21. Thoracic Outlet Syndrome - Doctor's List of Surgery Comprehensive Thoracic Outlet Clinic University of Michigan(734) 9366398 “Bernadette Wilson”/Clinic Coordinator. http://www.tellmeabouttos.com/doclist.htm

* Doctors recommended by TOSers, not endorsed by tellmeabouttos.com AK AL AR AZ ... Greece Alabama Add a Doctor or Physical Therapist Alaska Add a Doctor or Physical Therapist Arizona Add a Doctor or Physical Therapist Paul Stallone, NMD Clinic: Arizona Integrative Medical Center Address: 5011 N. Granite Reef Rd. City: Scottsdale, AZ 85250 Phone: (602)326-2530 E-mail: dr.stallone@cox.net Arkansas Add a Doctor or Physical Therapist California Dr. Wladislaw Ellis 2445 Carleton Berkeley, CA 94704 (510) 849-4995 (FAX) Dr. Samuel Ahn Dr. Hugh Gelabert Dr. Julie Freischlag UCLA Gonda Vascular Center 200 UCLA Medical Plaza Suite 510-6 Los Angeles, CA 90095-6908 FAX: 310-206-3885 Website: www.surgery.medsch.ucla.edu/asp/doctors.asp Dr. Ernestina Saxton / Neurologist Neurological Services - UCLA 300 UCLA Medical Plaza Ste. B200 Los Angeles, CA 90095-6975 Dr. Aaron G. Filler / Neurosurgeon Century City Medical Plaza 2080 Century Park East Suite 1208 Century City, CA Website: nervemed.com/ Dr. Richard M. Braun 770 Washington Street, Suite 301 San Diego CA 92103 -works closely with physical therapists in the same building: The Hand Center 770 Washington Street, Suite 207

22. Thoracic Outlet Syndrome thoracic outlet syndrome. thoracic outlet syndrome (TOS) is a diagnosissteeped in controversy. The term is used to describe symptoms http://www.columbiasurgery.org/divisions/cardiothoracic/dd_tos.html

Shortcuts Directions Events Find the Right Doctor Physician Directory Risk Assessments Search Second Opinion Send for Info Site Map Thoracic Outlet Syndrome Thoracic outlet syndrome (TOS) is a diagnosis steeped in controversy. The term is used to describe symptoms which arise from compression of either the subclavian artery (arterial TOS), the subclavian vein (venous TOS), or brachial plexus (neurogenic TOS). The first two are well-recognized entities, however they account for less than 5% of patients with TOS. By far, the majority of patients with this diagnosis have neurogenic TOS. The diagnosis itself is controversial. Many believe that neurogenic TOS does not exist because there are no universally-accepted objective tests available to diagnose it. Those who do believe the diagnosis exists argue that there is a large collective experience from many countries with patients who exhibit symptoms characteristic of neurogenic TOS and who improve after surgery directed at decompression of the lower brachial plexus. Chronic Obstructive Lung Disease (COPD) Introduction Incidence Treatment ... What is Hyperhidrosis?

23. Classes For Thoracic Outlet Syndrome Treatment And Prevention thoracic outlet syndrome Theory. Welcome to BodymindResources.com's presentationof the thoracic outlet syndrome class! What is thoracic outlet syndrome? http://www.bodymindresources.com/carpalthoracic/thoracictheory.htm

BodymindResources.com Thoracic Outlet Syndrome Theory Click on the scientist to go to the Thoracic Outlet Lab Welcome to BodymindResources.com's presentation of the Thoracic Outlet Syndrome class! Today we will be discussing Thoracic Outlet Syndrome, how it happens and how to treat it. What is Thoracic Outlet Syndrome? Thoracic Outlet Syndrome is a pinching or pulling of the brachial plexus (a bundle of nerves in the shoulder/neck area). It can also entail a pinching off of an artery that runs underneath the clavicle (subclavian artery). This causes numbness, tingling, or pain in the hands that is often mistaken for Carpal Tunnel Syndrome. The impairment of the brachial plexus or subclavian artery can come about in many different ways. It can happen due to injury, vascular disease, lesions, and many other little things that can go wrong. The most common cause and the one we are concerned with today, however, is a mechanical cause of nerve pinching muscular tension and connective tissue adhesion caused by improper body mechanics and dysfunctional repetitive movements of the arms and rib cage. What is the Brachial Plexus?

