Thoracic outlet syndrome

Condition characterized by tingling sensation in the fingers and caused by compression on a nerve of the arm.


A complex condition characterized by pain and abnormal sensations in the hand, arm, shoulder, or neck. The thoracic outlet is located at the top of the rib cage, between the chest and neck. Compression of the nerves, veins, or arteries in this area may cause pain, numbness, tingling, muscular weakness, and atrophy. Inadequate blood flow may lead to bluish discoloration and swelling in the arm and hand. An affected person can also develop Raynaud disease. Thoracic outlet syndrome may be caused by poor posture or anatomical abnormalities. The primary treatment is physical therapy. In some cases, surgery is necessary to correct the problem.


A circumstance where pressure exerted on the brachial plexus (the nerve roots that extend from the neck to the arms) induces pain in the arms and shoulders, a sensation akin to pins-and-needles in the fingers, as well as a weakening of grip and other manual actions. The more severe symptoms typically arise from a cervical rib, an additional rib situated above the first rib. Thoracic outlet syndrome might also result from sagging shoulders, an enlarged scalenus muscle in the neck, or the presence of a tumor. This condition is exacerbated by activities like lifting and carrying heavy objects or by increases in body weight.


Management of thoracic outlet syndrome commonly involves engaging in posture-enhancing exercises, which might occasionally be complemented by nonsteroidal anti-inflammatory drugs and muscle-relaxant medications. For severe instances, the approach might encompass surgical extraction of the first rib.


 

 


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