5 doctors weighed in:

Thoracic outlet syndrome causes arm/neck pain how?

5 doctors weighed in
Dr. Mark Weston
Orthopedic Surgery - Spine
2 doctors agree

In brief: Crowding

Pressure on brachial plexus the nerves from the spinal cord to arm become a group of nerves called the brachial plexus it is compressed by a crowding from an extra rib on top of the rib cage 1st rib or extra cervical rib the working theory goes adfitionally vascular compression of brachial artery or vein can produce arm symptoms nerve pain can extend proximal to neck or distal to arm and hand.

In brief: Crowding

Pressure on brachial plexus the nerves from the spinal cord to arm become a group of nerves called the brachial plexus it is compressed by a crowding from an extra rib on top of the rib cage 1st rib or extra cervical rib the working theory goes adfitionally vascular compression of brachial artery or vein can produce arm symptoms nerve pain can extend proximal to neck or distal to arm and hand.
Dr. Mark Weston
Dr. Mark Weston
Thank
Dr. Laurence Badgley
General Practice
1 doctor agrees

In brief: Tissue Pinch

Tos causes arm ; neck pain as artery ; nerves to arm impinged (pinched) between collarbone ; underlying first rib.
Imo common cause weak ; deconditioned superior trapezius (st) muscle (holds up shoulder that weighs 20 lb.); from chronic head tilting to tos side. Exam of leading edges st muscles ; ultrasound of blood flow with arm use useful. Nerve tests only + when nerve dead (not usual with tos).

In brief: Tissue Pinch

Tos causes arm ; neck pain as artery ; nerves to arm impinged (pinched) between collarbone ; underlying first rib.
Imo common cause weak ; deconditioned superior trapezius (st) muscle (holds up shoulder that weighs 20 lb.); from chronic head tilting to tos side. Exam of leading edges st muscles ; ultrasound of blood flow with arm use useful. Nerve tests only + when nerve dead (not usual with tos).
Dr. Laurence Badgley
Dr. Laurence Badgley
Thank
1 comment
Dr. Laurence Badgley
At Quora.com I have a Pain Board where I discuss TOS.
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