24. Chronic Pain Classes, Carpal Tunnel, Thoracic Outlet, Non Surgical Face Lifts, Y free yoga stretching classes for non surgical face lifts, facials, salon, connective tissue face lifts, Category Health Beauty Facial Exercise...... Connective Tissue FaceLifts. chronic pain carpal tunnel syndrome thoracicoutlet syndrome 1 Free Class! thoracic outlet syndrome. Free Class! http://www.bodymindresources.com/

Click Here if you suffer from Arthritis or Joint Pain BodymindResources.com Last Updated Today! Full Free Course! The Heart Journals Email Me Liam Keever PO Box 1172 Eastsound, WA 98245 Welcome to BodymindResources.com!!! Please bookmark this page in your web browser as you will find cause to refer to it many times in the week. My name is Liam and I have started this site to keep you out of pain. Click Here to read about this site. If you scroll down, below you will find the many free classes that are offered on this site. The Heal Thyself Series A full free series of nine classes designed to train you in the systematic release of every part of your body. This series will teach you techniques to heal your chronic pain and develop a new healthier relationship with gravity. Click on the lightening to enter. Or Click Here Other Free Classes on BodymindResources.com Free Class! Connective Tissue Face-Lifts Free Class! Carpal Tunnel Syndrome Free Class!

25. Thoracic Outlet Syndrome thoracic outlet syndrome. thoracic outlet syndrome (TOS) is a set of symptomsdue to compression and/or irritation of these vessels and nerves. http://www.thebodyworker.com/thoracicoutletsyndrome.htm

www.thebodyworker.com Explorations in the Theory and Practice of Massage/Bodywork Free Newsletter! Topics to include: Marketing Business Ethics! New! Find out more about Careers in Massage Find a Practitioner Thoracic Outlet Syndrome Definition: The thoracic outlet is the area of the shoulder/neck where the nerves (brachial plexus) and blood vessels (subclavian vessels) pass from the cervical area toward the axilla. Thoracic outlet syndrome (TOS) is a set of symptoms due to compression and/or irritation of these vessels and nerves. There is much controversy among physicians and diagnosing this syndrome is very difficult. It is often confused with carpal tunnel syndrome, brachial plexus syndrome, rotator cuff syndrome and bursitis. Causes: Disc protrusion, herniation or degeneration causing nerve impingement Brachial plexus entrapment or subclavian artery compression in the interscalene triangle (usually between anterior and medial scalene) Impingement at the cervico-axillary canal or the costo-clavicular space (1st rib) -could be from carrying a heavy shoulder bag or bad posture Fibrositis of the cervical and shoulder area (pectoralis major and minor, the posterior cervical triangle)

26. Thoracic Outlet Syndrome-Detailed Description Search the 6,000 pages of Spinalinjury101 for thoracic outlet syndrome Factor Fiction? Christopher J. Centeno, MD. thoracic outlet syndrome. http://www.whiplash101.com/thoracic_outlet_syndrome.htm

Thoracic Outlet Syndrome: Fact or Fiction? Christopher J. Centeno, M.D. Thoracic Outlet Syndrome. The diagnosis inspires fear in the hearts of insurance adjusters and confusion for most medical providers. Thoracic outlet, or TOS as it’s sometimes known, seems to have gotten this reputation because of its sometimes dubious surgical roots. The surgeries were expensive, carried significant risk for patients, and rarely seemed to help. However, TOS has another side, one with no less controversy, but some basis in science and without the baggage of it’s surgical past. The diagnosis of TOS first shows up in the medical literature in the 1960’s. The syndrome gets its name from a constellation of symptoms that all originate from compression of an area where the shoulder meets the rib cage, dubbed the “Thoracic Outlet”. This area is in the front of the neck, between the shoulder and the chest, under the collarbone and above the ribs. If you think of this area as a house, the floor would be the upper rib cage, the walls would be the scalene muscles, and the roof would be the collarbone or clavicle. Since major nerves and vascular structures pass through this space on their way to the upper extremity, any compression can cause weakness, numbness, and vascular changes in the upper extremity.

