What is Thoracic Outlet Syndrome?
Thoracic outlet syndrome (TOS) consists of a group of distinct disorders that affect the nerves in the brachial plexus (nerves that pass into the arms from the neck) and various nerves and blood vessels between the base of the neck and axilla (armpit). For the most part, these disorders have very little in common except the site of occurrence. The disorders are complex, somewhat confusing, and poorly defined, each with various signs and symptoms of the upper limb.
True neurologic TOS is the only type with a clear definition that most scientists agree upon.The disorder is rare and is caused by congenital anomalies (unusual anatomic features present at birth). It generally occurs in middle-aged women and almost always on one side of the body. Symptoms include weakness and wasting of hand muscles, and numbness in the hand.
Disputed TOS, also called common or non-specific TOS, is a highly controversial disorder. Some doctors do not believe it exists while others say it is very common. Because of this controversy, the disorder is referred to as "disputed TOS." Many scientists believe disputed TOS is caused by injury to the nerves in the brachial plexus. The most prominent symptom of the disorder is pain. Other symptoms include weakness and fatigue.
Arterial TOS occurs on one side of the body. It affects patients of both genders and at any age but often occurs in young people. Like true neurologic TOS, arterial TOS is rare and is caused by a congenital anomaly. Symptoms can include sensitivity to cold in the hands and fingers, numbness or pain in the fingers, and finger ulcers (sores) or severe limb ischemia (inadequate blood circulation).
Venous TOS is also a rare disorder that affects men and women equally. The exact cause of this type of TOS is unknown. It often develops suddenly, frequently following unusual, prolonged limb exertion.
Traumatic TOS may be caused by traumatic or repetitive activities such as a motor vehicle accident or hyperextension injury (for example, after a person overextends an arm during exercise or while reaching for an object). Pain is the most common symptom of this TOS, and often occurs with tenderness. Paresthesias (an abnormal burning or prickling sensation generally felt in the hands, arms, legs, or feet), sensory loss, and weakness also occur. Certain body postures may exacerbate symptoms of the disorder.
Is there any treatment?
Treatment for individuals with TOS varies depending on the type. True neurologic TOS is generally effectively treated with surgery. Most other forms need only symptomatic treatment. Common or disputed TOS requires conservative treatment which may include drugs such as analgesics, and physical therapy to increase range of motion of the neck and shoulders, strengthen muscles, and induce better posture. Some cases of disputed TOS may require surgery (although, like the diagnosis, surgery is controversial). Heat, analgesics, and shoulder exercises have been used with limited success in individuals with traumatic TOS. Surgery may be needed in some cases. Vascular TOS often requires surgery.
What is the prognosis?
The prognosis for individuals with TOS varies according to the type. For the majority of individuals who receive treatment the prognosis for recovery is good.
True neurologic TOS is the only type with a clear definition that most scientists agree upon.The disorder is rare and is caused by congenital anomalies (unusual anatomic features present at birth). It generally occurs in middle-aged women and almost always on one side of the body. Symptoms include weakness and wasting of hand muscles, and numbness in the hand.
Disputed TOS, also called common or non-specific TOS, is a highly controversial disorder. Some doctors do not believe it exists while others say it is very common. Because of this controversy, the disorder is referred to as "disputed TOS." Many scientists believe disputed TOS is caused by injury to the nerves in the brachial plexus. The most prominent symptom of the disorder is pain. Other symptoms include weakness and fatigue.
Arterial TOS occurs on one side of the body. It affects patients of both genders and at any age but often occurs in young people. Like true neurologic TOS, arterial TOS is rare and is caused by a congenital anomaly. Symptoms can include sensitivity to cold in the hands and fingers, numbness or pain in the fingers, and finger ulcers (sores) or severe limb ischemia (inadequate blood circulation).
Venous TOS is also a rare disorder that affects men and women equally. The exact cause of this type of TOS is unknown. It often develops suddenly, frequently following unusual, prolonged limb exertion.
Traumatic TOS may be caused by traumatic or repetitive activities such as a motor vehicle accident or hyperextension injury (for example, after a person overextends an arm during exercise or while reaching for an object). Pain is the most common symptom of this TOS, and often occurs with tenderness. Paresthesias (an abnormal burning or prickling sensation generally felt in the hands, arms, legs, or feet), sensory loss, and weakness also occur. Certain body postures may exacerbate symptoms of the disorder.
Is there any treatment?
Treatment for individuals with TOS varies depending on the type. True neurologic TOS is generally effectively treated with surgery. Most other forms need only symptomatic treatment. Common or disputed TOS requires conservative treatment which may include drugs such as analgesics, and physical therapy to increase range of motion of the neck and shoulders, strengthen muscles, and induce better posture. Some cases of disputed TOS may require surgery (although, like the diagnosis, surgery is controversial). Heat, analgesics, and shoulder exercises have been used with limited success in individuals with traumatic TOS. Surgery may be needed in some cases. Vascular TOS often requires surgery.
What is the prognosis?
The prognosis for individuals with TOS varies according to the type. For the majority of individuals who receive treatment the prognosis for recovery is good.
2 comments:
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I don’t want people to feel sorry for me, that’s not why I am writing this post. My child six years ago, was born with Bi-lateral closed lip schizepcephaly, which is even more unique than the regular cases. Due to this disability, she also developed Cerebral Palsy affecting the left side of her body. We’ve learned the part of her brain which has been affected has also impaired her ability to reason. We’ve been lucky so far though it affects everyone differently and she had been on the very mild side of everything. Another thing we had to dealt with much are seizures. She was highly prone to having one or multiples and we’ve seemed to look out with some petite mals when she was younger and they occurred in her sleep more than any other time.
Luckily, everything seemed to be okay after she took an Herbal Medicine. I wish I could say that’s the end of it because she havn't had any symptoms since then.
Having a child with special needs is difficult. You sit living in fear of the reality your child may face, never really knowing what will happen until it does. Do not expose yourself to more danger, use a herbal remedy that is safe and effective. If interested contact him:
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