61. The Difficult-to-diagnose Thoracic Outlet Syndrome thoracic outlet syndrome (TOS) may be more prevalent than you think. The Difficultto-Diagnose thoracic outlet syndrome. by Warren Hammer,MS,DC,DABCO http://www.chiroweb.com/archives/18/04/07.html

Dynamic Chiropractic February 7, 2000, Volume 18, Issue 04 Printer Friendly Version Email to a Friend Search ChiroWeb! Other MPAmedia Alternative Health Site Links Acupuncture AcupunctureToday.com Massage Therapy MassageToday.com The Difficult-to-Diagnose Thoracic Outlet Syndrome by Warren Hammer,MS,DC,DABCO Thoracic outlet syndrome (TOS) may be more prevalent than you think. It is a condition that requires a diagnosis made more by a history and physical examination than by radiological or electrodiagnostic tests. While cervical ribs and other anatomic variations may be more common in TOS, they are not necessarily a prerequisite for a diagnosis. Of the 282 patients who required surgery for TOS, two-thirds had had normal electromyography testing results. The problem with establishing a diagnosis is that since both nerves and blood vessels may be compressed, a patient may present with a variety of signs and symptoms. Originally, it was thought that vascular compression created most of the symptoms, but recent studies show that neural compression is responsible for most of the complaints. Forty-one percent of the 282 patients had a history of trauma preceding the onset of symptoms, with the shoulder girdle most affected, followed by the neck, arm and hand. Thirty-two percent of the patients blamed their symptoms on the workplace. Poor posture was a significant cause.

62. Posttraumatic Sympathicotonia And Raynaud's Of The Hands Secondary To Thoracic O Posttraumatic Sympathicotonia and Raynaud s of the Hands Secondary to thoracic outlet syndrome The Blue Hands Syndrome. There http://www.chiroweb.com/archives/10/14/06.html

Dynamic Chiropractic July 3, 1992, Volume 10, Issue 14 Printer Friendly Version Email to a Friend Search ChiroWeb! Other MPAmedia Alternative Health Site Links Acupuncture AcupunctureToday.com Massage Therapy MassageToday.com Posttraumatic Sympathicotonia and Raynaud's of the Hands Secondary to Thoracic Outlet Syndrome: The "Blue Hands" Syndrome There are times in clinical practice when a patient will complain of extreme coldness of the hands that appear blue and cyanotic with hyperhydrosis. This will often be seen posttraumatically when an injury has occurred to the cervical spine, but can be seen in patients with no apparent history of recent trauma. The presentation of vasomotor disturbance with sudomotor instability should alert the clinician to the differential diagnosis of carpal tunnel syndrome, vascular disease, neuropathy, Raynaud's phenomenon, reflex sympathetic dystrophy syndrome (RSDS) and costoclavicular thoracic outlet syndrome. Costoclavicular compression at the thoracic outlet can occur to the neurovascular bundle from a cervical rub enlarged transverse process, fibrous bands, and myofascial dysfunction. The patient will exhibit both neurogenic and vascular symptoms. If the costoclavicular test is performed on the patient, it will worsen the patient's symptoms making the hand colder, bluer, and numb. Clinically this finding approximates that of Raynaud's phenomenon with the hands being blue and cold. Diagnostic testing for thoracic outlet syndrome typically has included that of EMG, NCV, and SEP studies which often do not document the pathology. Vascular testing including angiography is very invasive and only shows pathology in the more severe cases. Doppler plethysmography has been used and it too tends to show only the more severe cases. Thermography (IRT) has been shown by numerous investigators to be useful sensitive tool for thoracic outlet syndrome.

