eCureMe logo
  eCureMe home eCureMe log In Sign Up!
eCureMe Life : Your Healthy Living. Click Here!
Welcome, medical contents search April 29, 2013
       eCureMe Life
       Medical Supplies
       Calorie Count
       Physician Search
       Message Board
      E-mail Doctor
      E-mail Veterinarian
      Health-O-Matic Meter
      Calorie Count
      Natural Medicine
      Vitamins & Minerals
      Alternative Living
      My Health Chart
      Diseases & Treatments
      Atlas of Diseases
      Sexually Transmitted
Generic Viagra
      Drug Information
      Illegal Drugs
      Lab & Diagnostic Tests
      Internal Medicine
      Women’s Health
      Eye Disorders
      Skin Disorders
      Mental Health
      Resource Links
      Physician Directory
      Dentist Directory
      Hospital Directory

Thoracic Outlet Syndrome

more about Thoracic Outlet Syndrome

  • The thoracic outlet is a space between the first rib and the collar bone (clavicle).  The nerves and vessels from the neck pass through this space on their way to the arms and hands.  Thoracic outlet syndrome is a condition characterized by pain, tingling and weakness in the upper extremities, caused by the compression of the nerves or/and vessels in this space.

  • Pain in the neck, shoulders, arms and hands
  • Tingling and numbness of the upper extremities
  • Weakness and fatigue (pressure on motor nerves) of the upper extremities
  • Swelling and coldness in the upper extremities due to compression of the vessels
  • The symptoms may be triggered by the overhead position of the upper extremities

  • Any condition resulting in the enlargement or movement of the surrounding tissues of the thoracic outlet can reduce this space and compress the nerves and vessels.
  • Hyperextension neck injuries and repetitive overhead motions are the common causes of thoracic outlet syndrome.
  • After clavicle fractures, the scar tissue resulting from the tear of scalene muscles can reduce the thoracic outlet.
  • Other anatomical causes -- bony abnormalities such as an extra-first rib and congenital fibromuscular bands

  • The symptoms of thoracic outlet syndrome can mimic many other disorders, so the diagnosis is difficult.  Physical examination and tests are of the highest priority.  Neck or chest X-Rays may be helpful in detecting the extra-rib.  Electromyography and nerve conduction tests of the upper extremities can show evidence of nerve pinching in severe cases.  Some tests may be required to rule out other disorders that cause similar symptoms with thoracic outlet syndrome.

  • Herniated cervical disc
  • Carpal Tunnel Syndrome
  • Rotator cuff tendonitis or tear
  • Shoulder bursitis
  • Cubital tunnel syndrome (Ulnar nerve pinching at elbow level)

  • The treatment depends on the severity of the symptoms
  • An initial conservative approach to patients with thoracic outlet syndrome include the following measures:
    1. Stretching and strengthening exercises of the shoulder and neck muscles
    2. Weight loss relieves symptoms in obese patients
    3. Anti-inflammatory medications to relieve pain
    4. Changing positions and workstation, avoiding repetitive activities, postural exercise with frequent breaks (shoulder shrug exercise is an effective tool to relax the muscles around the thoracic outlet).
  • If the conservative treatment fails and signs of neurovascular compression arise, surgery is recommended to release the nerves and vessels.

more about Thoracic Outlet Syndrome

If you want your friend to read or know about this article, Click here

medical contents search

Home   |   About Us   |   Contact Us   |   Employment Ad   |   Help

Terms and Conditions under which this service is provided to you. Read our Privacy Policy.
Copyright © 2002 - 2003 eCureMe, Inc All right reserved.