![]() ![]() An extra rib is removed and certain muscles are cut.Surgery for patients who have an indication for surgery, the first rib or a part of the first rib is resected through a small incision in the armpit. Clot-dissolving medications, if you have vascular thoracic outlet syndrome.Avoid repetitious activities, such as sitting at a computer for too long.Pain medications, such as ibuprofen, stronger pain medications or muscle relaxants.What is the treatment for thoracic outlet syndrome? Arteriography and venography, tests which can see if a vein or artery is compressed or has a clot.Electromyography (EMG) measures electrical activity in muscles.Nerve conduction study (NCS) can determine nerve damage and destruction.Thoracic outlet specific MRI of the chest.Imaging tests, including X-ray, CT scan or ultrasound.In addition, your team may perform the following tests: Your medical team will perform a complete physical examination in order to find any outward signs of thoracic outlet syndrome, such as swelling or discoloration. Your medical team at The Lung Center will collaborate with a neurologist to evaluate your symptoms. ![]() How is thoracic outlet syndrome diagnosed? Padgett-Schroeder Syndrome – effort thrombosis of axillary vein.Lack of color in one or more fingers, or in hand.Blood clots in veins or arteries in the upper body.Signs and symptoms of vascular thoracic outlet syndrome are: Gilliatt-Sumner hand (severe wasting in the fleshy base of the thumb).Numbness or tingling in your arm or fingers.Signs and symptoms of neurogenic/neurological thoracic outlet syndrome are: The symptoms of thoracic outlet syndrome can vary, depending on the compressed structure (artery, nerve, or vein). What are the symptoms of thoracic outlet syndrome? Anatomical defects (such as having an extra rib, usually a cervical rib).Repetitive injuries (related to sports or job activities).Trauma from a car accident (the symptoms can often be delayed).Risk Factors for Thoracic Outlet Syndrome: Comprises the majority of thoracic outlet syndrome casesĬompression of one or more of the veins or arteries under the collarbone.Compression of the nerves that come from your spinal cord and control your shoulders, arms and hands.There are two common types of Thoracic Outlet Syndrome: Neurogenic/Neurological Thoracic Outlet Syndrome What are the types of thoracic outlet syndrome? The Lung Center at Brigham and Women’s Hospital (the Brigham) provides specialized diagnostic services for thoracic outlet syndrome, as well as proven techniques to relieve symptoms. It is important that you choose an experienced medical team to treat your TOS. Thoracic outlet syndrome can be difficult to diagnose because a number of disorders have similar symptoms. This group of symptoms is known as thoracic outlet syndrome (TOS). Because they are in such a narrow space, compression of the nerves or vessels can occur, causing pain in the neck and shoulder, numbness and tingling of the fingers, and a weak grip. This is a rigid space where many important structures are crowded together including blood vessels, nerves and muscles. Most people recover.The thoracic outlet is a small area between your collarbone, first rib and vertebra. Medicines, physical therapy, and relaxation might help. Treatment depends on what caused your TOS. Repetitive arm and shoulder movements and activity, such as from playing certain sports.Poor posture that causes nerve compression.Doctors do nerve and imaging studies to diagnose it. It usually starts between 20 and 50 years of age. If a vein is compressed, your hand might be sensitive to cold, or turn pale or bluish. If a nerve is compressed, you may also feel weakness in your hand. You may feel burning, tingling, and numbness along your arm, hand, and fingers. The compression can happen between the muscles of your neck and shoulder or between the first rib and collarbone. It happens when the nerves or blood vessels just below your neck are compressed, or squeezed. Thoracic outlet syndrome (TOS) causes pain in the shoulder, arm, and neck. ![]()
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