Thoracic outlet syndrome (TOS) refers to several types of disorders that occur when the nerves, veins or arteries in the upper chest and lower neck area are compressed between the collar bone and ribs. TOS has several causes and symptoms depending on what is compressed. While some patients see improvement with medication or physical therapy, others will need surgery to manage their thoracic outlet disorder.
Contact NGPG’s Vascular Center, in partnership with Georgia Heart Institute, if you are concerned you may have thoracic outlet syndrome and are interested in learning more about treatment options.
What are the symptoms of thoracic outlet syndrome?
The symptoms a patient experiences depend on the specific structure that is compressed. In general, thoracic outlet syndrome symptoms include:
- Pain or discomfort in the neck, shoulder and arm area.
- Swelling of the arm.
- Discoloration of the hand.
- Numbness or tingling of the fingers.
Sometimes, TOS can cause blood clots or aneurysms. It’s important to see a doctor if you notice any new or unusual symptoms.
What causes thoracic outlet syndrome?
Thoracic outlet syndrome is caused by compression of the nerves or blood vessels in the area between the neck and shoulder. This compression can be caused by:
- Abnormal anatomy or development at birth.
- Repetitive activity (common with sports).
- Trauma (such as a car accident).
- Poor posture (like droopy shoulders or extending your head too far forward).
No matter the cause, if you are experiencing symptoms, especially painful discoloration or swelling in the arm, it’s important to seek medical attention as soon as possible.
Thoracic Outlet Syndrome Treatment
The specific type of treatment your vascular doctor recommends will depend on the type of thoracic outlet syndrome you have. Neurogenic TOS occurs when nerves are compressed, venous TOS when a vein is compressed, and arterial TOS when an artery is compressed. Your provider will perform a physical evaluation and necessary tests to diagnose the specific type of TOS.
Once your provider understands the type of TOS you have along with your symptoms, he or she will recommend the following options for management of your thoracic outlet syndrome:
- Thoracic outlet syndrome therapies: such as physical therapy
- Medication for thoracic outlet syndrome: over-the-counter pain relievers or medicine to help with blood clots
- Thoracic outlet syndrome surgery: This is the most effective option when physical therapy or medication do not resolve symptoms. Most people with venous or arterial thoracic outlet syndrome require TOS Surgery.
Choose Georgia Heart Institute for Vascular Care
Northeast Georgia Physicians Group’s Vascular Center, in partnership with Georgia Heart Institute, provides patients with access to some of the most experienced vascular specialists in the state. Our vascular surgeons can treat thoracic outlet syndrome along with other vascular issues such as carotid artery disease, aortic aneurysms, peripheral artery disease, and more.
Our team is fully dedicated to your long-term health, providing diagnostics, treatment, routine maintenance, surgery and recovery services. Contact a vascular surgeon today to schedule an appointment.
