A compression of the neurovascular bundle associated with spasm or hypertrophy of the scalene anticus and medius muscles. A thoracic outlet syndrome

Protocol:

1. TENS for pain syndrome
2. Ice application for the first 24 hours
3. Trigger point therapy
4. Ultrasound over related muscle tissue
5. EMS to induce muscle contraction to the point of fatigue
6. Correct cervical and upper thoracic subluxations. Assess the need for rib adjustments and thoracic extension technique