<Li> Physical therapy usually consists of mobilization of any or all of the articulations of the shoulder girdle, including the 1st rib, additional myofascial release (MFR) or Active Release Technique (ART) to the connected musculature, and use of passive or active range - of - motion exercises . </Li> <Li> Nerve gliding can be performed by extending the injured arm with fingers directly outwards to the side and tilting the head to both sides . A gentle pulling feeling is generally felt throughout the injured side . Initially, only do this and repeat . Once this exercise has been mastered and no extreme pain is felt, begin stretching your fingers back . Repeat with different variations, tilting your hand up, backwards, or downwards . </Li> <P> TOS is rapidly aggravated by poor posture . Active breathing exercises and ergonomic desk setup and motion practices can help maintain active posture . Often the muscles in the back become weak due to prolonged (years of) "hunching" and other poor postures . </P> <P> Ice can be used to decrease inflammation of sore or injured muscles . Heat can also aid in relieving sore muscles by improving blood circulation to them . While the whole arm generally feels painful in TOS, some relief can be seen when ice or heat is intermittently applied to the thoracic region (collar bone, armpit, or shoulder blades). </P>

Describe the tests for thoracic outlet compression syndromes