๐จ ๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐ช๐๐๐ ๐ญ: ๐ง๐ต๐ฒ ๐๐ถ๐ด ๐ฃ๐ถ๐ฐ๐๐๐ฟ๐ฒ (๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐) ๐จ
๐ข ๐ฆ๐๐ฅ๐ข๐๐ ๐ข๐ฅ ๐๐๐๐๐ ๐ง๐๐ฅ๐ข๐จ๐๐ ๐ง๐๐ ๐ฆ๐๐๐๐๐ฆ ๐๐ผ ๐น๐ฒ๐ฎ๐ฟ๐ป ๐๐ต๐ฒ ๐ณ๐ผ๐๐ป๐ฑ๐ฎ๐๐ถ๐ผ๐ป๐ฎ๐น ๐ณ๐ฎ๐ฐ๐๐ ๐ผ๐ณ ๐ง๐ข๐ฆ ๐ฎ๐ป๐ฑ ๐๐ต๐ ๐ฟ๐ฎ๐ถ๐๐ถ๐ป๐ด ๐ฎ๐๐ฎ๐ฟ๐ฒ๐ป๐ฒ๐๐ ๐ถ๐ ๐๐ผ ๐ฐ๐ฟ๐ถ๐๐ถ๐ฐ๐ฎ๐น!
๐๐๐ฅ๐ข๐ฃ ๐ ๐๐ข๐ ๐ ๐๐ก๐ง ๐๐๐๐ข๐ช ๐๐ก๐ ๐๐๐ง ๐จ๐ฆ ๐๐ก๐ข๐ช: How many different diagnoses were you given before a doctor ever mentioned TOS? ๐
๐ทThoracic Outlet Syndrome (TOS) is a rare condition caused by the compression of nerves or blood vessels in the passageway between your lower neck and upper chest.
๐ทWhile it primarily manifests as Neurogenic (nerve compression, making up about 95% of cases), it can also be Venous or Arterial.
๐ทBecause TOS is widely misunderstood or unknown within the medical community, patients face an average diagnostic journey of several years and 7 to 8 specialistsโoften being told their disabling physical pain, numbness, and tingling is just "in their head".
๐ทCompounding this fight, experienced care is exceptionally rare: vascular surgeons treat these conditions, but with only 5 high-volume TOS centers in the entire United States, patients are routinely forced to travel out of state or out of the country to get the expert care they need.
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ผ๐ป ๐๐ต๐ฒ ๐๐ต๐ผ๐ฟ๐ฎ๐ฐ๐ถ๐ฐ ๐ผ๐๐๐น๐ฒ๐ ๐ผ๐ฟ ๐๐ต๐ฎ๐ ๐ง๐ข๐ฆ ๐ถ๐, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/0eECUBYUYm
https://t.co/hG1PxnDNbG
Ready for the full breakdown? See the continuation in the replies below! ๐ (1/2)
#TOS #TOSAwareness #thoracicoutletsyndrome #FreeTheRibs #TOSAwarenessMonth
@nginder@BookEmDano1282@Phillies They usually do the TOS decompression surgery at a different time than the thrombolysis. Some surgeons prefer to wait 4-6 weeks to wait for all the inflammation around the vein to go down. Others will do it sooner such as a few days or just a week later.
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ฏ๐ญ - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
A cervical rib is an extra rib that originates from the lowest level of the cervical spine.
