Tag: Herbs for Thoracic Outlet Syndrome

February 1, 2023

Thoracic Outlet Syndrome and Its Ayurvedic Management

Abstract

Thoracic outlet syndrome is a group of various disorders or a collection of symptoms associated with shoulder and upper extremity. The symptoms include sensation of numbness, tingling and pain. The thoracic outlet syndrome is a condition in which compression of the arteries, veins and nerves occur in the passage from lower neck to the armpit. Nerve compression is the most common and so are the symptoms of nerve compression. Diagnosis and identification of thoracic outlet syndrome is a tough and complex thing. Early diagnosis is essential to prevent worsening of the condition. In the following text, we shall discuss some details of thoracic outlet syndrome and its management.

Introduction

Thoracic outlet syndrome is term used for the space present in between the upper chest and lower neck where the group of nerves and blood vessels is found. Thoracic outlet syndrome is a group of disorders that are related to the compression of the nerves and blood vessels of the area present in the upper chest and the lower neck. In Ayurveda, thoracic outlet syndrome can be correlated according to the symptoms with vata, kapha dosha vitiation. The formation of aam by vitiation of kapha dosha is also considered to cause thoracic outlet syndrome. Therefore the ayurvedic management is based on the pacification of vata dosha.

Causes

Aetiology is not well understood.
But the compression of the nerves and blood vessels is the only known cause.
Extra first rib
Fracture of the clavicle (collarbone)
Soft tissue and bone abnormalities are another cause of thoracic outlet syndrome.
Obesity can cause thoracic outlet syndrome as the extra fat can compress nerves and blood vessels.
Repetitive arm and shoulder movements
Whiplash injury

Risk Factors

Tumours or enlarged lymph nodes in the underarm and upper chest.
Depression and stress
Repetitive injuries of clavicle due to heavy weight lifting
Poor posture
Sleep disorders

Types of thoracic outlet syndrome

1. Neurogenic thoracic outlet syndrome

It occurs due to compression of the nerves that passes from neck to the arms (brachial plexus). more than 91 % of cases are of neurogenic thoracic outlet syndrome.

2. Venous thoracic outlet syndrome

It occurs due to compression of the vein. It usually leads to thrombosis of the upper body. There are 5% cases of thoracic outlet syndrome.

3. Arterial thoracic outlet syndrome

It occurs due to compression of the artery. There are a few cases of arterial thoracic outlet syndrome.

Arterial and venous syndromes together are known as vascular thoracic outlet syndrome.

Symptoms

Weakness in the shoulder and arm
Tingling sensation in the fingers
Discomfort in the shoulder, arms and fingers
Early tiring of the arm
Pain is felt in the shoulder and arm
Atrophy of the thumb pad is a rare symptom
Painful and tingling sensation in the arm and hand.
Blueness of the arm and hand
Prominence of veins in the neck, shoulder and hand.
Swelling can be found in the hand, arm and fingers.
Pale and cold hand
Pain in the extremity mainly during overhead activity of the arm
Subclavian artery aneurysm

Diagnosis and Evaluation

Complete medical history is essential
Physical manoeuvres to stimulate symptoms
Nerve conduction tests
Duplex ultrasound to rule to stenosis or blockage of blood vessels
Chest X-Ray to look out for any bony deformity
Cervical spine X-Ray is helpful in ruling out any deformity related to cervical spine
CT scan and MRI is of help
Brachial plexus block

Management

1. Physical therapy

It is the most initial and common treatment of neurogenic thoracic outlet syndrome. It helps in increasing the range of motion of the shoulders and neck. It helps in strengthening muscles. It improves posture.

2. Medications

Analgesics like paracetamol, aspirin, ibuprofen etc are used to alleviate pain. Anticoagulants and thrombolytic medications are used in the venous thoracic outlet syndrome

3. Surgery

Surgery is indicated in severe cases to correct the compressions.

Risks involved in surgical intervention

Bleeding due to accidental injury to the major blood vessel.
Pneumothorax that is also known as collapsed lung.
Nerve injuries are the most common risk in extensive surgical procedures.

Ayurvedic Management

All the symptoms associated with thoracic outlet syndrome are well correlated with vata and kapha dushti. Therefore, the treatment protocol depends on the pacification of these vitiated dosha. There are various herbs like methi (Trigonella foenumgraecum), shunthi (Zingiber officianale) etc which pacify the vata and kapha dosha.

Herbal Remedies for Thoracic Outlet Syndrome by Planet Ayurveda

Planet Ayurveda is a well known GMP certified, ISO 9001:2015 certified and US-FDA registered Ayurvedic Company, which adhered to the aim of manufacturing quality Ayurvedic products as mentioned in the various ancient texts of Ayurveda. formulations are manufactured without additives and preservatives and other kinds of chemicals or artificial flavouring agents which causes a number of side effects on the human body. Products prepared at Planet Ayurveda are pure and do not contain any kind of adulteration. The products are purely organic and vegetarian and gluten free. Planet Ayurveda presents its products which are beneficial in muscular and bone health. Further there are many other products which have analgesic and healing properties, which make them efficient in curing Thoracic Outlet Syndrome.

