Other special tests to check whether or not the blood vessels that run with the nerve are being pinched may be required to confirm the diagnosis. Many times all of these test are negative and the history and physical examination must be relied on to make the diagnosis. This may include X-rays of the neck or a MRI scan of the neck. This process is required to rule out any other causes of your symptoms. A home program of exercise is essential to the treatment of TOS and must be performed consistently to produce benefits.
Symptoms often respond to an exercise program addressing healthy posture and muscle balance.
Stretching and strengthening along with awareness exercises can help achieve optimal posture. You should limit the length of time the arms are used in outstretched or overhead positions, and in heavy carrying and lifting. Simple things like taking frequent breaks, changing positions, stretching or using a hand truck or cart can bring relief. More specific treatments and exercises may be prescribed by a physician or physical therapist. Rehabilitation may begin with a few exercises to loosen up tight muscles and joints around the compressed nerves and blood vessels.