Pilates Rehabilitation for Thoracic Outlet Syndrome

If you’ve started to notice a pain in your arms, chest and likely your neck too you may be experiencing Thoracic outlet syndrome. Often the entrapment of the nerves causes the pain in the arm and fingers/hand. Typically felt when the arm is raised overhead the symptoms may be worsened and numbness may increase.

According to Physiopedia, “Patients with thoracic outlet syndrome will most likely present pain anywhere between the neck, face and occipital region or into the chest, shoulder and upper extremity and paresthesia in the upper extremity. The patient may also complain of altered or absent sensation, weakness, fatigue, a feeling of heaviness in the arm and hand. The skin can also be blotchy or discoloured. A different temperature can also be observed.”

Muscles to focus on:

• Strengthening of the levator scapulae, sternocleidomastoid and upper trapezius

• Stretching of the pectoralis, lower trapezius and scalene muscles

Pilates Exercises

• Chest expansion seated on box

• Rowing wide and narrow seated on box

• Chin tucks (optional ball/band use)

• Lat press down

• Abdominal series for TVA activation

• Reformer or Chair footwork

Outcome

Ideal with the utilization of massage therapy and manual release with a skilled and injury aware therapist a client can see a large change in their overall physical and mental health within 2 weeks of consistent physical therapy, pilates and home exercise program. For long term lasting effect a client should continue with their exercise routine with progressive overload and challenge as symptoms subside for a minimum of 6-8 weeks.