Many clinicians and patients get hung up on the cervical rib issue. Don't have a cervical rib? Don't worry! You can still have TOS without it! ๐ฑ Most people with TOS do not have a cervical rib so it is definitely NOT something to fret over! ๐
๐ช๐ฎ๐ป๐ ๐๐ผ ๐ธ๐ป๐ผ๐ ๐บ๐ผ๐ฟ๐ฒ ๐ณ๐๐ป ๐พ๐๐ถ๐ฐ๐ธ ๐ง๐ข๐ฆ ๐๐ฎ๐ฐ๐๐? ๐๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ ๐๐ผ ๐ฐ๐ต๐ฒ๐ฐ๐ธ ๐ผ๐๐ ๐๐ต๐ฒ ๐๐ต๐ฒ ๐๐๐ค ๐๐ฒ๐ฐ๐๐ถ๐ผ๐ป ๐ผ๐ณ ๐๐ต๐ฒ ๐๐ฒ๐ฏ๐๐ถ๐๐ฒ:
https://t.co/B6dtv3AUn9
#TOSAwarenessMonth #TOS #thoracicoutletsyndrome #FreeTheRibs
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ฏ๐ฌ - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
Almost everyone with Neurogenic TOS has been told that either TOS did not show up on their EMG or that they do not have TOS because it did not show up on their EMG. ๐ฉ This is an inaccurate and very old misconception that is still very widely thought within the medical community. Patients find it extremely frustrating. It is bad enough to go through the diagnostic journey for a condition that does not show on tests, but then to have doctors reinforce that you don't have it because it is not showing on a test can be very disheartening. ๐
๐ช๐ฎ๐ป๐ ๐๐ผ ๐ธ๐ป๐ผ๐ ๐บ๐ผ๐ฟ๐ฒ ๐ณ๐๐ป ๐พ๐๐ถ๐ฐ๐ธ ๐ง๐ข๐ฆ ๐๐ฎ๐ฐ๐๐? ๐๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ ๐๐ผ ๐ฐ๐ต๐ฒ๐ฐ๐ธ ๐ผ๐๐ ๐๐ต๐ฒ ๐๐๐ค ๐๐ฒ๐ฐ๐๐ถ๐ผ๐ป ๐ผ๐ณ ๐๐ต๐ฒ ๐๐ฒ๐ฏ๐๐ถ๐๐ฒ:
https://t.co/B6dtv3BscH
#TOSAwarenessMonth #TOS #thoracicoutletsyndrome #FreeTheRibs
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ฎ๐ต - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
Surgery is necessary for all cases of Arterial TOS. ๐ฅ However, with prompt treatment and the right surgeon, it can be extremely successful and resolve the issue completely. ๐ค Surgery recovery can sometimes be a bit easier and shorter than recovery from surgery for Neurogenic TOS depending on how much nerve involvement there is. ๐
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ผ๐ป ๐๐ฟ๐๐ฒ๐ฟ๐ถ๐ฎ๐น ๐ง๐ข๐ฆ ๐๐ฟ๐ฒ๐ฎ๐๐บ๐ฒ๐ป๐, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/vVzpgdDvya
#TOSAwarenessMonth #TOS #thoracicoutletsyndrome #FreeTheRibs
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ฎ๐ด - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
Did you know that there are written diagnostic criteria for Arterial TOS? ๐ฑ The leading experts decided to publish them in an effort to standardize TOS care. ๐๐๐
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ฎ๐ฏ๐ผ๐๐ ๐ฑ๐ถ๐ฎ๐ด๐ป๐ผ๐๐ถ๐ป๐ด ๐๐ฟ๐๐ฒ๐ฟ๐ถ๐ฎ๐น ๐ง๐ข๐ฆ, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/nqTXd7mane
#TOSAwarenessMonth #TOS #thoracicoutletsyndrome #FreeTheRibs
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ฎ๐ณ - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
Provocative maneuver testing such as the Adson's and Wright's Tests might be quick and easy to perform in the doctor's office, but they often don't provide much substantive information and, if interpreted incorrectly, can lead to a misdiagnosis of Arterial TOS. ๐ณ Diagnosing Arterial TOS based on positional compression can put both the patient and the doctor in an awkward position (pun intended!) ๐
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ฎ๐ฏ๐ผ๐๐ ๐ฑ๐ถ๐ฎ๐ด๐ป๐ผ๐๐ถ๐ป๐ด ๐๐ฟ๐๐ฒ๐ฟ๐ถ๐ฎ๐น ๐ง๐ข๐ฆ, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/nqTXd7mane
#TOSAwarenessMonth #TOS #thoracicoutletsyndrome #FreeTheRibs
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ฎ๐ฒ - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
