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Does Inactivity Make Thoracic Outlet Syndrome Worse?

Does Inactivity Make Thoracic Outlet Syndrome Worse?
Does Inactivity Make Thoracic Outlet Syndrome Worse?

Thoracic Outlet Syndrome (TOS) is a complex condition that arises when the nerves or blood vessels in the thoracic outlet — the space between your collarbone and first rib — are compressed. This can lead to symptoms such as pain in the shoulders and neck, numbness in the fingers, and a feeling of weakness in the arms. While many factors can contribute to TOS, including trauma, repetitive activity, and anatomical anomalies, one question that often arises is whether inactivity can exacerbate the condition. The short answer is yes. Inactivity can indeed worsen thoracic outlet syndrome, but understanding why and how is crucial for effective management and treatment.

Inactivity and Thoracic Outlet Syndrome

Inactivity can contribute to the worsening of TOS in several ways. First and foremost, prolonged periods of inactivity, such as sitting at a desk for extended hours, can lead to poor posture. Poor posture, especially slouching or hunching forward, can cause the shoulders to roll forward and the head to jut out, further compressing the thoracic outlet and exacerbating symptoms.

Muscle imbalances are another consequence of inactivity. When you do not engage in regular physical activity, the muscles around the thoracic outlet, including the shoulder girdle and upper back muscles, can become weak and tight. This imbalance can lead to increased pressure on the nerves and blood vessels in the thoracic outlet. Weak muscles are unable to support the skeletal structure adequately, while tight muscles can compress the thoracic outlet, both contributing to the symptoms of TOS.

Moreover, inactivity can lead to weight gain, which places additional stress on the body, including the thoracic outlet. Excess weight can alter your posture and biomechanics, making it more likely that the thoracic outlet will become compressed. Furthermore, a sedentary lifestyle can lead to decreased circulation, which can exacerbate the symptoms of TOS by reducing blood flow to the affected areas.

The Role of Physiotherapists and Chiropractic Doctors

Addressing thoracic outlet syndrome effectively requires a comprehensive and multidisciplinary approach. At CARESPACE Health+Wellness, we offer coordinated care that includes both physiotherapists and chiropractic doctors, among other health professionals. This integrated approach ensures that all aspects of the condition are addressed, from pain relief to improving function and preventing recurrence.

Physiotherapists play a critical role in the management of TOS. They focus on restoring movement and function through various techniques. One of the primary goals of physiotherapy for TOS is to improve posture and alleviate muscle imbalances. Physiotherapists employ exercises designed to strengthen the muscles of the shoulder girdle, upper back, and neck while also stretching the tight muscles that contribute to compression. These exercises can help open up the thoracic outlet, reducing pressure on the nerves and blood vessels.

In addition to exercise, physiotherapists may use manual therapy techniques to improve mobility and decrease pain. Manual therapy can include joint mobilizations, soft tissue massage, and myofascial release, all aimed at improving the function of the muscles and joints around the thoracic outlet. Education is also a key component of physiotherapy, as clients are taught how to maintain good posture and incorporate ergonomic principles into their daily activities to prevent the recurrence of symptoms.

Chiropractic doctors at CARESPACE Health+Wellness also play a vital role in the treatment of TOS. Chiropractors focus on the alignment and function of the spine and other joints. Through spinal adjustments and manipulations, chiropractors can help improve the alignment of the cervical and thoracic spine, which can alleviate pressure on the thoracic outlet. These adjustments can also improve nerve function and reduce pain.

Chiropractors may also use other techniques such as soft tissue therapy, stretching, and strengthening exercises. By addressing both the skeletal and muscular components of TOS, chiropractic care complements the work of physiotherapists, providing a well-rounded approach to treatment.

How CARESPACE Can Help

At CARESPACE Health+Wellness, we understand the complexities of thoracic outlet syndrome and the importance of a multidisciplinary approach to treatment. Our team of regulated health professionals, including physiotherapists, chiropractors, and other specialists, work together to create personalized and coordinated plans of care tailored to each client’s unique needs.

Our approach begins with a thorough assessment to understand the primary concerns and long-term health goals of each client. Based on this assessment, we develop evidence-based plans designed to address the root causes of TOS and provide fast, effective, and long-lasting results. This may include a combination of exercise, manual treatments, nutritional advice, and lifestyle modifications.

Exercise is a cornerstone of our treatment plans. Our physiotherapists design customized exercise programs to strengthen weak muscles, stretch tight muscles, and improve overall posture. These exercises are often complemented by chiropractic adjustments to ensure proper alignment and function of the spine and joints. This comprehensive approach helps to reduce the pressure on the thoracic outlet, alleviate symptoms, and improve overall function.

Manual treatment is another key component of our treatment plans. Both physiotherapists and chiropractors at CARESPACE use various manual treatment techniques to improve mobility, reduce pain, and enhance the function of the muscles and joints around the thoracic outlet. This hands-on approach is tailored to each client’s specific needs and is aimed at providing immediate relief as well as long-term benefits.

In addition to physical treatments, we also emphasize the importance of education and lifestyle modifications. Our practitioners provide guidance on maintaining good posture, incorporating ergonomic principles into daily activities, and making healthy lifestyle choices. This holistic approach helps clients to manage their symptoms effectively and prevent the recurrence of TOS.

In conclusion, inactivity can indeed make thoracic outlet syndrome worse by contributing to poor posture, muscle imbalances, weight gain, and decreased circulation. However, with the right treatment approach, including the coordinated efforts of physiotherapists and chiropractic doctors, TOS can be effectively managed and even prevented. While it is important to stay active, you should listen to your body, and make sure you are not in the push through thoracic outlet syndrome mindset. Instead, we want to work towards a steady and healthy recovery. At CARESPACE Health+Wellness, our multidisciplinary team is dedicated to helping clients achieve their health goals through personalized and evidence-based care. Whether you are currently experiencing symptoms of TOS or looking to prevent future issues, our team is here to support you on your journey to better health.

About the Author

Dr. Tyler Baron, DC is a chiropractor at CARESPACE Westmount East. He helps clients improve their health through personalized, evidence-based care. If you’re looking for a chiropractor in Kitchener, CARESPACE offers coordinated support designed to help you be your best.