Category: Muscles Health

Thoracic Outlet Syndrome and Its Ayurvedic Management


Thoracic outlet syndrome is a group of various disorders or a collection of symptoms associated with shoulder and upper extremity. The symptoms include sensation of numbness, tingling and pain. The thoracic outlet syndrome is a condition in which compression of the arteries, veins and nerves occur in the passage from lower neck to the armpit. Nerve compression is the most common and so are the symptoms of nerve compression. Diagnosis and identification of thoracic outlet syndrome is a tough and complex thing. Early diagnosis is essential to prevent worsening of the condition. In the following text, we shall discuss some details of thoracic outlet syndrome and its management.


Thoracic outlet syndrome is term used for the space present in between the upper chest and lower neck where the group of nerves and blood vessels is found. Thoracic outlet syndrome is a group of disorders that are related to the compression of the nerves and blood vessels of the area present in the upper chest and the lower neck. In Ayurveda, thoracic outlet syndrome can be correlated according to the symptoms with vata, kapha dosha vitiation. The formation of aam by vitiation of kapha dosha is also considered to cause thoracic outlet syndrome. Therefore the ayurvedic management is based on the pacification of vata dosha.

thoracic outlet syndrome


  • Aetiology is not well understood.
  • But the compression of the nerves and blood vessels is the only known cause.
  • Extra first rib
  • Fracture of the clavicle (collarbone)
  • Soft tissue and bone abnormalities are another cause of thoracic outlet syndrome.
  • Obesity can cause thoracic outlet syndrome as the extra fat can compress nerves and blood vessels.
  • Repetitive arm and shoulder movements
  • Whiplash injury

Risk Factors

  • Tumours or enlarged lymph nodes in the underarm and upper chest.
  • Depression and stress
  • Repetitive injuries of clavicle due to heavy weight lifting
  • Poor posture
  • Sleep disorders

Types of thoracic outlet syndrome

1. Neurogenic thoracic outlet syndrome

It occurs due to compression of the nerves that passes from neck to the arms (brachial plexus). more than 91 % of cases are of neurogenic thoracic outlet syndrome.

2. Venous thoracic outlet syndrome

It occurs due to compression of the vein. It usually leads to thrombosis of the upper body. There are 5% cases of thoracic outlet syndrome.

3. Arterial thoracic outlet syndrome

It occurs due to compression of the artery. There are a few cases of arterial thoracic outlet syndrome.

Arterial and venous syndromes together are known as vascular thoracic outlet syndrome.


  • Weakness in the shoulder and arm
  • Tingling sensation in the fingers
  • Discomfort in the shoulder, arms and fingers
  • Early tiring of the arm
  • Pain is felt in the shoulder and arm
  • Atrophy of the thumb pad is a rare symptom
  • Painful and tingling sensation in the arm and hand.
  • Blueness of the arm and hand
  • Prominence of veins in the neck, shoulder and hand.
  • Swelling can be found in the hand, arm and fingers.
  • Pale and cold hand
  • Pain in the extremity mainly during overhead activity of the arm
  • Subclavian artery aneurysm

Diagnosis and Evaluation

  • Complete medical history is essential
  • Physical manoeuvres to stimulate symptoms
  • Nerve conduction tests
  • Duplex ultrasound to rule to stenosis or blockage of blood vessels
  • Chest X-Ray to look out for any bony deformity
  • Cervical spine X-Ray is helpful in ruling out any deformity related to cervical spine
  • CT scan and MRI is of help
  • Brachial plexus block


1. Physical therapy

It is the most initial and common treatment of neurogenic thoracic outlet syndrome. It helps in increasing the range of motion of the shoulders and neck. It helps in strengthening muscles. It improves posture.

2. Medications

Analgesics like paracetamol, aspirin, ibuprofen etc are used to alleviate pain. Anticoagulants and thrombolytic medications are used in the venous thoracic outlet syndrome

3. Surgery

Surgery is indicated in severe cases to correct the compressions.

Risks involved in surgical intervention

  1. Bleeding due to accidental injury to the major blood vessel.
  2. Pneumothorax that is also known as collapsed lung.
  3. Nerve injuries are the most common risk in extensive surgical procedures.

