![]() The right brachial plexus, viewed from in front. If the nerves are affected, you may require a neurologist.Medical condition Thoracic outlet syndrome A thoracic surgeon, an expert in the chest, may also be required. If arteries and veins are affected, a vascular surgeon is the trained specialist who can surgically treat TOS. 07-08-2020 03-30-2023Įdited by: Carlota Pano What is thoracic outlet syndrome (TOS)? If the nerves are affected, you may require a neurologist. Which type of specialist treats thoracic outlet syndrome? If surgery is necessary, you’ll be advised to avoid heavy lifting for some time, and may receive physiotherapy. For example, thrombolytic medication to dissolve blood clots, and anticoagulants (also known as blood thinners) which prevent clots).Īrterial (aTOS) from subclavian artery compression: Venous (vTOS) from subclavian vein compression: Surgery (if previous measures haven’t been effective).Neurogenic (nTOS) from brachial plexus compression: Treatment depends on which structure is being compressed and the severity of the symptoms. Repetitive motions of the area with raised arms, such as in swimming, tennis, throwing, and carrying heavy objects over your head.Vascular studies (an examination of the arteries and veins).To exclude other possible conditions with overlapping symptoms and diagnose TOS, you may have an electromyography and imaging scans, such as a chest x-ray or MRI (magnetic resonance imaging). Medical tests to diagnose thoracic outlet syndrome Pallor (an unhealthy, pale-looking appearance).Symptoms of arterial (aTOS) from subclavian artery compression may include: An increased risk of thrombosis in the affected arm.Swelling of the arm on the affected side.Cyanosis (a bluish or purplish skin discolouration).Symptoms of venous (vTOS) from subclavian vein compression may include: ![]() Wasting away of the hand muscles (atrophy).Symptoms of neurogenic (nTOS) from brachial plexus compression may include: ![]() They can also vary between individuals and be intermittent. Symptoms can vary depending on the type of TOS. If left untreated, certain types of TOS can cause serious blood clots, nerve damage, permanent arm swelling and pain, as well as gangrene from loss of blood flow. The subclavian arteries are two major arteries in the thorax that lie beneath each clavicle (collarbone). ![]()
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