Diagnosis and Treatment of Thoracic Outlet Syndrome in an Elderly Male Patient: A Case Report and Protocol Evaluation.

Thoracic outlet syndrome (TOS) is a relatively common condition in the United States. It is characterized by numbness or pain radiating down the ulnar aspect of the affected arm. This case report discusses a 76-year-old man who presented to a family medicine clinic with symptoms that caused him significant discomfort. He was seeking medications to alleviate his pain. After osteopathic manipulative treatment (OMT), the patient's symptoms were resolved. The osteopathic techniques utilized included myofascial release, thoracic inlet release (a lymphatic technique), and facilitated positional release. Although the patient reported improved symptomology post-treatment, he was lost to follow-up. This case suggests a potentially positive intervention using OMT for the treatment of a possible case of myofascial-induced TOS.