Thoracic Outlet Syndrome

The term “thoracic outlet” describes an area at the base of your neck, just above your collarbone. Important nerves and vessels pass through this outlet on their way into your arm. Compression of these tissues causes a condition called “thoracic outlet syndrome” which results in pain, numbness, or tingling in your arm.

Several factors can cause Thoracic Outlet Syndrome, often referred to as TOS. Sometimes TOS is caused by tightness in the muscles of your neck and chest, other times the space between your first rib and collarbone is too small. People who have an extra rib (cervical rib) and people who have recently suffered a neck injury may have a greater chance of having this problem.

The condition is aggravated by poor posture and by occupations that promote “slouching,” i.e., computer users, assembly line workers, supermarket checkers, and students. Swimmers, volleyball players, tennis players, baseball pitchers, and occupations requiring prolonged overhead activity. i.e., electricians and painters are also candidates for TOS.

Symptoms of TOS include arm pain, numbness, tingling, and possible weakness. Neck, arm, and hand pain may begin slowly and are often aggravated by elevation of the arms or excessive head movement. Loss of grip strength is possible.

You should avoid carrying heavy loads, especially on your shoulder i.e., carpet rolls. Briefcases, laptop cases, or heavy shoulder bags should be lightened. Bra straps may need additional padding or consideration of replacement with a sports bra.

Conservative treatment, like the kind we provide, is typically effective at treating TOS.

Credit: Information on this page provided by ChiroUp.

Thoracic Outlet Syndrome can be frustrating—especially when pain, tingling, or weakness in your arm seems to come and go without warning.

At Ashworth Chiropractic in West Des Moines, we understand that no two cases are alike. That’s why we take a comprehensive, team-based approach to care.

By combining chiropractic, massage therapy, acupuncture, and physical therapy, we’re able to address the root causes of TOS from multiple angles and help you get lasting relief.

Chiropractic adjustments are a key part of effective treatment for Thoracic Outlet Syndrome—especially when misalignment of the neck, upper back, or first rib contributes to nerve or blood vessel compression.

At Ashworth Chiropractic, we use gentle, targeted techniques to improve posture, restore joint mobility, and reduce pressure around the thoracic outlet.

Here’s how chiropractic care can help relieve TOS symptoms:

By realigning the spine and rib cage, we help create more space for the nerves and vessels passing from your neck into your arm—easing symptoms like numbness, tingling, and arm weakness.

Many of our West Des Moines patients experience noticeable relief and improved function after a series of personalized adjustments.

For many Thoracic Outlet Syndrome cases, tight muscles are a major part of the problem—especially the scalenes, pectoralis minor, and surrounding soft tissue in the neck and chest. That’s why massage therapy plays an important role in reducing compression and restoring healthy movement.

Our licensed massage therapists in West Des Moines apply focused techniques to ease soft tissue tension and improve circulation in the areas where nerves and blood vessels are commonly compressed.

This hands-on care not only eases pain, but also supports better posture and mobility, making other treatments more effective. Here’s how massage therapy can help with TOS:

Whether your symptoms stem from poor posture, repetitive motion, or athletic strain, massage therapy can be a powerful tool for long-term relief and recovery.

Acupuncture is another valuable tool in our integrated approach to treating Thoracic Outlet Syndrome.

By targeting specific points along the body’s energy pathways, acupuncture helps reduce nerve irritation, ease muscle tension, and promote natural healing—without medication or invasive procedures.

At Ashworth Chiropractic in West Des Moines, we use acupuncture to support nervous system balance and relieve symptoms like pain, tingling, and tightness.

It works especially well alongside chiropractic and massage by calming inflamed tissues and improving blood flow in the affected areas. Here’s how acupuncture can support TOS recovery:

For patients looking for a gentle, effective therapy to complement hands-on care, acupuncture offers a holistic path to relief.

Physical therapy helps rebuild strength, mobility, and control in the muscles surrounding your neck, shoulders, and upper spine.. For Thoracic Outlet Syndrome, this is essential—especially when poor posture, muscle imbalances, or repetitive strain are contributing to nerve compression.

At our West Des Moines clinic, we develop personalized exercise plans that help correct movement patterns, improve shoulder positioning, and reduce pressure on the thoracic outlet.

These rehab-focused sessions not only treat current symptoms but also help prevent them from coming back. Here’s how physical therapy supports recovery from TOS:

By addressing the root mechanics of TOS, physical therapy empowers you to stay active and symptom-free—at work, at home, or on the field.

Thoracic Outlet Syndrome can affect your daily life in frustrating ways—but you don’t have to manage it alone.

At Ashworth Chiropractic, our West Des Moines providers take an integrated approach—blending chiropractic, massage, acupuncture, and physical therapy to manage the underlying causes of Thoracic Outlet Syndrome and help you heal with lasting results.

Whether your discomfort is mild or severely limiting, we’re here to build a care plan that’s right for you.