Following is the list of products that are great in managing thoracic outlet Syndrome

Yograj Guggul
Boswellia Curcumin
Aamvatantak churna
Vrihat Vatchintamani Ras
Bone Support

Herbal Remedies for Thoracic Outlet Syndrome

Product Description

1. Yograj Guggul

Yograj Guggul is a classical ayurvedic proprietary medicine. It is a helpful formulation in the musculoskeletal system and neurological system’s disorders. It contains the herbs amalaki (Emblica officinalis), guggul (Commiphora mukul), haritaki (Terminalia chebula), ela (Elettaria cardamomum), vidang (Embelia ribes), gokshur (Tribulus terrestris), shunthi (Zingiber officinale), bibhitaki (Terminalia bellirica) etc. The herbs of the formulation possess properties that enhance muscle and nerve health. By its nerve strengthening property Yograj Guggul is best to treat the neurological thoracic outlet syndrome.

Dosage : Two tablets twice a day with lukewarm water after meals.

2. Boswellia Curcumin

Boswellia Curcumin capsules are enriched with the goodness of shallaki (Boswellia aristata) and haridra (Curcuma longa). The herbs have healing properties and also possess analgesic effects which makes it an efficient formulation in the thoracic outlet syndrome.

Dosage : Two capsules twice a day with lukewarm water after meals.

3. Aamvatantak Churna

Aamvatantak Churna is known to pacify kapha and vata doshas, which are behind the thoracic outlet syndrome. The product contains ashwagandha (Withania somnifera), suranjaan (Colchicum autumnale), haridra (Curcuma longa), methi (Trigonella foenumgraecum), gorakhmundi (Sphaeranthus indicus) and sonth (Zingiber officinale). Aamvatantak Churna clears aam and relieves the patient from stiffness and eases motion of the limb. Furthermore, it alleviates pain and other symptoms of thoracic outlet syndrome.

Dosage : -One tsp twice a day with warm water after a meal.

4. Vrihat Vatchintamani Ras

Vrihat Vatchintamani Ras is a mineral formulation. The formulation contains Rajata Bhasma (silver calx), Swarna Bhasma (gold calx), Loha Bhasma (iron ash), Abhrak Bhasma (mica ash), Suta Bhasma (compound of purified mercury and purified sulphur), Mukta Bhasma (pearl calx) and Pravala Bhasma (coral calcium). It also contains juice extract of Aloe vera. It is beneficial in demyelination conditions of nerves. It is useful in neuropathies. It corrects neuritis. It is helpful in thoracic outlet syndrome as it relieves numbness, pain and motor dysfunction.

Dosage : One tablet twice a day with lukewarm water after meals.

5. Bone Support

As the name of ‘Bone Support’ suggests it supports the bone by supplying all the required material to the bone. Its ingredients include laksha (Laccifer lacca), shobhanjan beej (Moringa oleifera), Asthi Shrinkhala (Cissus quadrangularis), Mukta (pearl calcium), praval pishti (Corallium rubrum) and Arjuna (Terminalia arjuna). Moringa oleifera possesses anti inflammatory, analgesic and vidhradhi pachan (healing of abscess). Ingredients are beneficial in bone disorders. Cissus quadrangularis is helpful in bone health. It is a beneficial herb for healing fractures. It possesses sandhaniya property which means adhesion, hence it adhesives the fractured bones. In addition to this, it relieves fracture pain and heals swelling due to fracture. Thus it is a beneficial herb in the fractures. Arjuna has vranropan property which means wound healer. It too helps in adhesion of fracture bones. Praval pishti and mukta are natural supplements of calcium which are derived from the pearls, corals etc. thus are beneficial in early healing or adhesion of the fractured bone. Thus Bone Support has a magnificent healing and analgesic effect. Therefore it manages the bone health in the fracture or bone abnormality generated thoracic outlet syndrome.

Dosage : One capsule twice a day after meals with plain water.

Contact Planet Ayurveda to provide you the costing / ordering and delivery information at – costing.planetayurveda@gmail.com or call at +91-172-5214030 Or Check Website – www.PlanetAyurveda.com

Conclusion

As we discussed Thoracic Outlet Syndrome, we have come to know that it is a bundle of disorders that arise due to compression of nerves and blood vessels. And as per Ayurveda, the syndrome is due to kapha and vata dosha vitiation. As in the contemporary system of medicine, there are drugs that help in alleviating symptoms but do not properly cure the syndrome and in the end, surgery is the last option that remains, which further is full of risks. Whereas, Ayurveda has promising results which suggests proper management of the condition with no risk and side effects involved. Planet Ayurveda’s above mentioned products heals the condition, alleviates the symptoms and increases range of motion of the affected side. By adopting Ayurveda, one can assure oneself about his proper wellbeing to be returned with a healthy body and mind.