63. Thoracic Outlet Syndrome With Resection Of The First Rib And Scalene Muscles - M This medical exhibit features elements of classic thoracic outlet syndrome with resection surgery of the first rib and scalene muscles. http://catalog.nucleusinc.com/generateexhibit.php?ID=5&ExhibitKeywordsRaw=&TL=16

64. Thoracic Outlet Syndrome (TOS) thoracic outlet syndrome (TOS) What is thoracic outlet syndrome? thoracic outlet syndrome with Resection of the First Rib and Scalene Muscles. http://catalog.nucleusinc.com/displaymonograph.php?MID=149

65. Thoracic Outlet Syndrome With Acute Arterial Obstruction Due To Congenital Fusio teaching files,radiology,thoracic outlet syndrome with acute arterial obstruction due to congenital fusion of the first and second ribs,The patient was http://www.eurorad.org/case.cfm?uid=656

66. Thoracic Outlet Syndrome: Findings On MR Angiography - Eurorad - Clinical Case 1 teaching files,radiology,thoracic outlet syndrome findings on MR angiography,Pain, numbness and tingling of the left arm during hyperabduction of the arm http://www.eurorad.org/case.cfm?uid=1866

67. The American Pain Foundation Print View. thoracic outlet syndrome. Index PROGNOSIS The prognosis for the majority of individuals who receive therapy for thoracic outlet syndrome is good. http://www.painfoundation.org/page.asp?file=documents/doc_047.htm&menu=1

68. CCHS Clinical Digital Library thoracic outlet syndrome Clinical Resources. Wheeless Textbook of Orthopaedics Table of contents thoracic outlet syndrome Access document. http://cchs-dl.slis.ua.edu/clinical/cardiology/cardiovascular/pvd/arterial/thora

Clinical Resources by Topic: Cardiovascular Disorders Thoracic Outlet Syndrome Clinical Resources Emergency Radiology Clinical Guidelines News ... Miscellaneous Resources See also: Cardiovascular Clinical Procedure Resources General Cardiovascular Disorders Clinical Resources Thoracic Outlet Syndrome Patient/Family Resources Harrison's Principles of Internal Medicine 15th Ed.-2001: Table of contents Health Sciences Library subscription INFO Chapter 248: Vascular Diseases of the Extremities Table of contents Arterial Disorders: Access document Thoracic Outlet Compression Syndrome: Access document Treatment: Access document DeLee: DeLee and Drez's Orthopaedic Sports Medicine 2nd Ed.-2003 (MD Consult): Table of contents Health Sciences Library subscription INFO Chapter 21 - Shoulder: Access document Section O Thoracic Outlet Syndrome: Access document History: Access document Anatomy: Access document Symptoms: Access document Physical Examination: Access document Provocative Signs: Access document Diagnostic Studies: Access document Nonsurgical Treatment: Access document Surgical Treatment: Access document Criteria for Return to Sports Participation: Access document Authors' Preferred Method of Treatment: Access document References: Access document Goetz: Textbook of Clinical Neurology 2nd Ed.-2003 (MD Consult):

69. CCHS Clinical Digital Library thoracic outlet syndrome Patient/Family Resources. MEDLINEplus Medical Encyclopedia Table of contents thoracic outlet syndrome English Spanish. http://cchs-dl.slis.ua.edu/patientinfo/cardiology/cardiovascular/pvd/arterial/th

Patient/Family Resources by Topic: Cardiovascular Thoracic Outlet Syndrome Patient/Family Resources Spanish Miscellaneous See also: General Cardiovascular Patient/Family Resources Thoracic Outlet Syndrome Clinical Resources MD Consult: Homepage Health Sciences Library subscription INFO Patient Handouts Table of content Thoracic Outlet Syndrome: Access document National Institute of Neurological Disorders and Stroke: Homepage Disorders Information: List of documents Thoracic Outlet Syndrome: Access document MEDLINE plus Medical Encyclopedia: Table of contents Thoracic Outlet Syndrome: English Spanish Merck Manual - Second Home Edition Table of contents Section 6. Brain, Spinal Cord, and Nerve Disorders: Table of contents Chapter Chapter 95. Peripheral Nerve Disorders: Table of contents Introduction: Access document Thoracic Outlet Syndromes: Access document Section 3. Heart and Blood Vessel Disorders: Table of contents Chapter 34. Peripheral Arterial Disease: Table of contents Introduction: Access document Occlusive Peripheral Arterial Disease: Access document Spanish MEDLINE plus Medical Encyclopedia: Table of contents Thoracic Outlet Syndrome: English Spanish Miscellaneous Thoracic Outlet Syndrome Patient/Family Resources National Library of Medicine MEDLINE plus Health Topics: Index Thoracic Outlet Syndrome: List of documents YAHOO - Health:Diseases and Conditions:Thoracic Outlet Syndrome Additional Thoracic Outlet Syndrome resources ( These sites have not been reviewed.

