Our Summary

In this study, the researchers looked at their experiences in treating two types of thoracic outlet syndrome (TOS), a condition that occurs when blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) are compressed. This can cause pain in your shoulders and neck

FAQs

  1. What is thoracic outlet syndrome (TOS)?
  2. What causes pain in the shoulders and neck in thoracic outlet syndrome?
  3. What types of thoracic outlet syndrome were studied by the researchers?

Doctor’s Tip

after surgery. One helpful tip a doctor might tell a patient about thoracic outlet syndrome surgery is to follow a carefully planned rehabilitation program to help improve strength, range of motion, and overall function in the affected area. It is important to work closely with a physical therapist to ensure proper healing and prevent complications. Additionally, the patient should follow any post-operative instructions provided by their healthcare team, such as avoiding certain activities or wearing a brace to support the area during the healing process. By following these recommendations, the patient can optimize their recovery and improve their quality of life after surgery for thoracic outlet syndrome.

Suitable For

and numbness in your fingers.

  1. Neurogenic thoracic outlet syndrome: This type of TOS is caused by compression of the brachial plexus, a network of nerves that control movement and sensation in the arms and hands. Patients with neurogenic TOS may experience symptoms such as pain, weakness, and numbness in their arms and hands. Surgery may be recommended for patients who do not respond to conservative treatments such as physical therapy and medications.

  2. Venous thoracic outlet syndrome: This type of TOS is caused by compression of the subclavian vein, a major blood vessel that carries blood from the arms back to the heart. Patients with venous TOS may experience symptoms such as swelling, pain, and discoloration in their arms. Surgery may be recommended for patients with severe symptoms or for those at risk of developing complications such as blood clots.

Overall, surgery for thoracic outlet syndrome is typically recommended for patients who have not responded to conservative treatments and who have persistent and disabling symptoms. It is important for patients to discuss their treatment options with their healthcare provider to determine the best course of action for their individual case.

Timeline

, as well as numbness, weakness, and tingling in your arms.

Before surgery:

  1. Patient experiences symptoms such as pain, numbness, weakness, and tingling in the shoulders, neck, and arms.
  2. Patient undergoes diagnostic tests such as physical examination, nerve conduction studies, and imaging tests like MRI or CT scans to confirm the diagnosis of thoracic outlet syndrome.
  3. Patient may undergo conservative treatments such as physical therapy, medication, and lifestyle modifications to manage symptoms.

After surgery:

  1. Patient undergoes thoracic outlet syndrome surgery to relieve compression on the blood vessels or nerves in the thoracic outlet.
  2. Recovery time varies depending on the type of surgery performed, but patients typically experience pain and discomfort in the immediate post-operative period.
  3. Physical therapy may be recommended to help regain strength and range of motion in the affected arm.
  4. Patients may experience a gradual improvement in symptoms over several weeks to months following surgery.
  5. Follow-up appointments with the surgeon may be scheduled to monitor progress and address any concerns or complications.

What to Ask Your Doctor

and numbness or weakness in your arm.

  1. What is the success rate of thoracic outlet syndrome surgery?
  2. What are the potential risks and complications associated with the surgery?
  3. How long is the recovery period after thoracic outlet syndrome surgery?
  4. Will I need physical therapy or rehabilitation after the surgery?
  5. How long will it take for me to see improvement in my symptoms after the surgery?
  6. Are there any alternative treatments or therapies I can try before opting for surgery?
  7. What type of anesthesia will be used during the surgery?
  8. How many thoracic outlet syndrome surgeries have you performed and what is your experience with this procedure?
  9. Will I need to make any lifestyle changes or modifications after the surgery to prevent recurrence of symptoms?
  10. Can you provide me with any resources or information to help me better understand thoracic outlet syndrome and the surgical treatment options available?

Reference

Authors: Altoijry A, AlGhofili H, Iqbal K, Altuwaijri TA, Alsheikh S, AlHamzah M, Khoujah E, AbuAlnasr MT, Aljabri B, Al-Salman M. Journal: Saudi Med J. 2022 Jul;43(7):743-750. doi: 10.15537/smj.2022.43.7.20220336. PMID: 35830984