27. Thoracic Outlet Syndrome Or TOS Search the 6,000 pages of Spinalinjury101 for TOS or thoracic outlet syndrome(Cervicobrachial Syndrome, Myogenic TOS, myofascial TOS, Scalenius Anticus). http://www.whiplash101.com/tos.htm

TOS or Thoracic Outlet Syndrome (Cervicobrachial Syndrome, Myogenic TOS, myofascial TOS, Scalenius Anticus) The thoracic outlet is an area in the shoulder where the nerves and vessels travel. Since these nerves go into the hand, when irritated, they can cause numbness and tingling as well as swelling and weakness. Notice that the scalene muscles go from the neck to the ribs. These muscles are commonly tight after a whiplash injury due to the loss of curvature in the neck . Tight scalenes tend to close in the walls of the thoracic outlet and compress the nerves. When these muscles are tight, the first rib (and 2nd/3rd) are pulled up, further closing down this space and making it even tighter for the nerves. Finally, a forward shoulder can also cause this area to get tight. Treatment is restoring the normal curve in the neck , promoting good posture through thoracic extension manual stretching of the scalenes , and mobilization or manipulation of the first, second, and third ribs . Treatment may also include aggressive manual stretching of the chest wall and nerves. Testing is almost always false negative. Most doctors will try to get an EMG/NCS, but this is usually normal and misses the diagnosis. Finally, while surgery is an option in the most severe cases (less than 1%), it's not considered in the vast majority of patients with this problem. Show me one of the tests for Thoracic Outlet Syndrome...

28. Brachial Neuritis thoracic outlet syndrome, Book, Home Page. http://www.fpnotebook.com/ORT17.htm

Home About Links Index ... Editor's Choice Paid Advertisement (click above). Please see the privacy statement Orthopedics Brachial Neurology Brachial Neuritis Assorted Pages Brachial Plexus Injury Thoracic Outlet Syndrome Cervical Rib Syndrome Costoclavicular Syndrome ... Costoclavicular Maneuver Brachial Neuritis Shoulder-girdle Syndrome of Parsonage Acute Brachial Radiculitis Brachial Plexus Neuropathy Shoulder-girdle Syndrome of Turner Neuralgic Amyotrophy Book Home Page Cardiovascular Medicine Dental Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Orthopedics Index Ankle Brachial Cervical Spine Dermatology Elbow Examination Foot Forearm Fracture Hand Hematology and Oncology Hip Infectious Disease Knee General Pulmonology L-Spine Neurology Pediatrics Prevention Procedure Radiology Rheumatology Shoulder Sports Medicine Symptom Evaluation T-Spine Wrist Page Brachial Index Neuro Neuritis Plexus Injury Thoracic Outlet Thoracic Outlet Cervical Rib Thoracic Outlet Costoclavicular Thoracic Outlet Hyperabduction Thoracic Outlet Scalenus Etiology Postulated to be Viral or Allergic Reaction Symptoms Acute severe Shoulder Pain or arm and neck pain Worse at night Pain of short duration Shoulder weakness follows pain within 1 to 30 days Signs

29. Thoracic Outlet Syndrome MedHist. AHIS. SEARCH BROWSE ABOUT WHAT'S NEW SUBMIT SITE TRAINING SITE MAP,thoracic outlet syndrome up. Related topics thoracic outlet syndrome, http://omni.ac.uk/browse/mesh/detail/C0039984L0039984.html

Thoracic Outlet Syndrome [up] Related topics: broader Vascular Diseases other Arteriovenous Malformations Brachial Plexus Carpal Tunnel Syndrome Cerebrovascular Disorders ... Thoracic Outlet Syndrome Last modified 28/Mar/2003 [Low Graphics]

