9/19/2023 0 Comments Thoracic outlet syndromeAfter your exam, your doctor may order further studies for evaluation. Your doctor will assess your symptoms, medical history, and physical examination. See a thoracic outlet syndrome specialist if you have any of the symptoms listed. Treatment will vary depending on the source and severity of the condition. Once treated, there are usually no long term effects and you should be able to return to an active lifestyle. Surgery may be recommended to relieve the compression. TOS is sometimes treatable through medical and physical therapy. This space becomes compressed against the clavicle, the rib and the muscles. The subclavian artery, vein, and nerves travel behind the clavicle or collar bone. TOS can be caused by physical trauma, repetitive injuries, sports-related activities, and certain anatomical defects (having an extra rib). The condition is common among athletes who participate in sports that require repetitive overhand motions of the arm and shoulder, such as baseball, swimming, volleyball, and other sports. Treatment may be nonoperative or include surgical decompression or a vascular procedure depending on the specific etiology. TOS will often affect healthy, young, and active people. Thoracic outlet syndrome is a neurovascular disorder resulting from compression of the brachial plexus and/or subclavian vessels in the interval between the neck and axilla. discoloration or lack of color in your fingers or hand.Pain, aches in your neck, shoulder or hand.Based on the principal site of compression or irritation, the disorder is classified as either true (classic) neurogenic TOS, vascular TOS, or nonspecific TOS. Neurogenic TOS is compression of a group of nerves called the brachial plexus and can cause nerve damage, pain and tingling in the arm and shoulder. Thoracic outlet syndrome (TOS) refers to a constellation of upper extremity symptoms from compression of neurovascular structures coursing through the thoracic inlet. Venus TOS is compression the subclavian vein and can lead to swelling and venous clot formation.Arterial TOS is compression the subclavian artery which causes decreased blood flow to the arm.TOS effects the space between the collarbone and the first rib, where blood vessels and/or nerves in the area are compressed. About 80 percent of patients experience complete resolution of symptoms 20 percent report significant improvement. The surgeon makes an incision above the clavicle and removes scalene muscles, along with the first rib, easing pressure on the brachial plexus nerves. If symptoms persist, surgery is an option. The classic, most common symptoms are pain, numbness, and tingling that radiates below the shoulder down towards the hand and usually into the pinky and ring. Treatment begins with exercises to stretch and open the tissues associated with the thoracic outlet. TOS is caused by compression of nerves or blood vessels, or both, as a result of trauma, disease or congenital deformity in the thoracic outlet between the clavicle and first rib.
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