September 2, 2021

Herbal Remedies for Thoracic Outlet Syndrome Treatment

Abstract

The thoracic outlet is a ring located just below the collarbone meaning this region is located in the lower part of the neck, formed by the top ribs and just below the clavicle. It extends to the upper part of the arm. This thoracic outlet is surrounded or formed by the muscles, nerves, vessels and bones. These nerves and vessels are supplying the shoulder as well as arm. When there is any injury or any anatomical defect to this thoracic outlet then the person will suffer from thoracic outlet syndrome. So in this article we will discuss thoracic outlet syndrome and its ayurvedic management.

Introduction

Thoracic outlet syndrome occurs when nerves and vessels in thoracic outlet are compressed by the ribs or neck muscles. When there is compression of nerves, arteries or veins in the pathway from lower neck to the armpit then it leads to a syndrome called thoracic outlet syndrome. Syndrome means group of disorders. This syndrome causes severe pain in the shoulder along with numbness in the hands. This is named after its position (the space between lower neck and upper chest).

Thoracic Outlet Syndrome

Etiology/Causes

In general the cause of this syndrome is compression of nerves and vessels. Some of the reasons of compression of these nerves and vessels are

1. Anatomical Defects

These defects are present at birth which is also known as congenital defects such as extra rib or abnormally tight fibrous band that connects spine to the rib.

2. Trauma

Any trauma to that region may cause this syndrome. Trauma such as accident or fall from height can cause damage to the internal parts which further compress the nerves and vessels in the thoracic outlet.

3. Repetitive activity

Doing the same thing over and over again, will tear the internal parts around the thoracic outlet such as typing on a computer, lifting things above your head, swimmers, baseball pitchers.

4. Pressure on joints

Obesity is the reason for an undue amount of stress on joints. Someone who is carrying an oversized bag or backpack will show thoracic outlet syndrome symptoms.

5. Weightlifting

The one who is a gym goer may develop thoracic outlet syndrome.

Clinical features/Signs and symptoms

The symptoms of this syndrome vary according to the type of the thoracic outlet syndrome:

1. Neurogenic type of thoracic outlet syndrome

This type of syndrome is related to the abnormalities of bony and soft tissue in the lower neck region. This is the most common type of thoracic outlet syndrome. In this there is a compression of complex nerves (Brachial plexus). Symptoms include numbness of the hands, wasting of hand muscles, tingling and pricking sensation in hands.

2. Venous type of thoracic outlet syndrome

This condition arises due to damage to major veins in the lower neck and upper chest. The symptoms develop suddenly after unusual exercise of the arms. Symptoms include pain, swelling, bluish discoloration of the arm, weakness and heaviness of the neck and arms, dilated veins in the chest wall.

3 . Arterial type of thoracic outlet syndrome

This is a rare type of thoracic outlet syndrome, but this is a serious type of TOS. It is caused by congenital abnormalities in the lower neck and upper chest. Symptoms include cold sensitivity in hands and fingers, numbness, pain and poor blood circulation to the arms and hands.

Risk factors

These people are at high risk developing thoracic outlet syndrome:

Females are more likely diagnosed with this syndrome than males
This is more common in young adults

Diagnosis

Doctor will review the overall symptoms and medical history of the patient along with a physical examination. Some of the imaging diagnostic tests for the diagnosis of this syndrome are:

X-ray: Doctor may order an X-ray which may reveal an extra rib.
Ultrasound: This scan is used to rule out the vascular type of thoracic outlet syndrome.
CT scan: This scan is helpful in identifying the location and cause of vessel compression.
MRI (magnetic resonance imaging): This may reveal congenital anomalies.
Angiography: This test may help to make blood vessels more visible
Nerve conduction study: This test used a low amount of electrical current to measure nerve’s ability.

Treatment of Thoracic outlet syndrome

Generally a conservative approach is effective against this syndrome. Treatment may include:

Physical therapy: Physical therapy is the first line of treatment in neurogenic thoracic outlet syndrome. Doctor will suggest some exercises that strengthen your shoulder muscles.
Medications: Doctor will prescribe you anti-inflammatory drugs and muscle relaxant pain killers.
These medications have their own side effects. They show bad results on prolonged usage. Now I am going to discuss Ayurvedic management for this syndrome.

Herbal Remedies for the Treatment Thoracic Outlet Syndrome

Planet Ayurveda provides various herbal products. This is a manufacturing company which manufactures various herbal products with the standardized extracts of potential herbs. This is an internationally certified company. The products are 100% pure and vegetarian and also made under the guidance of expert Ayurvedic physicians. This company offers following herbal products for this syndrome

Yograj Guggul
Boswellia Curcumin
Aamvatantak Churna
Vrihat Vatchintamani Ras
Bone Support Capsules

Herbal Supplements for Thoracic Outlet Syndrome