Thoracic Outlet Syndrome Treatment in Fort Myers, Cape Coral & Estero

Shoulder, Arm, or Hand Numbness That Just Won't Go Away? It Might Be Thoracic Outlet Syndrome.

And yes, there's a real solution. We find what's compressing the nerves or blood vessels between your neck, collarbone, and shoulder, and help you relieve it with The Gray Method™.

  • Discover why your symptoms keep coming back
  • Find the root cause of your TOS symptoms
  • Get back to work, training, and life
5 stars 4.9/5 from 180+ reviews
Thoracic outlet syndrome treatment at Back In Motion
Quick self-check

Signs you may have thoracic outlet syndrome

Check everything that sounds like you.

If this sounds familiar, it's time to get answers, and results.

TOS is often missed or mistaken for a pinched nerve in the neck or carpal tunnel. A thorough evaluation is how you find out.

Find Out What's Causing Yours
Person with shoulder and arm symptoms from thoracic outlet syndrome
Often missed, but you're not crazy, and you're not alone

Rest and medication calm the symptoms. They don't open up the space.

If you're feeling unexplained tingling, numbness, or heaviness in your arm, hand, or shoulder, especially after sitting, driving, or lifting overhead, you may be dealing with thoracic outlet syndrome (TOS). It's caused by compression of the nerves or blood vessels between your neck, collarbone, and shoulder, and it's one of several types of pinched nerve we treat. At Back In Motion, we help active adults in Fort Myers and Cape Coral find lasting relief. Common causes we see:

  • Forward head and rounded shoulders that narrow the outlet
  • Tight neck, chest, or upper back muscles
  • Repetitive overhead lifting, sports, or work strain
  • Weak shoulder blade stabilizers
  • Past injury or anatomy differences (like an extra rib)

Where you are now vs. where you could be

Living with TOS After we fix the cause
SleepWaking up with a tingling, heavy armSleeping soundly again
Work & drivingShaking out your hand at the desk or wheelSitting, driving, and working comfortably
WorkoutsAvoiding overhead lifts and workoutsTraining again without flare-ups
Your planRest, medication, and waiting it outA plan that keeps the space open for good

Related nerve & shoulder conditions we treat

TOS symptoms can overlap with other conditions. We help with:

Thoracic outlet syndrome

Nerve or vessel compression near the collarbone.

Pinched nerve in the neck

Pain or tingling down the arm from the neck.

Learn more →

Carpal tunnel syndrome

Numbness in the thumb and first fingers.

Learn more →

Cubital tunnel syndrome

Tingling in the ring and pinky fingers.

Learn more →

Shoulder pain & impingement

Pain with overhead reaching.

Learn more →

Neck pain & stiffness

Tight neck and upper traps.

Learn more →

Herniated disc in the neck

A disc pressing on a nerve.

Learn more →

All pinched nerve conditions

See every nerve condition we treat.

Learn more →
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  • Why pain keeps coming back
  • How The Gray Method™ finds the real cause
  • Strategies you can start using today
How we fix it

How we get you out of pain, without guessing

It's called The Gray Method™, available at our Fort Myers and other Southwest Florida clinics.

Step 1

The Root Cause Assessment

One-on-one, we find why you're in pain, what's driving it, and which movements are helping or hurting. You leave with answers and a clear next step.

Step 2

Fix the Cause

Hands-on treatment, movement correction, and strength work aimed at the source, not just the spot that hurts.

Step 3

Get Back to Being You

Move without fear, trust your body again, and return to exercise, sport, and daily life, without managing symptoms.

What patients are saying

We've helped thousands of people across Southwest Florida overcome pain and stiffness.

★★★★★

"I had suffered with chronic back pain. It wasn't until I came to BIM Sport & Spine that I can say this is the best I've felt in years."

Carol W.
★★★★★

"I hurt my back riding my horse. I was in agony and nothing helped. It wasn't until I did the McKenzie method that I was healed!"

Christine K.
★★★★★

"I've tried other forms of treatments but nothing helped me train harder and injury-free than coming to Back In Motion."

Samuel C.
★★★★★
Patient storiesBack In Motion patients
★★★★★
Randy HendersonFormer Mayor of Fort Myers
★★★★★
Carol GlavichBack In Motion patient

Why people with TOS choose Back In Motion

Learn more about Back In Motion Physical Therapy & Performance and our story.

We fix the cause

We go beyond the neck to evaluate your posture, upper back mobility, shoulder blade control, and breathing, because that's where the real problem usually hides.

One-on-one, every visit

No techs, no group therapy. Focused, hands-on care from a Doctor of Physical Therapy.

A plan built for you

Manual therapy, movement correction, and strength work combined to help you heal and stay pain-free longer.

You'll know what to do

You'll learn which positions bring on your symptoms, which ease them, which make it better, and how to avoid future flare-ups.

Trusted by active people

Lifters, overhead athletes, desk workers, and active adults who want relief that lasts.

Support for life

Strength training and fitness under one roof, so you don't just feel better, you stay better.

Thoracic outlet evaluation at Back In Motion
Your "Fix the Cause" evaluation

What you'll get at your first visit

  • A one-on-one, full-body evaluation. We check your neck, shoulders, posture, nerve mobility, and the positions that bring on symptoms, to pinpoint what's compressing the outlet.
  • Hands-on relief. Proven hands-on techniques to help you start feeling better from your first visit.
  • A personalized plan to stay pain-free. A clear plan to relieve the compression, and keep it from coming back.

Common questions about thoracic outlet syndrome

What is thoracic outlet syndrome?

It's compression of the nerves or blood vessels in the space between your neck, collarbone, and first rib. It can cause numbness, tingling, weakness, heaviness, or aching in the shoulder, arm, and hand.

Can physical therapy help thoracic outlet syndrome?

Yes. Physical therapy is a common first treatment for nerve-related TOS. Improving posture, shoulder blade control, mobility, and how you breathe and move can open up the space and reduce symptoms.

How is TOS different from carpal tunnel or a pinched nerve in the neck?

They can feel similar. Carpal tunnel affects the wrist, a pinched nerve in the neck starts at the spine, and TOS happens between the neck and shoulder. A thorough evaluation helps tell them apart, and some people have more than one.

When should I see a doctor right away?

See a doctor promptly if your arm becomes swollen, changes color (pale or bluish), feels cold, or if you have sudden severe pain. These can be signs of blood vessel involvement, including a blood clot, and need medical attention.

Where are you located?

We have clinics in Fort Myers, Cape Coral, Estero (Pelican Sound), and at the Verandah. See all our locations, call (239) 788-0838, or inquire online and we'll help you choose the closest one.

Get Back to Life Without Numbness, Pain, or Fear

Don't wait for another flare-up. Let's find it, and fix it, before it gets worse.