Arterial TOS is technically not as difficult to diagnose as Neurogenic TOS as it will show up on imaging. ๐ฉป However, if it is not recognized quickly, in certain circumstances, it can be limb threatening and requires prompt treatment. โฐ
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ฎ๐ฏ๐ผ๐๐ ๐ฑ๐ถ๐ฎ๐ด๐ป๐ผ๐๐ถ๐ป๐ด ๐๐ฟ๐๐ฒ๐ฟ๐ถ๐ฎ๐น ๐ง๐ข๐ฆ, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/nqTXd7mane
#TOSAwarenessMonth #TOS #thoracicoutletsyndrome #FreeTheRibs
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ฎ๐ฑ - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
Diagnosis of Arterial TOS is probably one of the most confusing aspects of TOS. ๐คฏ Unfortunately, many doctors are under the impression that positional loss of blood flow is diagnostic of Arterial TOS, but that is inaccurate. ๐ง
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ฎ๐ฏ๐ผ๐๐ ๐ฑ๐ถ๐ฎ๐ด๐ป๐ผ๐๐ถ๐ป๐ด ๐๐ฟ๐๐ฒ๐ฟ๐ถ๐ฎ๐น ๐ง๐ข๐ฆ, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/nqTXd7mane
#TOSAwarenessMonth #TOS #thoracicoutletsyndrome #FreeTheRibs
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ฎ๐ฐ - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
Symptoms of arterial TOS have a wide range. Many of them tend to overlap with neurogenic TOS, which is why interpretation of test results is extremely important! ๐ง
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ผ๐ป ๐๐ต๐ฒ ๐๐๐บ๐ฝ๐๐ผ๐บ๐ ๐ผ๐ณ ๐๐ฟ๐๐ฒ๐ฟ๐ถ๐ฎ๐น ๐ง๐ข๐ฆ, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/7tGGMiomFq
#TOSAwarenessMonth #TOS #thoracicoutletsyndrome #FreeTheRibs
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ฎ๐ฏ - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
Arterial TOS is very rare, and it is almost always associated with a cervical rib or other bony abnormality.
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ฎ๐ฏ๐ผ๐๐ ๐ต๐ผ๐ ๐ฎ๐ป๐ฎ๐๐ผ๐บ๐ ๐ฐ๐ผ๐ป๐๐ฟ๐ถ๐ฏ๐๐๐ฒ๐ ๐๐ผ ๐ง๐ข๐ฆ, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/aY9j5pt774
#TOSAwarenessMonth #TOS #thoracicoutletsyndrome #FreeTheRibs
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ฎ๐ฎ - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
Who you gonna call? Clot Busters!! โ๏ธ๐ฌ Every patient with thrombotic Venous TOS should ask their doctors about thrombolysis. Getting that clot broken up early can result in more successful overall treatment! It is not typically thought of for clots in the arm because it is almost never done for clots in the leg as it is not very successful. However, the arm is a different story, and it can be extremely beneficial. ๐ง๐ค
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ผ๐ป ๐ฉ๐ฒ๐ป๐ผ๐๐ ๐ง๐ข๐ฆ ๐๐ฟ๐ฒ๐ฎ๐๐บ๐ฒ๐ป๐, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/0ltVXoqkSN
#TOSAwarenessMonth #TOS #thoracicoutletsyndrome #FreeTheRibs
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ฎ๐ญ - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
Surgery is necessary for almost all cases of Venous TOS. ๐ฅ However, with prompt treatment and the right surgeon, it can be extremely successful and resolve the issue completely. ๐ค Surgery recovery is also usually a bit easier and much shorter than recovery from surgery for Neurogenic TOS. ๐
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ผ๐ป ๐ฉ๐ฒ๐ป๐ผ๐๐ ๐ง๐ข๐ฆ ๐๐ฟ๐ฒ๐ฎ๐๐บ๐ฒ๐ป๐, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/0ltVXoqkSN
#TOSAwarenessMonth #TOS #thoracicoutletsyndrome #FreeTheRibs
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ฎ๐ฌ - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
