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Doctor insights on: Are Vascular Conditions A Common Complication Of Thoracic Outlet Syndrome

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Are vascular conditions a common complication of thoracic outlet syndrome?

Are vascular conditions a common complication of thoracic outlet syndrome?

Yes: The thoracic outlet is notable for the presence of arteries, veins, and nerves. This outlet may be compressed to various degrees by various means (position, abnormal anatomy, tumor), impairing arterial blood supply to, or veinous drainage of, the arm. Also, there may be supply/drain complications to the brain. Symptoms include pain, swelling, numbness of the arm, and potentially lightheadedness. ...Read more

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Dr. Joel Gotvald
320 doctors shared insights

Vascular Disease (Definition)

The vascular system is made up with 3 components, arteries, veins, and lymph channels. The most common description of vascular disease is usually associated with arterial insufficiency, also known as PAD. This usually is more of an issue as people age, who also have associated medical conditions to include diabetes, hypertension, heart ...Read more


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Can poor circulation associated with thoracic outlet syndrome cause complications?

Can poor circulation associated with thoracic outlet syndrome cause complications?

RISKS: If you have experienced artery or vein compression due to tos, and possess a cervical rib, there is risk of possible local blood clotting, and, on rare occasions, strokes have occurred. Since this can be very complex, and may be benign or more dangerous, best to have a very experienced thoracic outlet surgeon evaluate the blood vessels fully. ...Read more

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Is a second operation for thoracic outlet syndrome common?

Is a second operation for thoracic outlet syndrome common?

TOS: TOS is complex and usually responds to physical therapy. Before surgery, multiple tests and physical therapy are done. If you continue with symptoms after a TOS operation, you may need more evaluation, possibly a second opinion before consenting to a second operation. Take a friend with you to consult. Be well. ...Read more

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What is the most common cause of thoracic outlet syndrome?

Narrow space: The most common cause is a narrow space between the first rib and a muscle tendon from the anterior scalene muscle. Other causes included an aberrent cervical rib. ...Read more

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Is it common to return to sports after surgery for neurogenic thoracic outlet syndrome?

Is it common to return to sports after surgery for neurogenic thoracic outlet syndrome?

With care: 21yo male w. concern return to sport post-surgery for neurogenic Thoacic Outlet Syndrome, TOS. Aircraft mechanics, house painters & major league pitchers prone to TOS. Repetitive overhead work overdevelops muscles of inferior clavicle/scapula draw while superior trapezius, ST, loses mass & tone; leading to costoclavicular-clavicular dimension closure w. abduction. Solution: shrug exercises of ST. ...Read more

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How common is thoracic outlet syndrome?

How common is thoracic outlet syndrome?

Not very common: Three manisfestations: 1. Pinching of the artery leading to the arm and hand (most common) 2. Pinching of the vein leading to the arm and hand, resulting in swelling (next common) 3. Pinching of the nerve resulting in various types of pain (not very common). ...Read more

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What causes recurrent thoracic outlet syndrome and is it common?

What causes recurrent thoracic outlet syndrome and is it common?

Extra rib or injury: It is caused by pressure on the nerves veins and possibly arteries of the arm where the first rib and clavicle meet ...Read more

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Anyone out there ever treat thoracic outlet syndrome?

Yes: There are three major types. The most common is related to pain and nerve compression. This one responds to physical therapy sometimes. The other two types may involve the artery or vein. These are less common. The treatment can be a bit controversial, espescially the nerve compression type. See a surgeon experienced in thoracic outlet disease such as a vascular or cardiothoracic surgeon. ...Read more

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Does thoracic outlet syndrome affect people at any age?

Yes: Often a congenital problem, so present from birth. May be missed, sometimes for years, depending on symptoms, so can present at any age. ...Read more

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Can Thoracic Outlet Syndrome ever become a serious issue?

Can Thoracic Outlet Syndrome ever become a serious issue?

TOS: There is neurogenic, arterial and venous types for TOS. Some that cause arterial or venous obstruction can cause arterial insurfficiency of the upper extremity or venous obstruction or DVT, which are obviously serious. Neurogenic type TOS can cause nerve injury to branches of the brachial plexus. Best to see a TOS surgeon and/or a neurologist who can evaluate you. Vascular TOS requires ... ...Read more

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Where can I find a thoracic outlet syndrome specialist?

Where can I find a thoracic outlet syndrome specialist?

Check publications: Not a lot of people do thoracic outlet procedures well, or often. Those who do usually publish. Since most thoracic outlet issues are now treated with physical therapy, surgery has been relegated to a late option. There used to be several lectures at the surgical conferences about thoracic outlet therapy. Now it is unusual to find even one. ...Read more

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Can surgery for thoracic outlet syndrome make you worse?

Can surgery for thoracic outlet syndrome make you worse?

Tos: You should ask benefits vs risks to the surgeon. This is not a minor surgery and yes I have seen failed surgery with increased problems. U should be absolutely sure what u are undergoing this surgery fot ...Read more

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Can thoracic outlet syndrome & diabetes lead to problems?

Can thoracic outlet syndrome & diabetes lead to problems?

Neuropathy: The combination is not unusual, as diabetes often causes peripheral nerve problems, and leads to susceptibility to tos, if an injury were to occur. The diabetic individual may possess delayed healing, and thereby, the problem may eventuate in a surgical approach. ...Read more

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Can surgery actually make thoracic outlet syndrome worse?

Can surgery actually make thoracic outlet syndrome worse?

Yes: THis is usually true when it involves nerve compression rather than compression of blood vessels. Nerves can be damaged during surgery or scarring can compress nerves. This can happen in a small but real minority of persons. ...Read more

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Why is getting surgery a last resort for thoracic outlet syndrome?

Big Operation: Surgical treatment of thoracic outlet syndrome is a major operation that involves resecting the first rib and potentially major vascular repair. Results are usually good if there is vascular compromise and variable if impairment is neurologic. If the condition can be controlled with non-surgical measures, avoiding surgery is preferable. Thanks for trusting HealthTap! ...Read more

Dr. Bennett Machanic
314 doctors shared insights

Thoracic Outlet Syndrome (Definition)

A condition where the first rib or an extra rib causes compression between the clavicle and the rib of any one of the following three subclavian artery, ...Read more


Dr. Joel Gotvald
296 doctors shared insights

Vascular Conditions (Definition)

Vascular conditions = diseases of the circulatory ...Read more