70. The EDS Message Board: Eds And Thoracic Outlet Syndrome sites. eds and thoracic outlet syndrome Posted by sounds like the problems might be thoracic outlet syndrome. (Google Thoracic Outlet http://members4.boardhost.com/ehlers-danlos/msg/6258.html

The EDS Message Board Post a Response The EDS Message Board Remember - Do not place messages for products, advertising, or links to other sites. eds and thoracic outlet syndrome Posted by Sandra on March 28, 2004, 14:42:27 , in reply to " Re: EDS 111 BACK PAIN sounds like the problems might be thoracic outlet syndrome. (Google Thoracic Outlet Syndrome-TOS) When moving your arms or raising them, the blood flow is pinched between the collar bone and first rib. I have it. I have done a venogram where they inject dye then move the arm. You can acually see the blood flow stop at this location. With blood flow cut off your arms ache and become numb, plus the carotid artery gets blood flow cut off too so you have a lot of dizziness, loss of concentration and feel like you are gonna pass out. Do research on this and see if it soundslike you. eds patients often have this. let me know what you learn sandra Responses: Re: eds and thoracic outlet syndrome LINDA HART March 30, 2004, 8:59:37 Re: eds and thoracic outlet syndrome, to linda hart Sandra April 12, 2004, 2:39:36

71. The EDS Message Board: Re: Eds And Thoracic Outlet Syndrome, To Linda Hart Remember Do not place messages for products, advertising, or links to other sites. Re eds and thoracic outlet syndrome, to linda hart http://members4.boardhost.com/ehlers-danlos/msg/6372.html

The EDS Message Board Post a Response The EDS Message Board Remember - Do not place messages for products, advertising, or links to other sites. Re: eds and thoracic outlet syndrome, to linda hart Posted by Sandra on April 12, 2004, 2:39:36 , in reply to " Re: eds and thoracic outlet syndrome VBI could be related to the thoracic outlet syndrome, depends on where the subclavian artery/vein is being pinched. How do I travel? I dont wear the brace anymore. However, sometimes I wear a 3 inch thick elactic back wrapped around the top of my hips to hold my pelvis in a more normal position since I am swayback. While traveling in a car, I MUST stop at least every hour to stretch and walk around for at least 15-30 minutes. Any time I start feeling dizzy I will also stop. I also take pillow and neck supports, anything that might help. On long trips I sometimes lie on my side elevated in the back sit. Also, I find talking helps...anything that keeps the brain and body active. Dont know why but anytime I start resting/relaxing my joints seem to also take a rest and my symptoms become worse. Thoracic outlet syndrome makes it necessary to keep good posture and my shoulders straight in order to keep proper blood flow to head.

72. Thoracic Outlet Syndrome & Homeopathy Homeopathy thoracic outlet syndrome. (User entered condition) Alternative Names TOS Homeopathic remedies symptoms. thoracic outlet syndrome. For http://www.abchomeopathy.com/c.php/147