Ayurvedic Management

All the symptoms associated with thoracic outlet syndrome are well correlated with vata and kapha dushti. Therefore, the treatment protocol depends on the pacification of these vitiated dosha. There are various herbs like methi (Trigonella foenumgraecum), shunthi (Zingiber officianale) etc which pacify the vata and kapha dosha.

Herbal Remedies for Thoracic Outlet Syndrome by Planet Ayurveda

Planet Ayurveda is a well known GMP certified, ISO 9001:2015 certified and US-FDA registered Ayurvedic Company, which adhered to the aim of manufacturing quality Ayurvedic products as mentioned in the various ancient texts of Ayurveda. formulations are manufactured without additives and preservatives and other kinds of chemicals or artificial flavouring agents which causes a number of side effects on the human body. Products prepared at Planet Ayurveda are pure and do not contain any kind of adulteration. The products are purely organic and vegetarian and gluten free. Planet Ayurveda presents its products which are beneficial in muscular and bone health. Further there are many other products which have analgesic and healing properties, which make them efficient in curing Thoracic Outlet Syndrome.

Following is the list of products that are great in managing thoracic outlet Syndrome

  1. Yograj Guggul
  2. Boswellia Curcumin
  3. Aamvatantak churna
  4. Vrihat Vatchintamani Ras
  5. Bone Support
Thoracic Outlet Syndrome
Herbal Remedies for Thoracic Outlet Syndrome

Product Description

1. Yograj Guggul

Yograj Guggul is a classical ayurvedic proprietary medicine. It is a helpful formulation in the musculoskeletal system and neurological system’s disorders. It contains the herbs amalaki (Emblica officinalis), guggul (Commiphora mukul), haritaki (Terminalia chebula), ela (Elettaria cardamomum), vidang (Embelia ribes), gokshur (Tribulus terrestris), shunthi (Zingiber officinale),  bibhitaki (Terminalia bellirica) etc. The herbs of the formulation possess properties that enhance muscle and nerve health. By its nerve strengthening property Yograj Guggul is best to treat the neurological thoracic outlet syndrome.

Dosage : Two tablets twice a day with lukewarm water after meals.

2. Boswellia Curcumin

Boswellia Curcumin capsules are enriched with the goodness of shallaki (Boswellia aristata) and haridra (Curcuma longa). The herbs have healing properties and also possess analgesic effects which makes it an efficient formulation in the thoracic outlet syndrome.

Dosage :  Two capsules twice a day with lukewarm water after meals.

3. Aamvatantak Churna

Aamvatantak Churna is known to pacify kapha and vata doshas, which are behind the thoracic outlet syndrome. The product contains ashwagandha (Withania somnifera), suranjaan (Colchicum autumnale), haridra (Curcuma longa), methi (Trigonella foenumgraecum), gorakhmundi (Sphaeranthus indicus) and sonth (Zingiber officinale). Aamvatantak Churna clears aam and relieves the patient from stiffness and eases motion of the limb. Furthermore, it alleviates pain and other symptoms of thoracic outlet syndrome.

Dosage : -One tsp twice a day with warm water after a meal.

4. Vrihat Vatchintamani Ras

Vrihat Vatchintamani Ras is a mineral formulation. The formulation contains Rajata Bhasma (silver calx), Swarna Bhasma (gold calx), Loha Bhasma (iron ash), Abhrak Bhasma (mica ash), Suta Bhasma (compound of purified mercury and purified sulphur), Mukta Bhasma (pearl calx) and Pravala Bhasma (coral calcium). It also contains juice extract of Aloe vera. It is beneficial in demyelination conditions of nerves. It is useful in neuropathies. It corrects neuritis. It is helpful in thoracic outlet syndrome as it relieves numbness, pain and motor dysfunction.

Dosage : One tablet twice a day with lukewarm water after meals.