Did you know that there are written diagnostic criteria for Venous TOS? ๐ฑ The leading experts decided to publish them in an effort to standardize TOS care. ๐๐๐
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ผ๐ป ๐ฑ๐ถ๐ฎ๐ด๐ป๐ผ๐๐ถ๐ป๐ด ๐ฉ๐ฒ๐ป๐ผ๐๐ ๐ง๐ข๐ฆ, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/Q1z1YO8l11
#TOSAwarenessMonth #TOS #thoracicoutletsyndrome #FreeTheRibs
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ญ๐ต - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
This key point can cause major confusion for patients and doctors who are not experienced with TOS. ๐คฏ Many misdiagnoses of VTOS occur surrounding this issue. ๐ Typically, the patient will either actually have Neurogenic TOS or they won't have TOS at all. ๐ฎ
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ผ๐ป ๐ฑ๐ถ๐ฎ๐ด๐ป๐ผ๐๐ถ๐ป๐ด ๐ฉ๐ฒ๐ป๐ผ๐๐ ๐ง๐ข๐ฆ, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/Q1z1YO8l11
#TOSAwarenessMonth #TOS #thoracicoutletsyndrome #FreeTheRibs
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ญ๐ด - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
Venous TOS is not as difficult to diagnose as Neurogenic TOS, but if it is not recognized right away, it can be dangerous because the clot can travel from the arm to the lungs which you DO NOT want. ๐ณ
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ผ๐ป ๐ฑ๐ถ๐ฎ๐ด๐ป๐ผ๐๐ถ๐ป๐ด ๐ฉ๐ฒ๐ป๐ผ๐๐ ๐ง๐ข๐ฆ, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/Q1z1YO8l11
#TOSAwarenessMonth #TOS #thoracicoutletsyndrome #FreeTheRibs
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ญ๐ณ - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
Most people with Venous TOS present with a blood clot. ๐ฉธ Many times, the person had no prior symptoms until all of a sudden they get clot symptoms. Luckily, it is usually fairly easy to diagnose the blood clot. A blood clot in the arm is not nearly as common as a blood clot in the leg.
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ผ๐ป ๐๐ต๐ฒ ๐๐๐บ๐ฝ๐๐ผ๐บ๐ ๐ผ๐ณ ๐ฉ๐ฒ๐ป๐ผ๐๐ ๐ง๐ข๐ฆ, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/PHf0v8NQ5e
#TOSAwarenessMonth #TOS #thoracicoutletsyndrome #FreeTheRibs
๐ง๐ข๐ฆ ๐๐ช๐๐ฅ๐๐ก๐๐ฆ๐ฆ ๐ ๐ข๐ก๐ง๐ ๐๐๐ฌ #๐ญ๐ฑ - ๐ฃ๐๐๐๐ฆ๐ ๐ฆ๐๐๐ฅ๐
Conservative management of Neurogenic TOS and Pec Minor Syndrome is basically like having a second job. It usually involves several different types of treatment, and symptoms can be very difficult to control. You go to work and do your job, and then you run around to all these different appointments trying to desperately find something that works and on top of that, you're in pain while you're doing all of this! ๐
Surgical treatment is a major, major surgery. It typically has a prolonged recovery time of 2 years or longer and some degree of symptoms usually remain during this time. And symptoms do not improve linearly as time moves on. It is an up and down roller coaster ride that can be mentally and physically exhausting. It is definitely not a quick fix, and it is not a cure for everyone. However, for most people, it is successful, invaluable and gives people their lives back which is not a small thing! ๐ค
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ผ๐ป ๐ก๐ฒ๐๐ฟ๐ผ๐ด๐ฒ๐ป๐ถ๐ฐ ๐ง๐ข๐ฆ ๐๐ฟ๐ฒ๐ฎ๐๐บ๐ฒ๐ป๐, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/PL5OAeS8vH
๐๐ผ๐ฟ ๐บ๐ผ๐ฟ๐ฒ ๐ถ๐ป๐ณ๐ผ ๐ผ๐ป ๐ฃ๐ฒ๐ฐ ๐ ๐ถ๐ป๐ผ๐ฟ ๐ฆ๐๐ป๐ฑ๐ฟ๐ผ๐บ๐ฒ ๐๐ฟ๐ฒ๐ฎ๐๐บ๐ฒ๐ป๐, ๐ฐ๐น๐ถ๐ฐ๐ธ ๐ต๐ฒ๐ฟ๐ฒ:
https://t.co/V9MhYeV37T
#TOS #TOSAwarenessMonth #thoracicoutletsyndrome #FreeTheRibs