• Jyoti Jangra

Background: Thoracic outlet syndrome is a result of compression of nerve and blood vessels in the passage between the clavicle and first rib affects 1-2% of population. Neurogenic thoracic outlet syndrome(NTOS) is common than vascular thoracic outlet syndrome(VTOS) and commonly affects middle aged women. Generally, TOS presents with pain, numbness, weakness and occasionally with loss of movements. Case description: A 20 year old male field worker came to the clinic with complaints of pain at rest & night, numbness and tingling sensation on left upper extremity along with loss of movement. Other symptoms like weakness, loss of dexterity, muscle spasm, stiffness, fatigue in upper extremity were also present. Daily pain level was of grade 7 according to visual analogue scale. ROM of cervical area was also affected. Tenderness was present over supraclavicular area. No tenderness was present on shoulder and upper extremity. Intervention: Patient was diagnosed with NTOS on left side with scalene muscle tightness. Rest from aggravating factors, postural correction, strengthening of scalene muscles, neural glide and m/s stimulator was administered. Physiotherapy intervention 5 times a week for 40 minutes over a 3 weeks was planned for these patient in which faradic muscle stimulator was given on left supraclavicular side with 30 repetition followed by strengthening exercises of scalene muscles.

TOS, NTOS, VAS, m/s stimulator, scalene strengthening exercises

"Physiotherapy Intervention for Neurogenic Thoracic Outlet Syndrome: A Case Study", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.5, Issue 11, page no.1121-1126, November 2018, Available :http://www.jetir.org/papers/JETIRDS06168.pdf

"Physiotherapy Intervention for Neurogenic Thoracic Outlet Syndrome: A Case Study", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.5, Issue 11, page no. pp1121-1126, November 2018, Available at : http://www.jetir.org/papers/JETIRDS06168.pdf