Thoracic Outlet Syndrome (TOS)

Thoracic Outlet Syndrome is a disorder in which the Brachial Plexus (Nerve supply to 
Upper Extremity) and/or subclavian vessels (main arteries and veins supplying the upper extremity) are compressed as they exit the neck and travel into the arm. Symptoms of TOS include but are not limited to: pain/numbness/tingling into the ring and little finger as well as the inside of the forearm, grip weakness, arm heaviness, fatigue, or coldness, and possible headaches, pain in neck or behind the ear. These symptoms may also be evoked with other cervical spine disorders or upper extremity disorders.

At King Physical Therapy and Fitness we are able to recognize and treat all symptoms whether they originate from a disc, stenosis, thoracic outlet syndrome, shoulder disorders or even carpal tunnel. Our therapists are trained with the most up-to-the-minute therapeutic techniques available. Please do not hesitate to contact us with any questions or concerns. We are currently accepting most major insurances.

How important is flexibility?


Your muscles are connected to bones by tendons. When you contract your muscles the tendon moves the bone through the available range of motion. If your muscles are “tight” or “inflexible” you cannot move through the full available range and extra stress is applied to your joint surfaces. This is one factor that can lead to degenerative joint disease, as well as putting you at risk for muscular or ligament injury.

At King Physical Therapy & Fitness we can educate you on performing proper stretching activities to help improve your muscle performance and help you function at your optimal level. Stretches ideally should be performed when muscles are “warmed-up” as well as following a longer period of movement. The stretch should not cause pain and should be held and not oscillated. The amount of time to hold each stretch is based on tolerance. We recommend 3 to 5 sets for a 15 to 30 second hold. Before beginning any exercise program please consult your physician.

P.S. Be sure to continue normal breathing during hold and relax phases of stretching.

Sit Up Straight!

“Sit Up Straight” is a phrase that everyone has probably heard at some point in their life time.  Well, it is a good habit to adopt.  Almost 100% of our daily activities are performed directly in front of us.  By constantly having your shoulders rounded and your head forward you are asking your postural muscles to work harder and causing your anterior chest muscles to tighten. Over time this can lead to cervical spine disorders, thoracic outlet syndrome, and shoulder disorders, just to name a few.

King Physical Therapy and Fitness will develop a rehabilitation program to strengthen your postural muscles (including your rhomboid major and minor, middle trapezius, lower trapezius, teres minor and major, infraspinatus, and latissimus dorsi). This program will passively and actively stretch your anterior chest and neck musculature (including pectoralis major and minor, scalene muscles, and upper trapezius). To help maintain benefits received from physical therapy with King PT & Fitness, you will be instructed to follow a home exercise program.  Call one of our two locations today to schedule an appointment–we accept most major insurances.

New Year’s Resolutions

Traditionally at the beginning of each New Year, resolutions are made to help improve or better yourself and each individual around you. No matter what your resolution is, whether it is getting fit, lowering your blood pressure or cholesterol, smiling more, laughing more, meeting new friends, or just enjoying life, we can help you at King Physical Therapy & Fitness. Our staff of professionals will assist you in reaching any or all of your resolutions.

Just to get you motivated, here are some jaw-dropping statistics:

  • 8 out of 10 people aged 25 and older are overweight
  • 78% of Americans do not get the minimal recommended level of daily activity.
  • 3 million American’s are morbidly obese
  • Walking for 20 minutes at 3 mph on the treadmill burns more than 120 calories
  • Taking the stairs can burn an extra 125 calories for every 15 minutes

King Physical Therapy & Fitness can help you achieve your New Year’s resolutions. Our monthly fitness memberships are easy on the pocket book–visit one of our fitness facilities near you today and get motivated!

Attending Physical Therapy Without a Referral

In most instances physical therapy is prescribed and suggested to an individual by theirphysician following an injury or surgical intervention. With the prescription the individual is able to choose any physical therapy clinic that they desire and then be evaluated and treated by the licensed physical therapist for the frequency and duration prescribed. In many instances there may be a delay following seeing your physician and being evaluated by the therapist.

This has changed in the state of Pennsylvania and 43 other states in the country. You are now permitted to be evaluated and treated by a Direct Access licensed physical therapist of your choosing for a total of 30 days without a physician’s referral. The physical therapist has the discretion and education to choose if your injury is capable of being treated by physical therapy or if you need referred to a specialist for further testing. King Physical Therapy & Fitness currently has two locations that are able to provide Direct Access. If you are unsure if your insurance allows Direct Access, please call to find out.