5. Bone Support

As the name of ‘Bone Support’ suggests it supports the bone by supplying all the required material to the bone. Its ingredients include  laksha (Laccifer lacca), shobhanjan beej (Moringa oleifera), Asthi Shrinkhala (Cissus quadrangularis),   Mukta (pearl calcium), praval pishti (Corallium rubrum) and Arjuna (Terminalia arjuna). Moringa oleifera possesses anti inflammatory, analgesic and vidhradhi pachan (healing of abscess). Ingredients are beneficial in bone disorders. Cissus quadrangularis is helpful in bone health. It is a beneficial herb for healing fractures. It possesses sandhaniya property which means adhesion, hence it adhesives the fractured bones. In addition to this, it relieves fracture pain and heals swelling due to fracture. Thus it is a beneficial herb in the fractures. Arjuna has vranropan property which means wound healer. It too helps in adhesion of fracture bones. Praval pishti and mukta are natural supplements of calcium which are derived from the pearls, corals etc. thus are beneficial in early healing or adhesion of the fractured bone. Thus Bone Support has a magnificent healing and analgesic effect. Therefore it manages the bone health in the fracture or bone abnormality generated thoracic outlet syndrome.

Dosage :  One capsule twice a day after meals with plain water.

Contact Planet Ayurveda to provide you the costing / ordering and delivery information at – or call at +91-172-5214030 Or Check Website –


As we discussed Thoracic Outlet Syndrome, we have come to know that it is a bundle of disorders that arise due to compression of nerves and blood vessels. And as per Ayurveda, the syndrome is due to kapha and vata dosha vitiation. As in the contemporary system of medicine, there are drugs that help in alleviating symptoms but do not properly cure the syndrome and in the end, surgery is the last option that remains, which further is full of risks. Whereas, Ayurveda has promising results which suggests proper management of the condition with no risk and side effects involved. Planet Ayurveda’s above mentioned products heals the condition, alleviates the symptoms and increases range of motion of the affected side. By adopting Ayurveda, one can assure oneself about his proper wellbeing to be returned with a healthy body and mind.

Alternative Treatment For Sacroiliac Joint Dysfunction With Ayurveda


The sacroiliac joint is located on the sacrum (tailbone) and the iliac portion of pelvic bone. Top of each ilium can be felt through the lower abdominal wall just below and lateral to the umbilicus. Pelvic bone connects to hip joint so that the upper portion of the leg bone ie. The femur can attach to the pelvis The sacroiliac joint is small and strong and also has strong ligaments attached, it does not move independently and transmits forces of the upper body to hips and legs and acts as a shock absorber. The dysfunction of the Sacro-iliac joint results in inflammation, numbness and tingling sensation. Let’s discuss the details about the disease.



Sacroiliac joint dysfunction is the condition which results from flawed movement of either one or both of two small firm joints at the base of the spine. The sacro-iliac joint has a small range of motion, providing stability .The sacro-iliac joint connects the pelvis to the spine by a strong set of the ligaments. Each sacro-iliac joint links an ilium bone to the sacrum, which mainly consists of the five vertebrae that are fused together at the base of the spine. The sacro-iliac joint dysfunction is also called by various names such as : Sacro-iliac joint disease, Sacroiliac joint syndrome,  Sacro-iliac joint strain and Sacro-iliac joint inflammation etc. The inflammation of the joint results in sacroiliitis and may result in Sacroiliac joint dysfunction, misalignment of joint and degeneration of sacroiliac joint. In Ayurveda Sacro-iliac joint dysfunction is related to Tridosaj vyadhi in which all three dosha are aggravated.

Symptoms of Sacroiliac Joint Dysfunction

Symptoms of Sacroiliac joint dysfunction includes:

  • Difficulty in sitting at one place for too long time due to pain
  • Aberrant sacroiliac movement pattern
  • Local tenderness of posterior aspect of sacroiliac joint
  • When the joint is mechanically stressed then pain occurs eg forward bending
  • Pain is usually localised over the buttock.
  • Absence of neurological deficit/ nerve root tension signs
  • Patients complain about pain while sitting down, climbing and lying on the ipsilateral side of pain.
  • Hip pain
  • Sciatic leg pain
  • Lower back pain/ Groin pain

Causes of Sacroiliac Joint Dysfunction

Cause of this disease are:

