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Treatment for Thoracic Outlet Syndrome begins with getting a correct diagnosis by a physician experienced in diagnosing and treating Thoracic Outlet Syndrome patients, Often times patients will begin treatment for TOS only to find out that TOS is not the correct diagnosis. This is why it is imperative that you seek out a TOS experienced practitioner initially so that you have a better chance of a more accurate diagnosis and treatment.

Your treatment plan depends on what type(s) of TOS you may have and if your symptoms are life and/or limb threatening. If you are experiencing life and/or limb threatening symptoms, your TOS experienced physician may recommend surgery initially. If your physician determines that your case is not life or limb threatening, physical therapy is generally the next step. Additionally, it is very important for you to find a TOS experienced Physical Therapist as well. Your PT will assess your condition, posture, and may also perform additional non invasive testing to confirm a diagnosis of TOS. It is important for you to remember that if you experience any pain when performing any physical therapy, you should alert your therapist immediately as the "No Pain, No Gain", thought is NOT recommended for TOS physical therapy.

Your physician may order Scalene injections as well. Scalene injections serve two purposes. One is to reduce pain and the other is to determine a potential location of compression. Scalene injections are of much debate and patient reports of success are varied. Scalene injections are usually done with a numbing agent or Botox (Botulinum). BOTOX injections do have serious risks and you should ALWAYS discuss these risks with your physician prior to injection. It is generally recommended that physicians performing BOTOX injections use additional visual guidance. Any injections into the Scalene muscles should be discussed thoroughly with your physician and it is very important that your physician have adequate experience injecting into the thoracic outlet.

Many patients have found alternative methods of treatment to combat their symptoms of TOS. However, we recommend you discuss these alternative methods with your TOS experienced physician prior to receiving alternative treatment.

Surgery may be offered as a last resort if all previous treatment as failed to reduce your symptoms. Surgery for Thoracic Outlet Syndrome does have serious risks and you should thoroughly discuss these risks with your TOS experienced surgeon. Your surgeon may require you to complete additional pre-surgery treatments and procedures prior to surgery. Surgery for TOS is of much debate and outcomes vary with every patient. For additional TOS surgical stories and post surgical photos please visit the and also see our "Featured TOS Patient Stories" webpage. 

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