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Thoracic Outlet Syndrome 

Thoracic Outlet Syndrome
Chapter:
Thoracic Outlet Syndrome
Author(s):

David Seiden

and Siobhan A. Corbett

DOI:
10.1093/med/9780199846085.003.0045
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date: 30 November 2020

A 39-year-old woman who is otherwise healthy has suffered for the past year with right-sided shoulder pain. She describes the pain as deep, aching, and persistent and rates it as 5 out of 10 in severity (10 being the worst). She notes that the pain is made worse with certain activities, particularly swimming, and persists even with rest, although it lessens in intensity. The pain is increased by downward traction, such as carrying heavy objects. Recently, after the patient took on additional work, the pain worsened. It now radiates down the medial side of the arm and forearm into the hand. Her pain increases toward the end of the day and at night. Sometimes the fingers on the ulnar side of the hand tingle and feel numb. The right arm seems weaker than the left.

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