Why choose Ohio State for thoracic outlet syndrome treatment? The surgeon must repair or replace your damaged artery and remove your abnormal rib in order to prevent damage from recurring. Arterial thoracic outlet syndrome – Surgery is the only treatment option for arterial thoracic outlet syndrome.If the vein has been badly damaged, your surgeon may need to repair it. Venous thoracic outlet syndrome – Your surgeon may need to remove the blood clot surgically from your vein.Thoracic outlet syndrome decompression surgery involves removing certain muscles from your neck or removing your first rib, and sometimes it’s necessary to remove both. Neurogenic thoracic outlet syndrome – If your condition interferes with daily living activities and does not improve with medication and therapy, your physician may recommend surgery.Arterial thoracic outlet syndrome – This type can’t be treated with medication.The goal is to dissolve clots and keep new clots from forming. Venous thoracic outlet syndrome – Your specialist may prescribe clot-dissolving medication (thrombolysis) or anticoagulants (blood thinners).Your specialist may also prescribe muscle relaxers, anti-inflammatory drugs and pain relievers in addition to the physical therapy. Neurogenic thoracic outlet syndrome – Your specialist may prescribe physical therapy, which includes stretching and neck-strengthening exercises.The type of thoracic outlet syndrome you have will determine your treatment options. Treatment of thoracic outlet syndrome varies greatly. In addition to an examination, your physician may order one of the following diagnostic tests: angiogram, CT scan, Doppler ultrasound, MRI, nerve conduction velocity test, venography or X-rays. After learning about the symptoms you’re experiencing, your physician will know which physical examination to perform. Our team uses different tests to diagnose the different types of thoracic outlet syndrome. Arterial thoracic outlet syndrome – Symptoms include pain, discoloration and coldness in the hand.Patients with this type of thoracic outlet syndrome often also have deep vein thrombosis in the arm. Venous thoracic outlet syndrome – Symptoms include swelling, dark discoloration of the arm and neck pain.Neurogenic thoracic outlet syndrome – Symptoms include pain, numbness and weakness in your arm or hand.The symptoms you may experience are determined by the type of thoracic outlet syndrome you have: The danger with arterial thoracic outlet syndrome is that it leads to blood clots that can block the circulation to your hand. Almost all arterial thoracic outlet syndrome cases occur as a secondary effect of being born with an extra rib (cervical rib) or an abnormal first rib. Arterial thoracic outlet syndrome is caused by a narrowing of the main artery to the arm.Venous thoracic outlet syndrome may be caused by repetitive or strenuous use of the arm and shoulder.Neurogenic thoracic outlet syndrome often has no specific cause but develops gradually over time.Each type of thoracic outlet syndrome has a different cause: Thoracic outlet syndrome can be caused by a variety of factors. Arterial thoracic outlet syndrome: Caused by disease in the artery to the arm (subclavian artery), this type is very rare and comprises only 1% of all thoracic outlet syndrome cases.
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