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TOS (Thoracic
Outlet Syndrome)
Treatments - Part II
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I found
trigger point therapy effective for all sort of musculoskeletal
conditions including TOS. I had lots of trigger points on the outsides
of both shoulders, and massaging them several times a day seemed
to help me gain much more movement in my neck and shoulders.
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I used
a tennis ball to massage the trigger points on my back and around
my shoulders. I would either lay on the ball or put the ball
in a sock and hang it behind my back. Then I'd stand next to a wall
and press my back into the tennis ball to massage trigger points
in hard to reach places. One of my physical therapists called it
the "ball on the wall" massage therapy.
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I bought
a massage tool called a theracane. This was recommended in
the Trigger Point Therapy book. I found it worked pretty good to
massage my trigger points. I also used the curved part of the cane
to press down and massage the elevated knot in my shoulder on my
TOS side.
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I tried
to stay off the computer as much as possible when I was actively
having TOS pain problems. At other times I would work on the computer
for normal times, but I would try to stop and take frequent stretch
breaks.
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I improved
my posture quite a bit, especially while at the computer. I
used to sit slanted to one side with my knotted shoulder higher.
This made my lower shoulder slumped even more and caused the muscles
on the lower shoulder side to shorten even more than they were.
So then when I'd sit up, they shortened and contracted muscles from
my lower shoulder side pulled on my TOS shoulder causing more and
more pain.
I have a lot of old medical text books, written before drugs and
surgery became such standard practice in U.S. medicine, and it's
amazing how much emphasis is placed on proper posture. I think posture
training is a lost art. You can read more about posture training
at sites on the Alexander
Technique.
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Physical
therapy helped my TOS, but only with a knowledgeable physical therapist.
The first two or three therapists I tried actually made my TOS worse
by having me work with elastic bands and do a lot of muscle building
exercises. These types of exercises just made my muscles tighter and
my TOS symptoms worse. In evaluating a therapist, I would recommend
avoiding anyone who says to "work through the pain". Pain
just means the obvious: You are getting worse, not better. I do think
your goal with physical therapy should be to get out of pain, not
increase it.
The PT that ended up helping me focused a lot on stretching exercises,
proper posture, setting up my PC work station correctly, loosening
up the know in my shoulder and improving my overall body alignment.
Many of the problems I had such as kyphosis, scoliosis, TOS, knee
problems and more were all interrelated, and when my body was in better
alignment they all cleared up in unison.
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