๐—ฃ๐—ง ๐—ฉ๐—ถ๐—ฏ๐—ฒ๐˜€ | ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ฐ๐—ฎ๐—น ๐—ง๐—ต๐—ฒ๐—ฟ๐—ฎ๐—ฝ๐˜†
๐Ÿ“Œ Thoracic Outlet Syndrome (TOS)

ู…ุด ูƒู„ ุฃู„ู… ููŠ ุงู„ูƒุชู ุฃูˆ ุชู†ู…ูŠู„ ููŠ ุงู„ุฅูŠุฏ ุณุจุจู‡ discโ€ฆ
ู…ู…ูƒู† ูŠูƒูˆู† ๐Ÿ‘‡๐Ÿป
Thoracic Outlet Syndrome.

ู‡ูˆ ุญุงู„ุฉ ุจูŠุญุตู„ ููŠู‡ุง compression ุนู„ู‰ ุงู„ู€ nerves ุฃูˆ ุงู„ู€ blood vessels ููŠ ุงู„ู…ู†ุทู‚ุฉ ุจูŠู† ุงู„ู€ neck ูˆุงู„ู€ shoulder (thoracic outlet).

โ–ช๏ธŽุงู„ู€ compression ุฏู‡ ู…ู…ูƒู† ูŠุฃุซุฑ ุนู„ู‰:
Brachial plexus
Subclavian artery ุฃูˆ vein

โ–ช๏ธŽTypes of TOS:
Neurogenic (ุงู„ุฃุดู‡ุฑ)
Venous
Arterial

โ–ช๏ธŽCommon Symptoms:
Pain ููŠ ุงู„ู€ neck ุฃูˆ shoulder
Numbness ุฃูˆ tingling ููŠ ุงู„ุฐุฑุงุน
Weakness ููŠ ุงู„ุนุถู„ุงุช
ุฅุญุณุงุณ ุจุชู‚ู„ ุฃูˆ fatigue ู…ุน ุงู„ุงุณุชุฎุฏุงู…
ููŠ ุงู„ุญุงู„ุงุช ุงู„ู€ vascular ู…ู…ูƒู† ูŠุญุตู„ swelling ุฃูˆ color changes

โ–ช๏ธŽCauses & Risk Factors:
Poor posture (forward head & rounded shoulders)
Repetitive overhead activities
Trauma ุฃูˆ accidents
Muscle tightness (scalene / pectoralis minor)
Anatomical variations ุฒูŠ cervical rib

โ–ช๏ธŽRole of Physiotherapy:
ููŠ ุฃุบู„ุจ ุงู„ุญุงู„ุงุชุŒ ุงู„ุนู„ุงุฌ ุงู„ุทุจูŠุนูŠ ุจูŠูƒูˆู† first line management ๐Ÿ‘‡
Postural correction
Stretching (scalenes / pec minor)
Strengthening (scapular stabilizers)
Nerve gliding exercises
Activity modification

โ–  N.B:
ู…ุด ุฃูŠ shoulder pain ุฃูˆ numbness ููŠ ุงู„ุฅูŠุฏ = disc problem
ู„ุงุฒู… ู†ููƒุฑ ููŠ differential diagnosis ุฒูŠ TOSุŒ ุฎุงุตุฉ ู…ุน ูˆุฌูˆุฏ symptoms ู…ุฑุชุจุทุฉ ุจุงู„ู€ posture ุฃูˆ ุงู„ุฃู†ุดุทุฉ ุงู„ู…ุชูƒุฑุฑุฉ.
#clinical_note

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