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Thoracic Outlet Syndrome

Thoracic Outlet Syndrome involves compression, injury, or irritation to the neurovascular structures at the root of the neck or upper thoracic region. Females are diagnosed more commonly with Thoracic Outlet Syndrome than males. Patients with Thoracic Outlet Syndrome can have pain, numbness and/or tingling. The entire arm may be involved. Neck pain and headaches may also be present. Trauma, such as a whiplash type injury has been associated with the onset of Thoracic Outlet Syndrome. Physical therapy, mobilization and manipulation procedures are often used to treat Thoracic Outlet Syndrome. Injections of trigger points in associated muscular structures may be attempted, as well as a scalene block. Muscle relaxants and anti-inflammatory medication can help decrease muscle tightness, decrease irritability and pain. Surgical intervention can include the removal of the first rib, a scalenectomy and surgery at and to the clavicle.

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