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Is It My Neck or Thoracic Outlet Syndrome?

Neck pain can arise from many different sources, and the patient’s clinical presentation can be quite similar making it a challenge to diagnose. One of those related, and sometimes co-existing conditions, is called thoracic outlet syndrome, or TOS. Let’s first discuss the anatomy of the neck and the thoracic outlet so we all have a good “picture” in mind of what we’re talking about.

TOS can arise from either blood vessel compression, nerve compression or both, making the ease of diagnosis difficult. Adding to the challenge, the “pinch” of the structure can occur at more than one place! The nerves and blood vessels can get pinched at the exiting holes in the spine (“neuroforamen”), by tight “scalene” muscles, under the collar bone (clavicle) and/or by a tight pectoralis minor muscle near the arm pit. Hence, the symptoms usually include pain and numbness in the shoulder, arm and hand (usually affecting the 4th & 5th fingers). It’s our job at Advanced Wellness to run different tests to figure out where the primary pinch or pinches are located so we can treat the right area.

The causes of TOS can be many, with one of the obvious being a fractured collar bone or clavicle. Another is from having an extra rib. As there is not a lot of room for an extra structure, this can be a point of compression for some (but doesn’t create TOS in everyone). An overly tight scalene muscle, scar tissue, an extra large muscle and so on can also result in pinching of the nerves and/or blood vessels.

Purses, backpacks, carrying golf clubs, a mailbag and the like can also cause a pinch. A seat belt injury in a car accident is yet another cause, either from the direct trauma, or later when scar tissue forms in the area.

Our posture alone (without trauma), such as a slouchy, slumped posture where the shoulders roll forwards can cause TOS and, large breasts and obesity also add to the list of risk factors. Women are affected 3x more than men. Certain jobs where reaching overhead or outwards such as waitresses, carpenters, electricians, increase TOS risk.

You can depend on us to identify, locate and treat the areas that need attending as chiropractic includes many effective TOS treatment methods. The surgical outcomes are less than impressive so do everything else first (a good surgeon will tell you that).

We realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for neck pain, we sincerely appreciate the trust and confidence shown by choosing our  pain management services and look forward in serving you and your family presently and, in the future.

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After assessing your condition, our doctors and clinicians will work together to develop a comprehensive wellness plan to set you up for success.

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Our staff will work with you to help reduce the stress of working with insurance companies. We accept many insurance providers to make sure as much of the cost as possible doesn’t come out of your pocket!

In the event we don’t accept your insurance we will make every effort to work with you financially to get the treatment you need.

Give us a call at 732-431-2155 or complete the form below and we will contact you.

OVER 20,000+ LIFESTYLES RESTORED.

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Advanced Wellness taught me – without judging – what I needed to do to get healthy. – Chris C.

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I lost 56 pounds in three months. – Nicole D.

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I found a one-stop location to turn my health around. -Brossa

Why choose Advanced Wellness?

We're convenient.

With all the services we offer under one roof, there’s no need to drive around town to get to your appointments. At Advanced Wellness we’re a one-stop shop with one focus: getting you back to your best health.

We're comprehensive.

Our goal isn’t just to treat your symptoms. Our team works together to find the root cause of your problem so we can correct it. Every morning, our team discusses every patient that will walk through our doors that day — giving you access to several expert clinicians on your personal wellness team.

We're cutting-edge.

Advanced is in our name for a reason. We pride ourselves on offering proven, effective and high tech diagnostic techniques and procedures to get you out of pain so you can get back to life.

A book on diet, nutrition, exercise, and
health mindset by Dr. Joe Cilea.

Get a Free Benefits Check

We work with many insurance providers to make sure as much of the cost as possible doesn’t come out of your pocket!

Or give us a call at (732) 431-2155 In the event we don’t accept your insurance we will make every effort to work with you financially to get the treatment you need.

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Contact Us
Marlboro

Tel: 732-431-2155
17 N Main St.
Marlboro, NJ 07746
Fax: 732-431-2889

Freehold

Tel: 732-780-1111
3338 U.S. Route 9 South,
Freehold, NJ 07728
Barclay Shopping Center
Fax: 732-798-9173 

Advanced Wellness provides services for patients from Monmouth County, Ocean County and Middlesex County, New Jersey including Marlboro, Manalapan, Englishtown, Morganville, Freehold, Colts Neck, Matawan, Howell, Old Bridge, Jackson, Sayreville, Perth Amboy, South Amboy and Parlin, NJ… and more!

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