What is Thoracic Outlet Syndrome?
The thorax is the neck/chest area of the body.
The thoracic outlet is sometimes also referred to as the thoracic inlet (!). It is the area of the neck where the nerves and blood vessels that serve the arm cross the front of the chest starting from under the collarbone.
When the muscles in this area of the neck and chest become tight they can press on these nerves and blood vessels causing symptoms such as pain, numbness, tingling and coldness down the arm. In severe cases the arm may become discolored due to the compromised blood flow.
Thoracic outlet syndrome is a common symptom of RSI conditions. It is a progressive condition that can be caused by bone deformity, poor posture, immune or metabolic disorders (for example, rheumatoid arthritis, or diabetes), trauma and even pregnancy, which can cause postural changes.
Myofascial Release for Thoracic Outlet Syndrome
Myofascial release for clients with thoracic outlet syndrome involves work on the muscles and soft tissues of the neck, shoulders, back and upper chest, as well as the arms in some cases.
The thoracic outlet is the space under the collar bone where the bundle of nerves from the neck enter the thorax/chest and proceed toward the humerus bone of the arm. This nerve bundle can be impinged by the bones or muscles of the neck, the collar bone “locking down” against the ribs, tight pectoralis major or minor muscles or a rotated shoulder joint or shoulder girdle. You may also have a herniated disc.
How can massage help for TOS
Thoracic Outlet Syndrome (TOS) involves the compression of nerves or blood vessels in the thoracic outlet, the space between your collarbone and your first rib. This can lead to pain in your shoulders and neck, and numbness in your fingers. Massage therapy can help alleviate the symptoms of TOS in several ways:
1. Reducing Muscle Tension
Massage can help relax and lengthen the muscles around the thoracic outlet, such as the scalene, pectoralis minor, and subclavius muscles. This can reduce pressure on the nerves and blood vessels.
2. Improving Circulation
Massage enhances blood flow, which can help reduce inflammation and promote healing in the affected area.
3. Relieving Pain
Massage therapy can help manage pain through the release of endorphins and by reducing muscle spasms and tension.
4. Improving Range of Motion
By reducing muscle tightness and scar tissue, massage can improve flexibility and range of motion in the shoulder and neck areas.
5. Breaking Up Adhesions
Massage can help break up adhesions and scar tissue that may be contributing to the compression of nerves or blood vessels.
Types of Massage Techniques for TOS
Deep Tissue Massage Focuses on the deeper layers of muscle and connective tissue. It can help release chronic muscle tension.
Myofascial Release Involves applying gentle, sustained pressure into the myofascial connective tissue restrictions to eliminate pain and restore motion.
Trigger Point Therapy Targets specific points of tension or “knots” in the muscles that can refer pain to other areas.
Swedish Massage uses long, flowing strokes to promote relaxation and improve circulation.
Neuromuscular Therapy Focuses on relieving pain and dysfunction by addressing trigger points, muscle adhesions, and nerve compression.
Consult a Professional
While massage can be beneficial, it is important to consult with a healthcare professional to ensure that it is appropriate for your specific condition and to receive guidance on the best techniques for your needs.
How often should I get massage for TOS?
The frequency of massage therapy for Thoracic Outlet Syndrome (TOS) can vary depending on the severity of the condition and individual response to treatment. Here are some general guidelines:
Initial Phase:
Frequency: 1-2 times per week.
Duration: This phase typically lasts for 4-6 weeks.
Goal: To alleviate pain and reduce muscle tension.
Maintenance Phase:
Frequency: Every 2-4 weeks.
Duration: Ongoing, depending on symptom management.
Goal: To maintain muscle flexibility and prevent recurrence.
Acute Flare-Ups:
Frequency: May increase temporarily to 1-2 times per week until symptoms improve.
Goal: To quickly manage pain and prevent further complications.
It's essential to consult with a healthcare provider or a licensed massage therapist who is experienced with TOS. They can create a personalized treatment plan based on your specific needs and monitor your progress to adjust the frequency as necessary.