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Thoracic Outlet Syndrome

Thoracic Outlet Syndrome (TOS) is a condition that occurs when nerves or blood vessels in the space between your collarbone and first rib (thoracic outlet) become compressed. This can result in pain, numbness, and weakness in the arms, shoulders, and neck. Dr. Miller specializes in diagnosing and treating Thoracic Outlet Syndrome, offering personalized care to help alleviate symptoms and improve your daily function.

What is Thoracic Outlet Syndrome?

Thoracic Outlet Syndrome refers to a group of disorders caused by the compression of nerves or blood vessels passing through the thoracic outlet. It can result in a range of symptoms depending on the structures affected, such as pain, tingling, or even circulation problems in the upper extremities.

What causes Thoracic Outlet Syndrome?

TOS can be triggered by various factors, including:

  • Repetitive motions: Common in athletes or jobs requiring overhead movements.

  • Injury: Trauma, such as a car accident or sports injury, can cause structural changes.

  • Posture issues: Poor posture can contribute to compression in the thoracic outlet.

  • Congenital conditions: Some people are born with an extra rib or other anatomical abnormalities that increase their risk.

What are the symptoms of Thoracic Outlet Syndrome?

The symptoms of TOS depend on whether nerves or blood vessels are compressed and may include:

  • Neck, shoulder, or arm pain

  • Tingling, numbness, or weakness in the arms or fingers

  • Coldness, discoloration, or swelling in the affected arm or hand

  • Headaches or a feeling of heaviness in the arms

How is Thoracic Outlet Syndrome diagnosed?

Dr. Miller conducts a thorough evaluation, which may include a detailed medical history, physical examination, and diagnostic tests such as X-rays, MRI, or nerve conduction studies, to pinpoint the cause and extent of the condition.

We Also Perform

  • Epidural Injection

  • Radiofrequency Rhizotomy

  • DISCSEEL

  • Laser Discectomy

  • Spinal Cord Stimulator Trial and Permanent

  • Stellate Ganglion Block

  • Cluneal Nerve Stimulator Trial and Permanent

  • SI Joint Injection​​

  • Medial Branch Block

  • Nerve Block

  • Sympathetic Nerve Block

  • Botox Injection

  • Biocellular Therapies

  • Platelet-Rich Plasma Injection​

  • IV Therapy and NAD+

  • ​Percutaneous Electrical Nerve Field Stimulation (PENFS)

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