North | Suite 400 | Nashville, TN 37203Ĥ230 Harding Pike | Suite 202 | Nashville, TN 37205 → Surgery to relieve pressure on the nerveĭOWNTOWN CLINIC – CENTENNIAL / ST. → NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen or naproxen → Physical therapy to improve range of motion and strength Treatment for thoracic outlet syndromeĭepending on the cause of thoracic outlet, different treatments may be needed: → CT angiography. This is done to get more information about blood flow through your arm. → CT scan. This may be done if your healthcare provider needs to see more detail. → Chest X-ray. This is done to check for abnormal bone such as an extra rib. → Doppler ultrasound. This looks at blood flow through your arm and hand. It assesses the nerve signals going to the muscles. → Needle electromyography (EMG), This is often done with nerve conduction tests. → Nerve conduction tests. This is done to see how your nerves are affected. Your healthcare provider may have you raise your arms and then open and close your fist for a few minutes. Your healthcare provider may move your hand and arm in different positions.Ī specific test may be done to help diagnose thoracic outlet syndrome. Your healthcare provider will ask about your health history and your symptoms. Thoracic outlet syndrome is often more difficult to diagnose than other shoulder problems. → Pale and cool arm and hand Diagnosing thoracic outlet syndrome → Pain, numbness, or tingling of your forearm or fingers, most often the pinky. → Aching in your neck, shoulder, arm, or hand In some cases thoracic outlet syndrome can cause symptoms on both sides of the body. You most likely have symptoms on only 1 side. Overhead activities may make your symptoms worse. This may be partly based on your activity level. People who do repetitive overhead arm movements, such as swimmers or pitchers, may also have a higher risk. Poor posture and obesity may raise your risk for thoracic outlet syndrome. → Repetitive overhead arm movements that may cause inflammatory changes ![]() → An abnormality in the neck muscles at birth Conditions that can cause thoracic outlet syndrome include: Nerves and blood vessels going through the area can be compressed. But with thoracic outlet syndrome, the upper rib and clavicle are closer. Your shoulder muscles normally keep your clavicle raised and in place. → A very large important artery (subclavian artery) What causes thoracic outlet syndrome? → A large and important vein (subclavian vein) → A bundle of nerves (brachial plexus) that serve your shoulder, arm, and hand ![]() Nerves and blood vessels pass from your chest to your arm through this area. The thoracic outlet is a narrow space between your collarbone (clavicle) and your first rib.
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