  • Hypermobility: The condition occurs when ligaments which  connect the sacrum to the pelvis are very loose. This condition leads to instability and too much movement in Sacro-iliac joints.
  • Ankylosing Spondylitis: It is a chronic inflammatory disease which causes the inflammation between the vertebrae and facet joints between pelvis and spine.This may lead to the Sacro-iliac joints fusing, resulting in reduced flexibility.
  • Uneven leg length: The pain of Sacro-iliac joint can be triggered when one leg is longer or weaker than the other one, which results in uneven movement and stress in the pelvis.
  • The sacro-iliac joint may bear additional stress in cases where a spinal fusion was performed down to the sacrum, which leads to the irritation of the Sacro-iliac joint.
  • Hypomobility: Hypomobility is also called pathological hypomobility which leads to a very little mobility of sacroiliac joints and is often due to the degenerative changes occurring in the joints.  
  • Pregnancy: Sacroiliac joints must loosen and stretch to accommodate childbirth.
  • Infection:  Sacroiliac joint becomes infected in very rare cases.
  • Arthritis: Osteoarthritis can occur in sacroiliac joints, as can ankylosing spondylitis- a type of inflammatory arthritis which affects the spine.
  • Traumatic injury: Sudden impact like: motor vehicle accident or a fall, damages the sacroiliac joint.


  • CT scan, X-Ray and MRI are performed but re not much helpful
  • SPECT/CT helps in the detection of sacroiliac joints.
  • Thigh trust: The test applies anterior posterior shear stress on sacro-iliac joints. Patient lies in supine position with one hip flexed to 90 degrees and the examiner stands on the same side as the flexed leg. The examiner provides either a quick thrust or steadily increasing pressure through the line of the femur.
  • Iliac Gapping test: Distraction can be performed on the anterior sacroiliac ligaments by applying pressure to anterior superior iliac spine.
  • FABER or Patrick test: This test is used to identify the pain which may come from the sacroiliac joint during flexion, external rotation and abduction, the examiner externally rotates the hip while the patient lies in supine position. And then downward pressure is applied to the medical knee stressing the both sacroiliac and hip joint.
  • Gaenslen test: This test applies torsion to the joint. With one hip flexed onto the abdomen and the other leg in order to achieve hip extension and stress the sacroiliac joint.
  • Iliac Compression test: Apply compression to joint with patient  lying on his\her side. The pressure is applied downward to the uppermost iliac crest.

Management of Sacroiliac Joint Dysfunction

If the pain is caused due to pregnancy or recent childbirth, in that case give your body proper rest. Management of Sacro-iliac joint dysfunction includes:

  • Injection of the Steroids
  • Heat or ice application to the injured area
  • Physical adjustments by a medication
  • Physical therapy
  • Over the counter pain medication
  • Brace for the lower back
  • Surgery
  • Spinal manipulations

Complications of Sacroiliac Joint Dysfunction

  • Achilles tendinosis
  • Depression
  • Insomnia

Ayurvedic Overview of Sacroiliac Joint Dysfunction

Ayurveda is the science of Indian medicine which has served mankind for many years. Ayurvedic medicines and therapies are not only managing the disease but also provide strength and keep the body healthy. In the Sacro-iliac joint dysfunction there is a presence of numbness, tingling sensation and pain in the hip region. In Ayurveda these conditions are related as: Inflammation of the joint is due to aggravated Pitta dosha, aggravated Vata dosha results in pain, numbness and tingling sensation of the joint and aggravation of the Kapha dosha reduces the mobility of the joint. As the disease occurs due to aggravation of all Tridosha (Vata, Pitta and Kapha), this is a tridoshaja vyadhi and is managed by pacification of the aggravated doshas. Vata, Pitta and Kapha aggravation results in the accumulation of this disease and here are some of the  single herbs which balances the aggravated dosha :

 Haridra (Curcuma longa), Ashwagandha (Withania somnifera), Kalonji (Nigella sativa), Guggulu (Commiphora mukul), Arjuna (Terminalia arjuna), Shallaki (Boswellia serrata), Methi (Trigonella foenum-graecum) and Shrinkhala (cissus quadrangularis) etc. All these herbs help in balancing the aggravated doshas and reduce pain and inflammation.

