Thoracic Outlet Syndrome Questions & Answers

Updated: Jan 10, 2019
  • Author: Daryl A Rosenbaum, MD; Chief Editor: Sherwin SW Ho, MD  more...
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Questions & Answers

Overview

What is thoracic outlet syndrome?

How is thoracic outlet syndrome diagnosed?

When is surgery indicated in the treatment of thoracic outlet syndrome?

What is the prevalence of thoracic outlet syndrome?

What anatomy of the thoracic outlet relevant to thoracic outlet syndrome?

What are the biomechanics of thoracic outlet syndrome?

Presentation

Which clinical history findings are characteristic of thoracic outlet syndrome?

What is included in the physical exam to evaluate thoracic outlet syndrome?

What causes thoracic outlet syndrome?

DDX

What are the differential diagnoses for Thoracic Outlet Syndrome?

Workup

How is thoracic outlet syndrome diagnosed?

What is the role of lab testing in the workup of thoracic outlet syndrome?

What is the role of radiography in the workup of thoracic outlet syndrome?

What is the role of CT scanning in the workup of thoracic outlet syndrome?

What is the role of MRA in the workup of thoracic outlet syndrome?

What is the role of venography and duplex scanning in the workup of thoracic outlet syndrome?

What is the role of EMG and NCS in the workup of thoracic outlet syndrome?

Treatment

How is acute thoracic outlet syndrome treated?

What is the role of physical therapy (PT) in the treatment of acute thoracic outlet syndrome?

What is the role of surgery in the treatment of acute thoracic outlet syndrome?

Which specialist consultations are beneficial to patients with thoracic outlet syndrome?

What is the role of botulinum toxin in the treatment of thoracic outlet syndrome?

What is the role of physical therapy (PT) in the recovery phase treatment of thoracic outlet syndrome?

What is the role of physical therapy (PT) in the maintenance phase treatment of thoracic outlet syndrome?

How is recurrence of thoracic outlet syndrome prevented?

Medications

What is the role of medications in the treatment of thoracic outlet syndrome?

Which medications in the drug class Fibrinolytic Agent are used in the treatment of Thoracic Outlet Syndrome?

Which medications in the drug class Analgesics are used in the treatment of Thoracic Outlet Syndrome?

Which medications in the drug class Anticoagulants are used in the treatment of Thoracic Outlet Syndrome?

Follow-up

When are patients cleared to return to play following treatment of thoracic outlet syndrome?

What are the possible complications of thoracic outlet syndrome?

How is thoracic outlet syndrome prevented?

What is the prognosis of thoracic outlet syndrome?

What is included in patient education about thoracic outlet syndrome?