Homeopathy Relevent forum posts: can hemeopathy help craniosynostosis (3 replies) halitosis (2 replies) Testosterone (1 replies) Retinopathy General+Central Serous Choroid Retinopathy+Pigmentosa+Macular Degenration (1 replies) Conditions - T TOS Tennis Elbow ... Twisted Bowel Homeopathy - Thoracic Outlet Syndrome (User entered condition) Alternative Names: TOS Homeopathic remedies are prescribed by symptoms rather than conditions, as each case of a particular illness can manifest differently in different people. However, to make it quicker to find the symptoms related to Thoracic Outlet Syndrome, the symptoms experienced by a previous vistor to our homeopathic remedy finder have been grouped, by them, under the name of Thoracic Outlet Syndrome. There may be symptoms not related to Thoracic Outlet Syndrome, and this may not be an exhaustive list of symptoms. Thoracic Outlet Syndrome For suggestions of homeopathic remedies for Thoracic Outlet Syndrome, tick the boxes below and press the Find Remedies button at the bottom of the screen. On the next screen, you should enter any other symptoms in the search box.

73. Thoracic Outlet Syndrome thoracic outlet syndrome. Findings 3D TOF MRA of the aortic arch great vessels shows abrupt termination of flow signal in the bilateral http://www.med.uc.edu/neurorad/webpage/dya.html

Thoracic Outlet Syndrome Findings: 3D TOF MRA of the aortic arch great vessels shows abrupt termination of flow signal in the bilateral subclavian arteries with arm abduction. Discussion: Thoracic outlet syndrome is caused by rib anomalies or musculofibrous bands between the clavicle, cervical spine, and first rib. Alternatively, this may be an acquired condition due to malunited clavicle fracture or body habitus (thin or muscular). An anomalous anterior scalene muscle is the most common cause. Any condition which narrows the costoclavicular space may cause the symptom complex. These patients experience ischemic symptoms in the arms with abduction, associated with loss of the radial pulse and possibly a subclavian bruit. Complications include poststenotic aneurysm, subclavian artery thrombosis, mural thrombus with distal embolization, or venous thrombosis. Surgery can be curative. BACK TO UNKNOWNS BACK TO CATEGORIES HOME

74. Thoracic Outlet Syndrome - Medical Dictionary Definitions Of Popular Medical Ter MedicineNet Home MedTerms medical dictionary AZ List thoracic outlet syndrome. Advanced Search. thoracic outlet syndrome Index. http://www.medterms.com/script/main/art.asp?articlekey=5760

75. Orthopaedic Surgery - Thoracic Outlet Syndrome thoracic outlet syndrome. A syndrome is a a diagnosis. That s certainly the case with thoracic outlet syndrome, or TOS. TOS gets http://orthopaedics.hss.edu/services/conditions/shoulder/thoracic_outlet_syndrom

Choose One HSS.edu Anesthesiology Radiology Rheumatology Rehabilitation Sign up for Patient or Physician E-newsletter June 2, 2004 Advanced Search Home Interactive Condition Guide Shoulder Conditions > Thoracic outlet syndrome SHOULDER CONDITIONS ACL Reconstruction Arthritis of the Elbow Arthritis of the Knee Biceps tendinitis Broken arm Broken Collarbone Bursitis of the hip Colles fracture Deep Vein Thrombosis Dislocated Elbow Dislocated Shoulder Elbow Bursitis Elbow Fractures in Children Forearm Fractures in Children Fracture of the shoulder blade (scapula) Frozen Shoulder Glucosamine and Chondroitin Sulfate Goosefoot (Pes Anserine) bursitis of the knee Hip Dislocation Hip Implants Hip Strains Knee Implants Knee ligament injuries Kneecap (prepatellar) bursitis Meniscal tear Olecranon (Elbow) Fractures Osgood-Schlatter disease (knee pain) Osteoarthritis of the Hip Osteonecrosis of the hip Osteonecrosis of the Knee Posterior Cruciate Ligament (PCL) Tear Radial Head Fractures Rotator Cuff Tears Rupture of the biceps tendon Separated Shoulder Shoulder Impingement (Bursitis, Tendinitis)

76. Thoracic Outlet Syndrome Discussion thoracic outlet syndrome Discussion. thoracic outlet syndrome refers to a variety of problems which may occur along the paths that http://www.eatonhand.com/dis/dis155.htm