30. Thoracic Outlet Syndrome This informational link on thoracic outlet syndrome is provided by Robert G.Schwartz and Piedmont Physical Medicine of Greenville, South Carolina. http://www.wehelpwhathurts.homestead.com/thoracicoutletsyndrome.html

Links: Piedmont Physcial Medicine and Rehabititation Pain Cure: Diagnostic Testing We Help What Hurts Thermographic Images Thoracic Outlet Syndrome Links: Piedmont Physcial Medicine and Rehabititation Pain Cure: Diagnostic Testing We Help What Hurts Thermographic Images Thoracic Outlet Syndrome Definition: Symptoms and signs of thoracic outlet syndrome are due to the compression or irritation of the neurovascular bundle at the various levels of the cervico-auxillary and thoraco-brachial passages. Depending on the exact site of injury and the injury component of the neurovascular bundle, three distinct syndromes or a combination thereof may be encountered (neurological, arterial and venous). Causes: (1) Anomalous muscle insertion or origin, (2) muscle spasm secondary to cervical spine abnormality (3) cervical ribs (normally there are only thoracic ribs), (4) congenital fibrous bands, (5) tumor, (6) vascular abnormality such as a subclavian artery aneurysm. While all 6 causes are written about, in clinical practice the most frequent causes of thoracic outlet syndrome are the first two. Symptoms: Numbness and tingling of the entire upper extremity or hand.

31. Thoracic Outlet Syndrome thoracic outlet syndrome consists of symptoms caused by compression of the nervesin the brachial plexus (nerves that pass into the arms from the neck) or http://healthlink.mcw.edu/article/921990452.html

Search Articles: search tips Please Take the HealthLink Survey Email this article Print this article Find related articles: By topic: Neurology By keywords: Receive Health Link via email! Subscribe now >> Thoracic Outlet Syndrome Thoracic outlet syndrome consists of symptoms caused by compression of the nerves in the brachial plexus (nerves that pass into the arms from the neck) or blood vessels. Patients may have pain in the shoulder, arm, or hand, or in all three locations. The hand pain is often most severe in the fourth and fifth fingers. The pain is aggravated by the use of the arm, and "fatigue" of the arm is often prominent. The goals of treatment are two-fold: to correct postural abnormalities that might contribute to the compression, and to establish an exercise program to strengthen the shoulder muscles. Most often a conservative course of treatment is followed. If vascular or major neurological impairment is present, surgical decompression may be considered. However, only a small number of patients require surgery. The prognosis for the majority of individuals who receive therapy for thoracic outlet syndrome is good.

32. Thoracic Outlet Syndrome thoracic outlet syndrome. Definition. The pain of thoracic outlet syndrome issometimes confused with the pain of angina that indicates heart problems. http://www.healthatoz.com/healthatoz/Atoz/ency/thoracic_outlet_syndrome.html

Encyclopedia Index T Home Encyclopedia Encyclopedia Index T Thoracic outlet syndrome Definition Thoracic outlet syndromes are a group of disorders that cause pain and abnormal nerve sensations in the neck, shoulder, arm, and/or hand. Description The thoracic outlet is an area at the top of the rib cage, between the neck and the chest. Several anatomical structures pass through this area, including the esophagus, trachea, and nerves and blood vessels that lead to the arm and neck region. The area contains the first rib; collar bone (clavicle); the arteries beneath the collar bone (subclavian artery), which supply blood to the arms; a network of nerves leading to the arms (brachial plexus); and the top of the lungs. Pain and other symptoms occur when the nerves or blood vessels in this area are compressed. The likelihood of blood vessels or nerves in the thoracic outlet being compressed increases with increased size of body tissues in this area or with decreased size of the thoracic outlet. The pain of thoracic outlet syndrome is sometimes confused with the pain of angina that indicates heart problems. The two conditions can be distinguished from each other because the pain of thoracic outlet syndrome does not appear or increase when walking, while the pain of angina does. Also, the pain of thoracic outlet syndrome usually increases if the affected arm is raised, which does not happen in cases of angina.

