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Home Care Recommendation for Thoracic Outlet Syndrome

1. Stand erect with the arms at the sides holding in each hand a 2 lb weight (sandbags, bottles, jars, or sacks filled with sand).

            A)Shrug the shoulders forward and upward. Relax.

            B) Shrug the shoulder backward and upward. Relax.

            C) Shrug the shoulders upward. Relax.

            D) Repeat A-C.

2. Stand erect with the arms out straight from the sides at the shoulder level, hold a 2 lb weight in each hand (palms sho7uld be down).

            A) Raise the arms sideways and up until the backs of the hands meet above the head (Keep elbows straight). Relax and repeat.

NOTE: As strength improves and exercises 1 and 2 become easier, then the weights should be made heavier, increasing to 5 to 10 lbs.

3. Standing facing a corner of the room with one hand on each wall. Arm at shoulder level, palms forward, elbows bent and abdominal muscles contracted;

            A) Slowly let the upper part of the trunk lean forward and press the chest into the corner. Inhale as the body leans forward.

            B) Return to the original position by pushing out with the hands. Exhale with this movement. 

4. Stand erect with the arms at the sides.

            A)Bend the neck to the left attempting to touch the left ear to the left shoulder without shrugging the shoulders.

            B) Bend the neck to the right attempting to touch the right ear to the right shoulder without shrugging the shoulder.

            C) Relax and repeat A and B.

5. Lie face down with the hands clasped behind the back.

             A) Raise the head and chest from the floor as high as possible while pulling the shoulders backward, and the chin in. Hold this position for a count of three. Inhale as chest is raised.

             B) Exhale and return to the original position.

             C) Repeat.

6. Lie on back, with arms at sides with a rolled towel or small pillow under the upper part of the back between the shoulder blades and no pillow under the head.

            A) Inhale slowly and raise the arms upward and backward overhead.

            B) Exhale and lower the arms to the sides.

            C) Repeat 5-20 times.

7. The concept of no pain no gain is false. If you are experiencing pain while doing this protocol or your symptoms worsen, stop and discuss with Dr. Dilliard on your next visit or sooner by scheduling a reevaluation. If your condition is not improving, contact the office and schedule a consultation with Dr. Dilliard.


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