What is Thoracic Outlet Syndrome?
The thoracic outlet is a small passageway leading from the base of the neck to the armpit and arm. This small area contains many blood vessels, nerves, and muscle.
When this passageway becomes compressed, the condition is termed as thoracic outlet syndrome.
There are 3 types of thoracic outlet syndrome:
- Neurogenic thoracic outlet syndrome
- Arterial thoracic outlet syndrome
- Venous thoracic outlet syndrome
Thoracic outlet syndrome can result due to injury, tumors that press nerves, poor posture that compresses nerves, weight lifting, anatomical defects such as an elongated C7 transverse process, anomalous tissue overgrowth, upper thoracic neurovascular compression, costocoracoid tendon, and subclavian muscle hypertrophy to name a few.
Symptoms of Thoracic Outlet Syndrome
The symptoms of thoracic outlet syndrome may include numbness and pain in the neck, shoulder, and arm, tingling or burning sensation, weakness, limited range of movement of arms, and swelling or redness of your arm, color changes to the arm or hand, and a weak hand grip.
Diagnosis of Thoracic Outlet Syndrome
To evaluate your condition, your doctor will perform a physical examination and collect your medical history. You may be advised to have a chest X-ray, MRI or CT scan. Your doctor may also recommend blood tests and electromyogram evaluation. Nerve conduction velocity study may be suggested to check the conduction of electrical signals in the nerves.
The treatment of thoracic outlet syndrome involves both non-surgical and surgical approach.
Non-surgical Treatments for Thoracic Outlet Syndrome
The non-surgical treatments may include:
Physical therapy: Exercises can decrease the pressure on the nerves and blood vessels and strengthen the muscles surrounding the shoulder.
Non-steroidal anti-inflammatory medications: NSAIDs can reduce pain and swelling
Surgical Treatment for Thoracic Outlet Syndrome
If non-surgical treatment does not alleviate your symptoms, your doctor may advise surgery. Surgery may involve removing a portion of an abnormal first rib or releasing a muscle that joins the neck and chest. The surgery will depend on the cause of the compression.