How To Treat And Prevent Thoracic Outlet Syndrome

Thoracic Outlet Decompression

Thoracic outlet decompression is a surgical procedure that may be considered for patients who have not improved with conservative treatment. The operation is performed with general anesthesia, and it can be completed with several surgical techniques. In the transaxillary technique, surgeons remove part of the first rib through an incision in the chest without disturbing the surrounding vessels or nerves.

Some surgeons will choose to use a supraclavicular method for the procedure. This involves making an incision just underneath the neck to expose the brachial plexus. The surgeon examines this area for trauma, and they might opt to remove muscles contributing to the compression. If needed, removing the first rib entirely can provide an additional reduction in compression. For cases in which extensive repair is required, an infraclavicular method may be used to repair compressed veins. This method requires a long incision underneath the collarbone and across the chest.

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Take Frequent Breaks

To prevent and treat thoracic outlet syndrome, it is essential for patients to take frequent breaks. Repetitive movements of the upper body that are required for certain jobs and sports are one of the major causes of this syndrome; thus, taking frequent breaks to rest from these repetitive motions may help prevent the development of the syndrome, and breaks can reduce pain for individuals who already have the condition. Ideally, patients should take a break at least once every twenty to thirty minutes. During the break, the muscles of the upper body should be completely relaxed, and patients may wish to try some gentle stretches to reduce stiffness. It can be helpful to change positions several times during a break, and patients might want to consider using cushions or other soft items to rest their arms, shoulders, and neck while on a break. Recording the amount and duration of breaks in a symptom diary can be beneficial. If patients determine they are taking sufficient breaks but still experience pain, a clinician should be consulted.

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