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.

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