• Chun-Pu Chu E
• Leung KY
• Wah Ng LL
• Yin Lam AY

• Adult
• Affiliation(G) / Hong Kong Special Administrative Region (SAR)
• Chiropractic Biophysics Technique
• Male
• Open Access Document
• Thoracic Outlet Syndrome
• Thoracic Outlet Syndrome / therapy

Objective: To discuss the chiropractic management of a patient with vascular thoracic outlet syndrome.

Clinical Features: A 30-year-old male reported sudden onset of intermittent numbness, tightness, and weakness in his right hand. He presented with skin flakes of his right upper limb, cyanosis in the right shoulder; and a cold and pale right hand. Exercise was identified as the provoking motion. Orthopedic examination revealed a positive Allen’s test and modified Adson’s tests. His motor strength of right elbow/wrist flexors and extensors were graded 4/5, and both flexors and abductor of his right 5th metacarpal were significantly weaker than his left. He had been previously diagnosed by a neurologist with arterial thoracic outlet syndrome and prescribed muscle relaxants, physiotherapy exercise, massage therapy, and acupuncture.

Intervention and Outcome: The treatment protocol included spinal manipulative therapy, thermal ultrasonography, instrument-aided soft-tissue mobilization, and extension-compression traction. His symptoms completely resolved, and his repeated orthopedic exams for thoracic outlet syndrome and cervical lordosis were normal.

Conclusion: A 30-year-old male with vascular thoracic outlet syndrome was successfully treated with chiropractic management.

Author keywords: Thoracic Outlet Syndrome, Conservative Treatments, Conservative

Author affiliations: New York Chiropractic and Physiotherapy Centre, EC Healthcare, Hong Kong SAR, China

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