| | How I got over severe Thoracic Outlet Syndrome...
I think I'm in a very rare group of people who had severe TOS as nerve and blood vessel compression, and made a 100% recovery without surgery. I would like to share this with you. You may benefit, and if you do, please let me know. This is not medical advice, as I am not a doctor, and I'm not super intelligent, rather I was forced to find this out by circumstances.
#1 -- Be aware of magnesium deficiency. Magnesium is a natural muscle relaxant. You want the correct ratio of both -- ask your doctor. Magnesium is a critical component in managing TMJ and fibromyalgia symptoms. IMHO, it should be considered for TOS. Your grocery store magnesium will have very little effect, but "dimagnesium malate" is extremely absorbable and in a sustained release formula it has no diarrhea affect. This helped me a lot!
#2 -- Postural correction with orthopedic arch supports. The latest generation of orthopedic arch supports for your feet are computer-generated, by taking a topological scan of your feet. This produces a more accurate orthotic. My podiatrist used Tom-cat, but there are others. Particularly if you collapse your arches as you walk, or you stand with "duck feet" (the feet angled outward), these are signs you are not properly balanced, and it will tend to force the head forward.
#3 -- Orthopedic balance in your jaw. I had a size 32 tongue in a size 24 mouth. This causes a head forward posture and chronic tension in the neck and shoulders. This manifested itself as TOS. And later TMJ. Okay, you may not think this applies to you, but it very well may. The modern understanding of jaw growth acknowledges that the human body is designed to have a full set of 32 teeth with a jaw correctly sized for your tongue. A TMJ specialist orthodontist grew my jaw forward and wider -- 6 mm forward and about 12 mm wider (this was possible even with me being 36 years old). This allows for correct oral posture, with the tongue having space to spread out (and therefore relax) on the roof of the mouth. Equally critical was to make my lower jaw postured forward in the TMJ joint, to what they call the position of the physiological equilibrium. There is a orthodontic technique called Advanced Lightwire Functional (ALF), which would be superior for somebody with TOS who also had a jaw imbalance, because it is low-force and takes up minimal space in the mouth. Part of the evaluation ideally involves taking a CT-Scan of your neck and jaw, so they can see if there is a structural issue. I would only see a TMJ specialist, not just any orthodontist who does ALF. Believe it or not, TMJ specialists also treat nerve impingements in the upper extremities, they don't just deal with jaw symptoms. Note that I had TOS and bad headaches, but with no specific jaw pain, until my jaw locked down, so don't think that no jaw pain necessarily means your jaw is fine.
#4 -- there are chiropractors who use a technique called Sacral Occipital Technique. They don't just do spinal adjustments, they also work toward improving the posture from head to toe. They will also be fully supportive of jaw and feet orthopedics.
Best of luck and bless you my friends!