Thoracic outlet syndrome (TOS)
Thoracic outlet syndrome (TOS) is a condition in which there is compression, injury, or irritation of blood vessels and nerves in the space between your collarbone and your first rib.
Symptoms include:
Neck pain
Shoulder pain
Arm pain
Numbness and tingling of fingers
Impaired circulation to the extremities (discolored, cold hands)
Weakness of the hand and arm muscles
Following a detailed history, orthopedic tests and a neurological evaluation will be performed to determine if you have TOS. X-rays may reveal an extra rib (cervical rib) that is contributing to your TOS. X-rays may also rule out other conditions that may be causing your symptoms. In some cases, a specialized protocol of MRI studies may be recommended.
Conservative treatment options include:
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