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| During this 20-month period, Diane pursued home exercises. Her symptoms never fully resolved, and in fact, progressively worsened. She then decided to return to treatment. By this time, her neck pain had worsened and she was experiencing numbness and tingling into her arms and hands. Diane received more physical therapy and massage treatment. She was referred to a medical doctor who specialized in rehabilitation and physical medicine with an emphasis in spine-related injuries. This doctor suspected that Diane might have a condition called Thoracic Outlet Syndrome (TOS). TOS can occur following acute injury to the cervical spine. Common symptoms associated with TOS include arm numbness, tingling, and a feeling of “heaviness.” Diane was referred to a vascular surgeon for a surgical consultation. The surgeon performed ultrasound testing and confirmed that Diane did have TOS. The doctor felt that the TOS was related to the injuries she received in |
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