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If thoracic outlet syndrome is affecting your arteries, you’ll likely need surgery to repair the damaged artery with a graft. In rare cases, the vein may need to be repaired with surgery. If thoracic outlet syndrome is affecting your veins, the clot will be treated with thrombolysis, blood thinners or angioplasty. Most patients improve after this, but you may need decompression surgery if these measures aren’t enough. If your nerves are affected, you’ll be initially treated with physical therapy and medications. Treatment for thoracic outlet syndrome will vary depending on the type that you have.

Vascular studies of the veins and arteries.

Magnetic resonance imaging (MRI) scan of the chest and spine.

Computed tomography (CT) scan of the chest and spine.

Your doctor will perform a physical exam and may also use the following tests to help rule out other conditions: How is thoracic outlet syndrome diagnosed?ĭiagnosing thoracic outlet syndrome can be difficult because the symptoms resemble those of many other disorders and injuries, such as rotator cuff injuries, fibromyalgia, multiple sclerosis, and cervical disc disorders.

Poor blood circulation or pins and needles in the arms, hands and fingers.

Sensitivity to cold in the hands and fingers.

Thoracic outlet syndrome affecting an artery will usually cause the following symptoms:

Weak or absent pulse in the affected arm.

Thoracic outlet syndrome affecting a vein will usually cause the following symptoms:

Dull ache in the neck, shoulder, or armpit.

Pins and needles sensation in the fingers or hand.

Thoracic outlet syndrome affecting a nerve will usually cause the following symptoms: An anatomical defect, such as an extra rib or an abnormal first rib.A chronic injury, such as repetitive arm and shoulder movements.

An acute injury causing trauma such as whiplash or a fall.

Thoracic outlet syndrome can be caused by various things, such as: Ninety-five percent of thoracic outlet syndrome cases are due to compression of nerves to the arm.

Nonspecific type thoracic outlet syndrome.

Neurogenic (neurological) thoracic outlet syndrome.The classification depends on what is being compressed – a nerve, a vein or an artery. There are three main kinds of thoracic outlet syndrome. DESCRIPTION Thoracic outlet syndrome is characterized by pain andweakness from compression of nerves and less com-monly from compression of arteries and veins in the neck,which may affect the shoulders, arms, and hands. Thoracic outlet syndrome is more common in women than men and usually starts between 20 and 50 years of age. Thoracic outlet syndrome is a group of disorders caused by pressure or compression against the nerves or blood vessels in the space behind and below the collarbone (the thoracic outlet).