Thoracic Outlet Syndrome (TOS) is a condition that occurs when the blood vessels or nerves in the thoracic outlet (the space between the collarbone and first rib) become compressed. The compression can cause pain, numbness, and weakness in the arm and hand.
Treatment for TOS typically begins with conservative measures, such as physical therapy and medications to manage pain and inflammation. A physical therapist can teach you exercises to help improve posture and strengthen the muscles that support the shoulder and neck. Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and muscle relaxants can be helpful in reducing pain and inflammation.
If conservative treatments are not effective, your healthcare provider may recommend other options such as:
- Surgery: Surgery may be recommended for individuals with severe symptoms or for those who have a structural problem such as a cervical rib or a fibrous band that is compressing the blood vessels or nerves. Surgery may include removing the first rib, or dividing the muscle or fibrous band that is compressing the blood vessels or nerves.
- Injections: Injections of corticosteroids may be used to reduce inflammation and relieve pain.
- Physical therapy after surgery: Physical therapy after surgery can help to regain movement and strength in the affected arm and hand.
It's important to note that TOS can be caused by different factors and the appropriate treatment depends on the underlying cause. It's important to work closely with your healthcare provider to determine the best treatment plan for you.
Source: Vivacare
Last updated : 1/27/2023