33. Thoracic Outlet Syndrome - DynoMed.com Browse Categories, Return 5 Records. thoracic outlet syndrome, What is ThoracicOutlet Syndrome? Causes of thoracic outlet syndrome? http://www.dynomed.com/encyclopedia/encyclopedia/shoulder/Thoracic_Outlet_Syndro

Return Records Thoracic Outlet Syndrome Causes Symptoms Treatment What is Thoracic Outlet Syndrome? Thoracic outlet syndrome (TOS) results from a compression of the nerves that pass into the arms from the neck (brachial plexus).  The corridor through the area between the neck and the armpit (thoracic outlet) is narrowed causing the compression.  This compression causes pain in the shoulder, arm or hand or some combination of the three. This condition is difficult to diagnose and many times, the doctor will need to rule out other conditions before making a diagnosis.  Causes of Thoracic Outlet Syndrome? In many cases, no specific cause of TOS is found.  However, any other condition, which results in growth or movement of the tissues near the thoracic outlet, can cause the syndrome to form.  Examples of other conditions includes: Muscle enlargement Injuries to the area Extra rib from the neck at birth (cervical rib) Large callus from a healed clavicle fracture in an adult Tumors at the upper part of the lung Poor posture, especially in women with large breasts

34. Transaxillary Approach For Thoracic Outlet Syndrome Transaxillary Approach for thoracic outlet syndrome Thoracic outletsyndrome (TOS) is a diagnosis steeped in controversy. The term http://www.masc.cc/thoracic_outlet.htm

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35. Thoracic Outlet Syndrome Z . Back Home Next. thoracic outlet syndrome. Neurology Web Forums atMGH. NISMAT Physical thoracic outlet syndrome. thoracic outlet syndrome http://www.ability.org.uk/Thoracic_Outlet_Syndrome.html

"see the ability, not the disability" You to can help support the Ability Project by: Our Aims ... Z Thoracic Outlet Syndrome Neurology Web Forums at MGH NISMAT Physical Therapy Corner - Info on Causes, symptoms, diagnosis, and course of treatment. Thoracic Outlet Syndrome Thoracic Outlet Syndrome - diagnosis of this little known and often overlooked and possible missed disorder. Thoracic Outlet Syndrome - info symptoms and advice on TOS Webmaster . Site Design by Ability "see the ability, not the disability" Acknowledgments

36. Thoracic Outlet Syndrome thoracic outlet syndrome MR Neurography to Confirm Specific Type ofSyndrome. Proximal Entrapment Lower Trunk of the Brachial Plexus. http://www.neurography.com/Images/TOS/TOS1.htm

37. Neurography Images: Nerve Injury, Thoracic Outlet Syndrome, Piriformis Syndrome, Advanced imaging clarifies the cause and explains diagnosis for piriformis syndrome,failed spine surgery, thoracic outlet and pinched nerves. http://www.neurography.com/Images/Image1.htm

MR Neurography Images Brachial Plexus Imaging Thoracic Outlet Syndrome Lumbar Spine Imaging Piriformis Syndrome ... Nerve Tumors First Neurography Imaging Case - Sciatic Nerve Injury After laboratory development, MR Neurography was configured for use on a clinical GE Signa MRI scanner in November of 1992. The first patient image led to the discovery that the fascicle pattern inside the nerve could be seen in an image. This image also proves that the structure imaged is indeed a nerve. The image was published in the Lancet in 1993 and received extensive world wide attention. A) Cross section of the thigh. The arrow indicates the sciatic nerve. This patient had suffered a stab wound to the the thigh which had severed his sciatic nerve. B) Blow up view of the sciatic nerve revealing the internal fascicle structure. C) A three dimensional reconstruction of the nerve based on "maximum intensity projection" of the nerve. This image closely matches the shape of the sciatic nerve seen in the photograph (D). D) Intraoperative photograph taken during surgery. The photo shows the cut sciatic nerve. The arrow indicates the suture line where nerve grafts have been sown into place.

