Help for Thoracic Outlet Syndrome | Tim Keeley | Physio REHAB

If you have been diagnosed (not just think you have) with T.O.S, here is some for the
Exercises to release and mobility the area, improve your scapular and clavicle position and reduce the symptoms.
All the tips, techniques and queuing are in the commentary!
1️⃣ Scalene Release
2️⃣ Chest / Pec Stretch on Roller
3️⃣ Upper Thoracic Extension Mobilisation
4️⃣ Neural Flossing (median bias)
5️⃣ 1 Arm Skydive
6️⃣ 1 Arm Scapula press (wall or floor)
To get the products in this video head to:
shop.physiorehab.com
If you need upper body mobility and strengthening programs go to to physiorehab.com/programs
Physio Fitness | Physio Rehab
bit.ly/physio-links

[@BookishDark]

I seriously cannot thank you enough for your videos - I’ve been trying to figure out what’s wrong with my shoulders for years (via doctors and on my own). Still no luck but overall one shoulder seems to be hyper-mobile after a slip and fall onto my left outstretched arm (I’ve always suspected a SLAP tear and I can tell it’s VERY loose in the socket) and the other shoulder is EXTREMELY tight. Your videos, across the board, have helped me so much in building strength carefully and slowly rather than rushing through with general fitness videos. Thank you so much.

[@physiorehab]

Great news! 👍😄

[@philipholding]

This man is brillient

[@SA-bb5ut]

Many thanks for the clear and detailed explanation of the each movement.

[@physiorehab]

Glad it was helpful!

[@chrfuffle]

This is great! I've only just found your channel, and am looking forward to watching more of your videos. I'm a medical dumpster fire of weird and rare conditions that require a ton of medical contact and management via specialists, pt, surgeries, etc. I can't begin to tell you how much I appreciate the way you explain things and include more technical details in your instruction. To me, it seems like you presume viewer/patient competence to be able to understand the information, which gives a level of respect and dignity to patients on a level that I've personally found to be uncommon. The more technical and granular information about the mechanics of the issue/injury/exercise make understanding how to do the exercises properly much easier, and undoubtedly more effective. Thank you- truly. I'd love it if you would consider making a video about C-spine and/or L- spine retrolisthesis!

[@physiorehab]

Thanks for the feedback - very kind. Glad you found it helpful. Will put the request on the list - but with all retros it’s usually extension movement and spinal stabilization rehab exercises that help

[@garyknight8616]

Fascinating stuff, Tim. Thank you. Never heard of, nor suffered from, TOS thankfully.

[@physiorehab]

Yeah, you don’t want that Gary, but at least you know what to do to get it 😂

[@TeaSmithWay]

TOS seems to be the main thing I’m finding that explains why I can’t brush my hair without getting a numb arm. If I hold my arms above my head I literally see my veins instantly drain and I can’t feel anything but numb pain. I have a terrible forward shoulder posture and neck too. I wonder now that part of what caused my severe Rhabdo 6months ago when doing pressups (and putting me in hospital for 6 days in Mexico) was that I was getting pinched around that area, and therefore the muscles were starved of blood. Anyhow, thank you for the video. I’ll give these a go and see how I progress (alongside another visit to the docs). Report back in a few months.

[@ZenGrammy]

Excellent! Thank you. 🙏💛

[@physiorehab]

😄

[@DawnYogaCare]

Brilliant

[@akashmakkar7187]

Super! Thanks ❤

[@physiorehab]

No problem 😊

[@ldn553]

Thanks so much for this (and other vids). Quick q - based on self diagnosis (eek) of TOS like issue, with persistent pain in shoulders and neck, and pins and needles when stretching pecs lying down - is working out in the gym making it worse? In particular, is doing chest (bench press etc) and shoulders working against any flexibility work, and exacerbating the pain? Thanks, appreciate the time you take to do this stuff

[@teresaclark7291]

I have tos also have bad posture

[@lw7654]

Would this be good for shoulder impingement? I do have a left shoulder that is very rotated forward. Thank you

[@user-bk2dn7sv7f]

After a very long year, I was recently diagnosed with Arterial TOS. I do have winging of the scapula, with the left shoulder 'rolling' forward. Some of the muscles I have issues/pain with are the SCM, scalenes, traps, lats, serratus anterior, rhomboids, and delts, as well, pain in the AC joint and very tight pec minor and major. Is it possible that having an instable (winging) scapula and forward shoulder could be causing the TOS? And if so, would mixing these TOS exercises with some of the winging scapular exercises help? Or are there any others you would suggest? Some of the PT I do seems to leave me in more pain, or with a very weak shoulder/arm. I do find the nerve gliding helps with some of the numbness in the arm. I appreciate you showing modifications for some of the exercises. Great videos, thank you very much!

[@beatz3279]

What causes all the creptisis bubbling popping noises in neck when move it side to side. Its not cracks its like all little wierd noises different like littlw popping and grindy wierd

[@rachkate76]

Everyone tells you to put your shoulders back and down but when I went to see a vascular surgeon to rule out TOS which he did (he said I have a good strong pulse as one of the many things that ruled me out for TOS as I couldn’t get in to see a neurologist with a 12 month wait in Brisbane) this was one of the diagnostic tests they use. It got me really thinking about the shoulders back and down thing. One thing I have noticed is that my delts have completely disappeared and atrophied making my shoulders unstable. My lat in my upper arms are tight and make my upper arms bulge which are tight and uncomfortable. I feel as though this also inhibits my delts.

[@lw7654]

So many physios now say not to down and back. I don’t know if he meant when back to squeeze the blade. It restricts the shoulder. Not sure who’s correct