Understanding Thoracic Outlet Syndrome (TOS): Causes, Symptoms & Conservative Treatment Options in The Colony TX

By Dr. Andrew Oteo, DC, MBA – Stonebridge Health, The Colony, TX

Have you ever felt numbness or tingling in your hands, aching in your shoulder or neck, or even weakness in your grip? These symptoms could be more than just tension or overuse—they might be signs of Thoracic Outlet Syndrome (TOS). Contact our chiropractic clinic in The Colony TX today to learn more.

What Is Thoracic Outlet Syndrome?

Thoracic Outlet Syndrome is a condition that occurs when the nerves or blood vessels between your neck and shoulder (the thoracic outlet) become compressed or irritated. This compression can lead to pain, numbness, and dysfunction in the arms and hands. TOS can be caused by:

• Poor posture (especially forward head or rounded shoulders)
• Repetitive overhead movements
• Previous trauma or injuries (like whiplash)
• Congenital or anatomical abnormalities
• Prolonged computer or desk work

Unfortunately, many individuals suffer for years without a proper diagnosis, misattributing their symptoms to carpal tunnel, cervical disc issues, or even anxiety.

How We Diagnose TOS at Stonebridge Health

At Stonebridge Health in The Colony, TX, we begin with a detailed health history, a thorough physical examination, and orthopedic and neurological testing. We may also take x-rays to evaluate spinal alignment and structural concerns. In some cases, we’ll coordinate advanced imaging like an MRI, refer for nerve conduction testing, or collaborate with a vascular specialist if blood flow is impacted.

Conservative Care Can Make a Difference

If you're experiencing symptoms of TOS, here’s some encouraging news: surgery is not your only option. In fact, most cases of TOS respond well to conservative treatment when diagnosed early.

Our multidisciplinary approach may include:

• Chiropractic adjustments to improve spinal and rib alignment
• Physical therapy to improve posture, strengthen supporting muscles, and restore function
  Soft tissue therapies such as:
  • Class IV laser therapy
  • Shockwave therapy
  • Dry needling
  • Trigger point injections (TPIs)

This diagnosis isn’t a one-size-fits-all condition, so we take the time to tailor your care plan to your body’s unique needs. Our goal is to relieve nerve compression, reduce inflammation, restore mobility, and prevent the need for invasive procedures.

Don’t Ignore the Signs In The Colony TX

TOS can significantly affect your daily life and limit your ability to work, exercise, or sleep comfortably. According to a 2020 review in Diagnostics, conservative treatment methods have shown promising results, particularly in neurogenic TOS—the most common form.

If you believe you may be suffering from Thoracic Outlet Syndrome, don’t wait. Early intervention is key to preventing long-term complications.

Get Help Today

At Stonebridge Health, we’re committed to helping you move better, feel better, and return to the activities you love. If you’re ready to take the next step, contact us today to schedule your consultation.