Role of Neuromobilization in Thoracic Outlet Syndrome

[sdkashif]

I wanted to know about the evidences based studies and other controlled trials showing the effectiveness of Neuromobilization in the Thoracic Outlet Syndrome. Kindly emphysize and highlight upon that.

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[neurospast]

I would also be very interested in such a research if it would be valid. I do dought if there is any around which is good. A good entry would be Butler E.A. as a start for a search on the net.
Has anyone a clear idea how to diagnose a TOS? and be a 100% (well a 90 would do) sure it is a TOS.

[drbeth2000]

I am a psychologist who works with medical patients so please understand why I don't speak quite the same language as you all do. My TOS was diagnosed after I got a blood clot that ran from my elbow up to my carotid. I had cancer and was treated with chemo which weakened my bones. I never had a port and I thought that the chemo I had in my right arm had sclerosed the veins, causing the clot. In fact I had changed my routine to include yoga breathing in which I was raising my arms above my shoulders for minutes at a time. A few years before the clot I broke my proximal humerus in five places. My hematologist/oncologists told me to expect a lifetime of blood thinners. A brilliant cancer surgeon suggested x-rays to check for an extra cervical rib or some orthopedic abnormality…nothing. Then this same brilliant man told me to get a venogram. As soon as I raised my right arm above my head the blood flow nearly stopped in my subclavian artery. Some alternate pathways had developed but my choice was to remove my top right rib or stop raising my arm above my head. I chose the latter. Usually this is diagnosed because the outlet (which is really an inlet) closes off circulation as mine did. We could only conclude that my clavicle had been fractured in my fall and had gone unnoticed. I had a series of clotting studies which showed no blood conditions. I do have terrible posture and I think that strengthening is a great approach. My TOS was diagnosed because I had a blood clot. I shudder to think that I might still be on blood thinners had I not known this surgeon who advocated for me so courageously. Fortunately because he was so respected, my very respected doctors listened to him. I cannot share general knowledge with you…only personal knowledge but I have to wonder how much TOS is out there undiagnosed because doctors assumed that a blood clot was simply a clotting problem as mine had. I have since had rotator cuff therapy and have a great PT who has helped me with my posture. Believe it or not, no one suggested physical therapy! Doctors do a great "Blind man and the Elephant" impression and not everyone has a brilliant advocate like I did. Keep up the good work!