Marcel Jacobs PT – Midtown Manhattan Physical Therapy in NYC

Thoracic Outlet Syndrome

Thoracic outlet syndrome occurs when the blood vessels or nerves in the space between your collar bone and your first rib are compressed. This can cause shoulder pain, neck pain, and numbness in your fingers. There are many possible causes of thoracic outlet syndrome including: poor posture, physical trauma from a collision, repetitive injuries from activities related to work or sport, certain structural defects, and pregnancy.

The Most Common Signs & Symptoms of Thoracic Outlet Syndrome

Neurologic: this type of thoracic outlet syndrome is characterized by compression of the brachial plexus. The brachial plexus is a network of nerves that come from your spinal cord and control muscle movements and sensation in your shoulder, arm and hand.

  • Numbness or tingling in your arm or fingers
  • Pain or aches in your neck, shoulder, arm or hand
  • Weakening grip

Venous: this type of thoracic outlet syndrome is characterized by compression of one or more of the veins under the collarbone (clavicle), resulting in blood clots.

  • Discoloration of your hand (bluish color)
  • Arm pain and swelling
  • Blood clot in veins in the upper area of your body
  • Arm fatigue with activity
  • Paleness or abnormal color in one or more fingers or your hand
  • Throbbing lump near your collarbone

Arterial: this is the least common type of thoracic outlet syndrome that occurs when one of the arteries under the collarbone is compressed, resulting in bulging of the artery, also known as an aneurysm.

  • Cold fingers, hands or arms
  • Hand and arm pain
  • Lack of color (pallor) or bluish discoloration (cyanosis) in one or more of your fingers or your entire hand
  • Weak or no pulse in the affected arm

(Source: Mayo Clinic)

What Are the Treatments for Thoracic Outlet Syndrome?

Marcel Jacobs PT provides a hands-on physical therapy approach which means you’re going to get fast access to immediate care in order to soothe and relax those tight and aching muscles, mobilize and loosen those restricted and painful joints, and strengthen your body so that you can go back to doing the things that you love. Your therapist will perform a thorough physical examination and evaluation in order to provide you with a deeper understanding of your impairments, compensations, and dysfunctions. You may find yourself having your concerns eased, questions answered, and physical pain reduced inside of 45 minutes with your physical therapist.

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