Some of the herbal formulations which are very effective in Sacro-iliac joint dysfunction are: Kaparadika bhasma, Rasnairandadi kshaya,Kukutanda twak bhasma,Kaishore guggulu, Dashmoolarista and Lakshadi guggul etc.                                                               

Herbal Remedies for Sacroiliac Joint Dysfunction by Planet Ayurveda

Planet Ayurveda is a US-FDA registered, GMP certified and ISO 9001:2015 certified company. All the formulations are formulated under MD Ayurveda experts, and have no side effects. These formulations did not contain any type of chemicals, preservatives, colours and dyes etc. Planet Ayurveda produces herbal remedies for management of Sacro-iliac joint dysfunction are given below:

Product List:

Herbal Remedies For SacroIliac Joint Dysfunction
Herbal Remedies For SacroIliac Joint Dysfunction

Products Description


It is a classical formulation and is very useful in disorders of the bones and musculoskeletal system. Ingredients involved in this formulations are: Shuddh guggul (Purified Commiphora mukul), Ashwagandha (Withania somnifera), Nagabala (Grewia populifolia), Laksha (Laccifer lacca) and Arjuna (Terminalia arjuna) etc. This formulation greatly works on the dysfunction of the joints and bones. The formulation contains components like Asthishrinkhala which helps in the formation of the bone which is damaged or fractured. In Sacro-iliac joint  dysfunction the formulation really works very effectively.

Dosage: 2 tablets twice daily


This formulation is mainly used to pacify the aggravated dosha. (Vata, Pitta and Kapha) It is a polyherbal formulation contains ingredients: Ajwain (Trachyspermum ammi), Methi (Trigonella foenum graecum), Kalonji (Nigella sativaa) and Chandershoor (Lepidium sativum). These Herbs contain analgesic and anti-inflammatory properties. Hakam churna pacifies the aggravated Vata dosha and also gives strength to the bones.

Dosage: 1 tsp twice daily


As the name of the formulation suggests Bone support means that the formulation give support to bones and provide strength to body.The formulation contains ingredients : Mukta (Compound of pearl calcium), Hadjod (Cissus quadrangularis), Praval pishti (Corallium rubrum). Arjun (Terminalia arjuna) and Suhanjana beej (Moringa oleifera) etc. The Suhanjana beej contains properties like analgesics, anti-inflammatory and has abscess healing action. Praval pishti and Mukta are natural calcium, derived from corals, pearls etc.and are very helpful in the healing and adhesion of degenerative joints and bones. Hadjod contains adhesive (Sandhaniya) property which aids adhesion and adhesion of fractured bones. It also gives relief from pain and reduces the inflammation which is caused due to fracture. Arjuna contains the Vranropan property which heals the bones and is effective in wounds. Bone support plays a very effective role in the management of the Sacro-iliac joint dysfunction.

Dosage: 1 capsule twice daily


Rumogin 5 capsules is the product of Planet Ayurveda contains ingredients: Pippali (Piper longum), Sonth (Zingiber officinale), Maricha (Piper nigrum), Shallaki (Boswellia serrata) and Haridra (Curcuma longa). The formulation contains anti-inflammatory properties and also useful in numbness, tingling sensation etc. It also pacifies the Vata dosha, gives energy to the muscles and also provides normal range and smoothness to the joint. The formulation plays a vital role in the management of the Sacro-iliac joint dysfunction.

Dosage: 1 capsule twice daily


Boswellia curcumin is a product of Planet Ayurveda containing ingredients like: Haridra (Curcuma longa) and Shallaki (Boswellia serrata). This formulation has Antipyretic, Anti-inflammatory and Analgesic properties which reduce the pain, inflammation and other associated symptoms related to Sacro-iliac joint dysfunction. The formulation heals the wound and provides strength to the bone and musculoskeletal system.

Dosage: 1 capsule twice daily

Contact Planet Ayurveda to provide you the costing / ordering and delivery information at or call at +91-172-5214040 Or Check Website


The Sacro-iliac joint dysfunction is the condition which causes inflammation, pain, numbness and tingling sensation in the affected joint. The Hypomobility and Hypermobility of the joint leads to this condition. Sacroiliac joint dysfunction in Ayurveda occurs due to the aggravation of tridosha (Vata, Pitta and Kapha) hence known as tridoshaj vyadhi. Ayurveda gives us natural medicines which can completely manage the dysfunction of Sacro-iliac joints. We have discussed the herbal remedies produced by Planet Ayurveda, which give very good results in this disease. In modern times the condition is not diagnosed properly but provides relief from the symptoms for a short time.