Doctor insights on:
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 moreSee 2 more doctor answers
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
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Is it common to have muscle spasms after first rib resection for thoracic outlet syndrome? Will they go away over time?
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 moreSee 2 more doctor answers
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
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
Yes: Yes it will help.Get a more detailed answer ›
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
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