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Thoracic outlet syndrome--a myofascial variant: Part 3. Structural and postural considerations
The Journal of the American Osteopathic Association
|March 1, 1993
Summary
Thoracic outlet syndrome requires addressing systemic somatic dysfunctions, not just local compression. Comprehensive osteopathic treatment, including craniosacral and postural correction, is vital for lasting symptom relief.
Area of Science:
- Osteopathic medicine
- Neuroscience
- Biomechanics
Background:
- Thoracic outlet syndrome (TOS) often involves more than localized neurovascular compression.
- Current treatments may offer only temporary relief if related somatic dysfunctions are not addressed.
- Holistic assessment is crucial for understanding TOS etiology.
Purpose of the Study:
- To highlight the importance of a comprehensive osteopathic approach to TOS.
- To emphasize the role of systemic somatic dysfunctions in TOS.
- To advocate for integrated treatment strategies for TOS.
Main Methods:
- Osteopathic manipulative treatment focusing on local, regional, and remote somatic dysfunctions.
- Assessment of structural and postural abnormalities in frontal and sagittal planes.
- Integration of craniosacral mechanisms and neural involvement in diagnosis.
Main Results:
- Myofascial release and stretching may yield only partial or temporary symptom improvement.
- Addressing segmental restrictions and somatic dysfunction is key to effective TOS management.
- Postural correction and strengthening exercises are beneficial post-treatment.
Conclusions:
- Optimal TOS treatment necessitates a thorough osteopathic diagnosis and management of all contributing structural issues.
- A comprehensive approach ensures sustained symptom-free status for TOS patients.
- Systemic somatic dysfunctions are integral to TOS and require targeted osteopathic intervention.