How do you keep your collarbone up? Any postural trick? For rib I assume you apply rib mobilization?

-- When I sit, I almost always have an arm rest.

-- When I walk, I almost always make a loose fist and then rest it on the top of my pants pocket. This transfers the weight of the arm into the leg.

-- I stretch the pec minor which was the #1 thing pulling my should girdle down.

-- I shrug my shoulders a couple times here and there if the shoulder girdle is drooping.

HTH

Hey!! This is an interesting thread because I've had surgery since then and my fake heart attacks have gone away!!!!!!

All in all, torodal was the most effective drug for treating this for me. I would generally get a 60 mg shot and get sent home with 10-20 pills but it's really bad for your stomach so you can't do the torodal very often.

Fake heart attacks, LOL thats a good term. They seemed pretty real to me when I had it. Ended up in the hospital over a weekend getting tons of tests done for everything from chest pain to breathlessness.

A tight pec minor could be the cause of my issues as well. Decades of bad posture. I cant shrug my shoulders because of horrible upper back pain in the past. So I guess, the arms on a seat rest or something else needs to be the answer.

I went to the ER when I first had VTOS symptoms. I had sporadic heart skips. It EKG shows abnormal heart beat when I raised my arm, then it goes away. I was ordered an echocardiogram and the cardiologist said myheart is in a perfect condition. No fat, no heart attack, no faulty valve and beat strongly. I was later diagnosed with VTOS thru venogram bilaterally. The hypothesis is due to my both of my jugular vein being pinched, the blood flow is not returning to my vena cava to the heart fast enough with contrast showing slow speed which contributed to my heart skip.

What surgeries fid you have done? How are you doing now?