http://www.vascularweb.org/_CONTRIBU...s/Cassada.html
[David C. Cassada - Wylie Traveling Fellowship Final Report 2004
Understanding the Treatment of Thoracic Outlet Syndrome
Background

Upper extremity function is critical to human interaction with the environment. Arm strength, sensation and complex function protect and provide for human survival and socialization. Loss of upper extremity function arguably carries higher morbidity than loss of a leg, and there is an unspoken stigma associated with hand loss.

Arm and hand function is governed by a complex set of motor and sensory networks that are controlled by a disproportionately large area of the cerebral homunculus. The amount of central nervous system committed to upper extremity function is evidence of the importance of arm function to human survival. Proper arm function tends to preoccupy humans, as even minor swelling, weakness or numbness can interfere with the myriad of daily activities that require perfect orchestration of neuromuscular function that is generally taken for granted. Clinicians are faced with decisions based on small or major alterations in arm function, determining how much, if any therapy is warranted in response to a patient’s complaints. ]
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Impact of massage therapy in the treatment of linked pathologies ...
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strengthening supportive musculature (Edgelow,. 1997; Lindgren, 1997; Cobb and Cantu, 1997). Massage therapy, in this case, has identical aims ...
https://www.massagetherapyfoundation...blication1.pdf -
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http://tosinfo.com/
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[pdf]
http://www.hf.hio.no/mensend/student...menter/TOS.pdf

Thoracic Outlet Syndrome
Introduction
There are few topics more controversial in the field of surgery than
thoracic outlet syndrome (TOS). The term TOS is used to describe
patients with compression of the subclavian vein, subclavian artery, and
the brachial plexus in the region of the thoracic outlet. The name itself is
confusing and mis representative because anatomically the area of compression
between the scalene muscles and the first rib is termed correctly
the thoracic inlet. The wide variability of patient symptoms that include
vascular and/or neural signs, diffuse symptoms, and the lack of a valid
reliable test to confirm the diagnosis of TOS makes it difficult to identify
correctly those patients with TOS.