Thoracic Outlet Syndrome

胸廓出口綜合症 thoracic outlet syndrome

Compression of nerves and blood vessels

40% caused by trauma; 1% caused by congenital cervical-costal disorders. These two conditions would cause compression on the nerves and blood vessels over the first rib. Spine and Physiotherapy assessments, x-ray and MRI would be used to achieve the diagnosis before prescribing the most effective treatments. Patients with severe upper limb numbness and swollen arms may need surgical interventions.

Signs and symptoms

Pain over neck and shoulders. For severe cases, upper limbs numbness, muscles atrophy or weak pulse would be encountered. Consequence: head and neck movements would aggravate the upper limbs numbness, causing upper limb muscles atrophy.

Spine displacement multiply the pain

Cervical spine displacement, clavicle and first rib displacement, upper and lower scalene muscles disorders, thickened ligaments, etc. would cause compression on nerves around the clavicle and cervical

Prevention of Thoracic outlet syndrome

  • Taking nutrition: vitamins B1, B6, B12 with magnesium and calcium supplements.
  • Maintain good posture.
  • Take frequent breaks at work to move and stretch.
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