Thoracic outlet syndrome Discussion Thoracic outlet syndrome refers to a variety of problems which may occur along the paths that are taken by major blood vessels and nerves as they cross from the chest cavity to the upper arm. Diagnosis and treatment are controversial, as there may be difficulty establishing the diagnosis and prognosis with objective testing. Intervention is usually not indicated unless there are objective abnormalities such as abnormal venogram or clear electrodiagnostic evidence of localized neuropathy. In the absence of objective evidence, this diagnosis should be managed by a limited postural therapy program. Discussion Home Page e-Hand Home Page

77. Surgical Decompression Of Thoracic Outlet Compression Syndrome ORIGINAL ARTICLES. Longterm results of surgical decompression of thoracic outlet compression syndrome. Surgical decompression for thoracic outlet syndrome. http://www.rcsed.ac.uk/journal/vol46_1/4610006.htm

ORIGINAL ARTICLES Long-term results of surgical decompression of thoracic outlet compression syndrome C.A. MAXWELL-ARMSTRONG,* B.S.W. NOORPURI,* S. ABDUL HAQUE,* D.M. BAKER# and A.J. LAMERTON* *Department of Surgery, Lincoln County Hospital, Greetwells Rd, Lincoln, U.K. and #Department of Vascular Surgery, Royal Free Hospital, Pond Street, London, U.K. Introduction Patients and methods Results Discussion ... References Keywords: Cervical rib, thoracic outlet compression syndrome J.R.Coll.Surg.Edinb., 46, February 2001, 35-38 INTRODUCTION Thoracic outlet compression syndrome (TOCS) is characterised by symptoms relating to compression of the neurovascular bundle by anatomical abnormalities such as cervical rib, fibrous bands, and variations in scalene musculature. Symptoms may be neurological and vasomotor, with diagnosis made after exclusion of conditions that present with similar clinical features. No one test is specific for TOCS. The treatment is surgical decompression, with relief of symptoms in between 52% and 99% of patients. A number of operations have been described to treat TOCS, including division of scalenus anterior alone (scalenectomy),9 first rib resection by transaxillary, transthoracic or posterior approaches

78. Trans-axillary First Rib Excision For Thoracic Outlet Syndrome http://www.rcsed.ac.uk/journal/vol44_6/4460020.htm

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79. CTD: Thoracic Outlet Syndrome thoracic outlet syndrome. Back to Home. Feedback? mmg@sechrest.com. Anatomy. thoracic outlet syndrome (TOS) is a condition affecting the shoulder, arm, and hand. http://www.healthpages.org/AHP/LIBRARY/HLTHTOP/CTD/tos.htm

Thoracic Outlet Syndrome Feedback? mmg@sechrest.com Anatomy Thoracic Outlet Syndrome (TOS) is a condition affecting the shoulder, arm, and hand. Nerves and blood vessels supplying the arm and hand start at the side of the neck. Exiting from the side of the spine, they travel between two muscles (the scalenes), over the top of the rib cage (thorax), under the collar bone (clavicle), through the arm pit (axilla) and down the arm to the hand. The area where the nerves and vessels leave the neck between the two scalene muscles and over the first rib is know as the Thoracic Outlet Causes There are probably several causes of TOS. The common underlying cause of the syndrome is compression of the nerves and arteries of the arm in the Thoracic Outlet . Some people have an extra first rib or an old fracture of the clavicle, which limits the space for the vessels. A violent injury , such as a car wreck while wearing a shoulder harness, may also tear the scalene muscles. In the healing phases of this type injury, scar tissue may form in the healing muscle, leading to compression of the nerves and vessels. Compression can also occur with repetitive activities that require the arms to be held overhead or extended forward. The more likely cause is slouching forward and

80. HealthCentral - General Encyclopedia - Thoracic Outlet Syndrome General Health Encyclopedia, thoracic outlet syndrome. http://www.healthcentral.com/mhc/top/001434.cfm

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