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06:57
Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Evidence-Based Diagnostic and Therapeutic Methods for Thoracic Outlet Syndrome: A Systematic Review.
Akshaya V Joshi1, Sandeep Shinde2, Neha S Chaudhary3
1Department of Musculoskeletal Physiotherapy, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth (Deemed to be University), Karad, IND.
Cureus
|June 5, 2026
Summary
Structured physiotherapy is highly effective for thoracic outlet syndrome (TOS), improving pain and function. A multidisciplinary approach addressing psychosocial factors is crucial for optimal outcomes in TOS management.
Area of Science:
- Orthopedics and Sports Medicine
- Neurology
- Rehabilitation Medicine
Background:
- Thoracic outlet syndrome (TOS) involves compression of neurovascular structures in the thoracic outlet.
- Effective diagnostic and therapeutic strategies are essential for managing TOS.
- Physiotherapy-based interventions are a key focus in TOS treatment.
Purpose of the Study:
- To systematically review evidence-based diagnostic and therapeutic methods for TOS.
- To evaluate the efficacy of physiotherapy interventions for TOS.
- To synthesize current research and identify literature gaps in TOS management.
Main Methods:
- Systematic review following the PRISMA framework.
- Literature search of PubMed, MEDLINE, and Google Scholar up to April 2026.
- Inclusion of ten articles focusing on neurogenic, arterial, and venous TOS, prioritizing physiotherapy.
Main Results:
- Structured physiotherapy (postural correction, stretching, stabilization, mobilization) is effective for pain reduction and function.
- Intensive inpatient rehabilitation shows sustained improvements in strength and capacity.
- Psychosocial factors like central sensitization and kinesiophobia influence persistent symptoms.
Conclusions:
- Physiotherapy is a highly effective conservative treatment for TOS.
- A multidisciplinary, biopsychosocial approach is necessary for comprehensive TOS management.
- Standardized protocols and pain neuroscience education are vital for optimizing patient outcomes.
Keywords:
brachial plexusmusculoskeletal disordersposturesurgical decompressionthoracic outlet syndromeMore Related Videos
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