Category Archives: thoracic outlet syn

Neurogenic Thoracic Outlet Syndrome – Diagnosis Concensus

Though Thoracic Outlet Syndrome (TOS) with vascular findings can be more easily resolved by disappearance of pulse, neurogenic TOS remains more controversial. Now there has arrived a concensus of opinion on diagnositic criteria.

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Differential Diagnosis of Neurogenic Thoracic Outlet Syndrome (NTOS)

Tenderness is supraclavicular fossa, numbness patterns, tinel’s sign either supraclavicular, axillary or elbow cubital areas all point to NTOS. Triggers in trapezuis, rhomboids and levator scap are common in NTOS as well.

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Unilateral Interscapular Pains – Dorsal Scapular Nerve Entrapment – Forgotten and Now Rediscovered

    About 30 years ago, I attended a course given by Drs. Travell and Simon.  Dr. Simon was discussing interscapular pains and Dr. Travell mentioned – don’t forget the scalenes – something that Dr. Simon replied he was getting … Continue reading

Posted in Back Pain, myofascial pain, Neck, Thoracic, thoracic outlet syn | 6 Comments

Botulinum For Scalene Based Thoracic Outlet Syndrome (TOS)

After a car accident, TOS can pinch nerves in the neck and cause neck and arm pain with arm/hand numbness that nobody can seem to find a reason for. A simple injection into the anterior scalene muscle can prove the … Continue reading

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