Thoracic Outlet Syndrome involves
compression, injury, or irritation to the neurovascular structures at the
root of the neck or upper thoracic region. Females are diagnosed more
commonly with Thoracic Outlet Syndrome than males. Patients with Thoracic
Outlet Syndrome can have pain, numbness and/or tingling. The entire arm may
be involved. Neck pain and headaches may also be present. Trauma, such as a
whiplash type injury has been associated with the onset of Thoracic Outlet
Syndrome. Physical therapy, mobilization and manipulation procedures are
often used to treat Thoracic Outlet Syndrome. Injections of trigger points
in associated muscular structures may be attempted, as well as a scalene
block. Muscle relaxants and anti-inflammatory medication can help decrease
muscle tightness, decrease irritability and pain. Surgical intervention can
include the removal of the first rib, a scalenectomy and surgery at and to
the clavicle.
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