Oviedo Physical Therapy Treatment for:

Thoracic Outlet Syndrome 

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Here Is Everything You Need To Know About
Thoracic Outlet Syndrome

Thoracic Outlet Syndrome (TOS) is a complex condition that requires a thorough examination to determine the root cause of the issue.

The thoracic outlet refers to the small space between the first rib and your collar bone. Within this space, important blood vessels and nerves from your neck course through in order to travel down into your arm. There is also a group of muscles called your scalenes that are often affected because they lie over this group of nerves and vessels.

How does it feel?

TOS symptoms can vary greatly but patients often experience a combination of the following:

  • Numbness/tingling in the arm or hand especially when the arm is by the side or overhead
  • Cold sensation or decreased sensation in the arm or hand
  • Pulsing sensation in the arm or hand
  • Weakness in the arm or hand


We determine if you have TOS ruling out a pinched neck nerve, shoulder strain, shoulder impingement, and over pathologies that could mimic similar symptoms. TOS requires very special testing and examination to be treated correctly to provide fast relief and long-term improvement. You may recall a famous case of thoracic outlet syndrome with Orlando Magic player, Markelle Fultz.

Can Physical Therapy Help?

  • TOS treatment incorporates soft tissue work to specific tissues affecting the nerves and vessels that go down your arm. These muscles can include the scalenes, pectoralis minor, pectoralis major, anterior deltoid and even the biceps tendon. We also incorporate hands-on mobilizations of the neck, shoulder, thoracic spine and ribs. Then, we focus on specific activity modifications and exercises to reduce irritation of the nerves and vessels around these muscles, bones, and joints. We typically see significant symptom improvement within just a few treatment sessions when TOS is correctly diagnosed.
  • Good news!! Recent research has actually shown that physical therapy is a better option than surgery, pain medication and injections. We can help you avoid unnecessary invasive procedures and tests that cost a fortune with limited effectiveness.
  • Dr. B. listened to my situation, tested/analyzed my situation, and began treating me for my issues and I got immediate improvement. I would not have lasted at my job without his weekly sessions. Professional, extremely well informed, data driven, Caring and Friendly. The individual attention I received was extremely helpful and got me through one of the hardest and most painful episodes in my life. – Delaney C.
If you think you have thoracic outlet syndrome, then contact us as soon as possible to schedule an in-depth examination.

We may use a combination of the following techniques to help you get your life back (click each link to learn more):

What should I do next?

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The B Physical Therapy Way

We have a 5-step approach:


Reduce your pain


Regain normal movement and eliminate pain


Get your life back


Optimize your life and body

B Your Best

We will work closely with all your healthcare providers

Guaranteed One-On-one Treatment

Setting goals is the best way to enjoy a successful outcome

About Us

Physical therapist
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Our team of highly trained professionals use the latest healing technologies to restore you to pain-free health, quickly and easily. We thoroughly evaluate & treat all of the contributing root factors related to your issue. This includes, but is not limited to, your work and home stressors, overall body condition, nutrition, genetic & postural habits, emotional connections and patterns that are held in your muscles

Dr. Steven Balogh

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We offer Various Treatments

We are proud to offer a wide range of comprehensive services to meet the needs of our patients. Our team of professional therapist specialize in providing personalized exercise and rehabilitative therapy.

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Manual therapy

Manual Therapy

Reduce pain and tension in specific muscles and allow improved motion

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Dry Needling

Go deeper than traditional soft tissue work with dry needling.

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Physical therapy

Therapeutic Exercise

Use therapeutic exercise to reduce pain and improve quality of life.

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