The Effect of Osteopathic Manipulative Therapy on a Patient presenting with Thoracic Outlet Syndrome and concomitant Cervical Scoliosis.

Nova Southeastern University, Davie, Florida, USA

Introduction. This case study was performed to ascertain the effects of OMT on a patient with TOS and Cervical Scoliosis. Existing literature shows that TOS secondary to compression of the brachial plexus or the subclavian artery/vein can be managed with intense myofascial release, stretching and OMT with the most efficacious intervention currently being decompressive surgery. To date, no evidence has been complied relating the effects of OMT on a patient with TOS along with Cervical Scoliosis. Case Presentation. One female patient (Caucasian, Age 39) with complaints of Cervicalgia secondary to cervical scoliosis and right upper extremity numbness, weakness and tingling secondary to TOS was evaluated for increases in strength and ROM and decreases in pain scale of the cervical spine and right upper extremity due to the effects of OMT along with a moist heat modality. Deviation from the Expected. This case is unique in the fact that this patient presents with TOS along with a concomitant scoliosis of the cervical spine. Also, all techniques were performed using a moist heat modality. Discussion. Since this patient is healthy and active more direct techniques were employed. Modalities utilized were Muscle Energy, Direct Myofascial Release and Soft Tissue. Areas of focus were the scalenes, trapezius, pec minor and the clavicle (AC and SC joints). Conclusion. The findings of this case report could help create a treatment plan utilizing OMT and a moist heat modality for a Sports Medicine or Neuromuscular Medicine patient that presents similarly.