Thoracic Outlet Syndrome

Thoracic Outlet Syndrome Treatment


Thoracic Outlet Syndrome (TOS) is a condition caused by compression of the nerves, arteries, or veins in the thoracic outlet, the space between your collarbone and first rib. This can lead to pain in your shoulders and neck and numbness in your fingers. TOS is often associated with repetitive activities, trauma, or anatomical anomalies. Diagnosis involves a thorough physical examination, imaging tests, and nerve conduction studies. Treatment options vary from physical therapy and pain management to surgical intervention, tailored to alleviate compression and restore normal function.


Have you ever experienced pain or pins and needles in your arm/hand, one hand colder than the other, or dizziness? All those things might be related to thoracic outlet syndrome. This condition is caused when the large blood vessels and nerves to the arm and hand are compressed between the collarbone and first rib. 

These symptoms often resolve with rest and anti-inflammatory medication, but it is sometimes necessary to intervene surgically. 

Thoracic Outlet Syndrome Treatment in London
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FAQs About Thoracic Outlet Syndrome

This could be due to compression of the blood vessels and reduced blood flow. 

In most cases, thoracic outlet syndrome does not require surgery or lead to serious complications. However, left untreated, it can lead to nerve damage. Neurogenic thoracic outlet syndrome can gradually cause muscle deterioration at the base of the thumb.

Symptoms generally range from numbness, weakness or total dysfunction in the arms, to chest pain. However, migraines and dizziness have also been reported.

As we have to make a larger space around the blood vessels and nerves, we need to remove a bony structure and some muscles. Removing the collarbone would adversely affect arm movement, and so we remove the first rib. The procedure can be done through an incision below the armpit or below the collarbone and is usually well tolerated. Mr Scarci has performed many of these procedures and will advise you on the best technique in your specific circumstances. 

Experiencing symptoms of Thoracic Outlet Syndrome?

Consult with Mr Marco Scarci, London's leading thoracic surgeon for a comprehensive evaluation and tailored treatment plan. Book your appointment today for expert care and relief!