A Life Built on Precision, Now Dominated by Pain David West had spent his career mastering systems. As an enterprise agile coach, he specialized in identifying breakdowns that others missed—feedback loops that failed quietly, inefficiencies that compounded over time, and structures that collapsed not from one catastrophic error, but from thousands of small misalignments. Gaming […]
The Doctor You See Before Surgery: How Functional Biomechanics Solves Neck, Arm, and Thoracic Outlet Pain Without Cutting The Modern Neck Pain Trap Every day, patients search for the same things online: They look for a doctor who helps avoid cervical surgery, a cervical surgery second opinion doctor, or a non-surgical neck pain specialist. They […]
Thoracic Outlet Syndrome is a term used to describe a pattern of symptoms involving the neck, shoulder, arm, and hand. Many individuals describe discomfort, heaviness, numbness, or fatigue that worsens with posture or arm position. These experiences often vary widely, which contributes to confusion and delayed understanding of the condition. In my clinical experience, Thoracic […]
Thoracic outlet syndrome is a complex condition involving the space between the neck and shoulder. This area contains nerves, arteries, and veins that serve the arm and hand. The thoracic outlet is not a single structure. It is a functional passageway formed by bones, muscles, and connective tissue. When this space changes shape, symptoms may […]
Chest discomfort is one of the most alarming sensations a person can experience. Many individuals describe sudden pressure, tightness, or aching across the chest as a sign of a serious medical emergency. In my clinical experience, musculoskeletal and biomechanical factors can sometimes create sensations that closely resemble cardiac distress. One condition frequently associated with this […]
The Industry That Operates First and Thinks Later There is a moment in almost every long medical journey when the patient realizes something terrifying: the system that is supposed to save them does not actually have a map. Anna Tori Smith reached that moment long before she ever boarded a train to Chicago. By the […]
The Doctor Behind the Curtain There is a wall of photographs that tends to stop people mid-sentence. Most visitors notice it before they notice anything else. Framed images of musicians, performers, and public figures—some instantly recognizable, others only familiar to people who work inside the touring world. To an outsider, it looks like a quiet […]
People often begin with the question do i have thoracic outlet syndrome when arm, neck, or shoulder sensations do not behave like a typical injury. These experiences often change with posture, movement, or time of day. A self-examination does not diagnose anything, but it helps you observe patterns that clinicians commonly ask about. Many individuals […]
Many people begin asking do i have thoracic outlet syndrome after noticing arm, hand, or shoulder symptoms that do not behave like a simple muscle strain. These concerns often arise gradually, not from a single injury, but from subtle changes in posture, circulation, and nerve behavior over time. A common question is is this thoracic […]
Many people seek care because of shoulder pain not getting better even after weeks or months of effort. In my clinical experience, this pattern is often confusing and frustrating for individuals who expected improvement. Patients often report arm pain despite physical therapy and are told to simply give it more time. For some, time passes […]
