![]() ![]() If nonsurgical treatment does not relieve your symptoms, your doctor may offer surgery. Modify everyday activities that aggravate your symptoms.Being overweight can stress the shoulder muscles that support your collarbone. If you are overweight, your doctor may recommend that you begin a weight loss program. Drugs like naproxen and ibuprofen can ease the pain and reduce swelling. Nonsteroidal anti-inflammatory drugs (NSAIDs). Postural exercises can help you stand and sit straighter, which lessens the pressure on the nerves and blood vessels.It commonly affects in one or both of the upper limbs (arms) and/or the hands, armpits, upper back, neck and pectoral area of. Exercises can help strengthen the muscles surrounding the shoulder so that they are better able to support the collarbone. Thoracic outlet syndrome (TOS) is a syndrome that can cause any combination of pain, weakness, numbness, tingling, sensation of coldness or, sometimes, a more general feeling of discomfort in portions of the upper body. ![]() Treatment for thoracic outlet syndrome usually does not include surgery. In some health care institutions, thoracic outlet syndrome is diagnosed and treated by a multidisciplinary team that includes an orthopaedic surgeon, a physical medicine and rehabilitation specialist (PM&R specialist, or physiatrist), physical therapists, a peripheral nerve surgeon, and/or a vascular surgeon. In some cases, your doctor will perform many tests to rule out other conditions with similar symptoms, such as pinched nerves in your neck or blood clots. Often, there is not a clear and obvious way to diagnose thoracic outlet syndrome. Your doctor may order special blood circulation tests and nerve conduction tests to help make the diagnosis. To better see and evaluate the bones, muscles, tendons, and blood vessels, your doctor may order imaging tests. Rosemont, IL, American Academy of Orthopaedic Surgeons, 2010. Reproduced from JF Sarwark, ed: Essentials of Musculoskeletal Care, ed 4.
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