulation
Education
The ENVEST (Edgelow Neurovascular Entrapment Syndrome Treatment) technique was developed by a widely-recognized physical therapist, Peter Edgelow. The ENVEST technique is widely known as a specialized and effective technique for treatment of neurogenic TOS patients. Dr. Edgelow taught his technique to many hundreds of physical therapists, and it is worth finding a therapist who is familiar and experienced with this technique. You can read more the ENVEST technique here.