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Vascular Diseases: Thoracic Outlet Syndrome
  

Thoracic Outlet Syndrome

The small space in the upper chest and shoulder between the collarbone and the first rib is the Thoracic outlet area. There are muscles, nerves, and blood vessels in this region which lead down the arm to the hand. In some people the space is narrowed which puts pressure on the nerves or blood vessels causing Thoracic Outlet Syndrome.


Signs & Symptoms

Swelling in the arm

Weakness in the arm or hand which may worsen when the arm is raised over the head

Pain, numbness or tingling in the arm or hand

 

 

Diagnosis

Physician's Examination infoA health care provider investigates the body of a patient for signs of disease. It generally follows the taking of the medical history - an account of the symptoms as experienced by the patient. Together with the medical history, the physical examination aids in determining the correct diagnosis and devising the treatment plan. This data then becomes part of the medical record.

Pulse Volume Recording (PVR) infoA test which uses inflated blood pressure cuffs placed at the thigh, calf, ankle and toes to measure waveforms which give the physician information about blood flow in that limb.

Nerve Conduction Study (NCS) infoA test that is commonly used to evaluate the function, especially the ability of electrical conduction, of the motor and sensory nerves of the human body. NCS stimulates specific nerves using small electrodes taped to the body and records the nerve's ability to send the impulse to the muscle. The study can show where there is a blockage of the nerve pathway. Patients feel pulsed electric shocks that can be somewhat uncomfortable but are otherwise not harmful.

CT Angiography (CTA) infoComputerized tomographic angiography is a minimally invasive test which combines a CT scan (X-rays and computerized images) and angiography to show detailed images of the blood vessels in the body.

Magnetic Resonance 
Angiography (MRA) infoMagnetic Resonance Angiogram is a minimally invasive test that helps physicians diagnose and treat medical problems. MRA uses magnetic field and radio waves to take pictures of the major blood vessels throughout the body. Sometimes contrast material is used to enhance the blood vessels. Both blood flow and the condition of the blood vessel wall can be seen.

X-Ray infoX-rays are a non-invasive test that uses a form of electromagnetic radiation to generate an image of internal body structures and organs.

Venogram infoA test to look at the veins in the body. A dye is injected which enhances the veins. A series of X-rays are then taken.

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Treatment

Physical Therapy

Medication

Thoracic Outlet Decompression Surgery