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Updated perspectives on neurogenic thoracic outlet syndrome.

Authors
  • Christo, Paul J1
  • McGreevy, Kai
  • 1 Department of Anesthesiology and Critical Care Medicine, