Treatment of Thoracic Outlet Syndrome: Addressing Shoulder
and Upper Thoracic Limitations
Presented by Ann Porretto-Loehrke
CHTs, when submitting this for recertification through HTCC, this course can be used for CAT B (hand therapy courses < 3 hours in length); however, if this course certificate is submitted with the following course certificates listed below (or any combination totaling 3 hours or more), they can be submitted under CAT A (hand therapy courses > 3 hours in length).
Meet your instructor
Ann Porretto-Loehrke
Ann Porretto-Loehrke is a skilled clinician with a passion for teaching and clinical treatment of upper extremity disorders. She has been practicing for 30 years and teaching continuing education courses for the past 20. She is the clinical development coordinator at the Hand to Shoulder Center in Appleton, Wisconsin. Ann is…
Chapters & learning objectives
1. Joint-Specific Treatment to Address Glenohumeral Joint Limitations
Posterior glenohumeral joint (GHJ) tightness can contribute to poor scapular mechanics. In addition, end-range GHJ limitations can contribute to TOS “compressor” symptoms. This chapter covers how to treat posterior GHJ tightness and limitations at end-range.
2. Joint-Specific Treatment to Address Limitations at the Cervicothoracic Junction
Stiffness in the upper thoracic spine can be a culprit with poor scapular mechanics and brachial plexus issues. This chapter covers how to address upper thoracic extension and rotation limitations.
3. Treatment Strategies for Addressing Adverse Neural Tension Issues and Chronic Pain
Patients with TOS often present with longstanding issues. Nerve gliding must be performed cautiously to avoid an exacerbation of the patient’s symptoms. This chapter covers neural flossing techniques and chronic pain considerations with TOS.
More courses in this series
Identification and Evaluation of Thoracic Outlet Syndrome
Ann Porretto-Loehrke
Treatment of Thoracic Outlet Syndrome: Where to Begin
Ann Porretto-Loehrke
Treatment of Thoracic Outlet Syndrome: Addressing Shoulder and Upper Thoracic Limitations
Ann Porretto-Loehrke
Thoracic Outlet Syndrome: Assessing the Elevation Chain
Ann Porretto-Loehrke
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