What We Treat

Thoracic Outlet Syndrome treatment in Burleson.

Tingling and numbness down your arm that started in your neck and shoulder, not your hand. It's fixable, and it starts with a cause-first evaluation, not a guess.

Nerve compression Arm numbness Postural strain Talk to a Specialist

Sound Familiar?

Does this sound like you?

  • Your arm falls asleep reaching for something on a high shelf, and it takes a while to shake out
  • Tingling down the inner arm into your ring and pinky finger by the end of a shift
  • Your hand feeling swollen or heavy on the side you carry your bag on
  • Driving with your hands on the wheel and feeling your fingers start to go numb
  • Waking up at night to shake your arm because it's gone numb again
  • Dropping things because your grip feels weaker than it should

Two or more? Keep reading.

Why It Happens

Thoracic outlet syndrome is a symptom. Something causes it.

The nerves and blood vessels that run from your neck into your arm pass through a tight space between your collarbone and first rib. When the muscles around that space get tight, or your posture collapses forward, that space narrows and the nerves get squeezed.

That's where the tingling, numbness, and heaviness come from: not your hand, your neck and shoulder. You've told yourself it's just how you sleep, or how you sit at your desk. It's not. It's a space that's been squeezed a little more every year.

A real, cause-first evaluation finds exactly where that compression is happening. Open the space back up, and the arm symptoms follow.

Physical therapist assessing a patient's movement related to thoracic outlet syndrome

The Honest Truth

Waiting on it doesn't make it wait on you.

If you keep waiting

  • The nerve compression happening more often can create lasting nerve irritation
  • The numbness that used to come and go starts sticking around longer
  • You avoid reaching overhead, which weakens the muscles that are supposed to support your shoulder

If you start this week

  • You know exactly which structure is compressed, and where, by the end of visit one
  • Hands-on relief starts before you leave the building
  • You get a plan with an endpoint: a real one, not an open tab of visits

Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.

How We Fix It

The same four phases. Built for thoracic outlet syndrome.

Every plan has an endpoint. Here's what the four phases look like.

Weeks 1–2

Pain

Open up the space.

Hands-on work relieves the tightness compressing the nerves and vessels in your neck and shoulder.

Weeks 2–6

Prime

Fix the posture pattern.

Targeted mobility and postural correction take the pressure off that tight space between your collarbone and first rib.

Weeks 6–10

Perform

Build supporting strength.

Progressive strengthening of your shoulder and upper back keeps that space open under real-world load.

Weeks 10+

Prevent

Keep the arm symptoms gone.

You're tested reaching, carrying, and reproducing your daily demands before you're cleared, so the tingling doesn't creep back.

Great service and very knowledgeable.

Gary W. · Google review

Before: needed a team who actually knew what they were doing

After: great service from a genuinely knowledgeable team

Thoracic Outlet Syndrome Google review

Related Conditions

Pain rarely stays in one place.

Compensation patterns often show up nearby. Here's what else we treat.

1

Neck Pain & Headaches

That knot between your shoulder blades by 3pm: tension headaches, migraines, neck strain that never fully lets go.

Learn More 2

Shoulder Pain

Reaching for the top shelf and stopping halfway: rotator cuff pain, frozen shoulder, that catch every time you lift overhead.

Learn More 3

Elbow & Wrist Pain

Your grip gives out opening a jar: tennis elbow, carpal tunnel, desk strain that flares by Wednesday.

Learn More

Questions, Answered

What people ask before booking for thoracic outlet syndrome.

Usually not, and it's rarely the first step. A hands-on evaluation can identify where the compression is happening and what's driving it. If nerve testing or imaging ever becomes genuinely necessary, we'll help you get it. You don't have to wait on a scan to start feeling better.

In most cases, yes, and avoiding all overhead movement tends to make the surrounding muscles weaker, which can make the compression worse. The key is dosing the right movement for you, which is exactly what a Doctor of PT sorts out at your evaluation, then progresses safely as you improve.

Most patients feel meaningful change within 4–6 visits. A full plan runs through all four phases, Pain, Prime, Perform, and Prevent, typically over 8–10 weeks, depending on how long you've been dealing with it. Either way, you get a plan with an endpoint: you'll always know which phase you're in and what's left.

Book Your Visit

Ready when you are.

Request a time and a real person calls you back, usually within two business hours. No phone tree. No ‘someone will reach out.’ Just a plan.

  • Hours Mon–Fri: 8 AM–5 PM
  • (817) 904-5070 Prefer to talk now? Call us.
  • Same-week appointments available

5.0 · 250+ Google reviews

Typical response: under 2 business hours

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So we know who to look for when you walk in.

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