38. Thoracic Outlet Syndrome This informational link on thoracic outlet syndrome is provided by Robert G. Schwartz,MD and Piedmont Physical Medicine and Rehabilitation, PA of Greenville http://www.homestead.com/robertgschwartz/ThoracicOutlet.html

Thoracic Outlet Syndrome Definition: Symptoms and signs of thoracic outlet syndrome are due to the compression or irritation of the neurovascular bundle at the various levels of the cervico-auxillary and thoraco-brachial passages. Depending on the exact site of injury and the injury component of the neurovascular bundle, three distinct syndromes or a combination thereof may be encountered (neurological, arterial and venous). Causes: (1) Anomalous muscle insertion or origin, (2) muscle spasm secondary to cervical spine abnormality (3) cervical ribs (normally there are only thoracic ribs), (4) congenital fibrous bands, (5) tumor, (6) vascular abnormality such as a subclavian artery aneurysm. While all 6 causes are written about, in clinical practice the most frequent causes of thoracic outlet syndrome are the first two. Symptoms: Numbness and tingling of the entire upper extremity or hand. Paresthesias (tingling) of the arm and hand (more common in the little, ring, and middle fingers). Nocturnal (night time) symptoms of pain and paresthesias. Pain in the supraclavicular area (above the collar bone), shoulder, neck and occasionally headaches.

39. Massage Magazine: Thoracic Outlet Syndrome: Description, Assessment And Techniqu , Assessment and Techniques to Bring Reliefby Whitney Lowe Whitney Lowe's article thoracic outlet syndrome, Description......thoracic outlet syndrome http://www.massagemag.com/issue90/thoracic.htm

Thoracic Outlet Syndrome Description, Assessment and Techniques to Bring Relief by Whitney Lowe SpaMassage Alliance World of Massage Museum Site Menu Back Issues at a Glance ... Products Articles: Research News Self-care Reader Expressions ... Contact Us I Resources Spa Professional Featured Advertisers Advertise in Massage Magazine ... Contribute

40. THORACIC OUTLET SYNDROME (TOS) thoracic outlet syndrome (TOS). STEVEN D. FEINBERG, MD. American Boardof Pain Medicine. American Board of Electrodiagnostic Medicine. http://www.cwce.com/feinbergarticles/tos.htm

THORACIC OUTLET SYNDROME (TOS) STEVEN D. FEINBERG, M.D. American Board of Pain Medicine American Board of Electrodiagnostic Medicine Qualified Medical Evaluator 1101 Welch Road Suite C-8 Palo Alto, CA 94304 Tel 650-724-7500 Fax 650-724-7508 Email: ame@salu.net Web Site: www.salu.net/ame RACHEL M. FEINBERG Physical Therapy Student University of Southern California PETER I. EDGELOW, M.A., P.T. Physiotherapy Associates 3100 Diablo Avenue Hayward, CA Email: gdedg@concentric.net Tel 510-732-7881 Fax 510-732-0450 In this article on Thoracic Outlet Syndrome, we provide you with the traditional view of treatment but also include a different approach pioneered by physical therapist Mr. Peter I. Edgelow. I personally have been impressed with his treatment regimen but have found that patient’s with non-physiologic or psychosocial issues or those with a sense of entitlement or anger may do poorly with treatment, regardless of the approach, unless those perceptions and attitudes are changed. As always, please feel free to contact me directly with any questions or comments .sdf INTRODUCTION The diagnosis and treatment of thoracic outlet syndrome (TOS) has evolved over many years surrounded by controversy and disagreement. In fact, even the existence of this syndrome as a true clinical entity has been questioned. The weight of clinical and scientific evidence though does suggest that certain individuals have symptoms and signs compatible with the diagnosis of thoracic outlet syndrome. In the great majority of these patients, a successful outcome can be achieved with a careful diagnostic workup and a conservative rehabilitation approach. Surgery is occasionally indicated in specific cases or when the rehabilitative approach has failed.

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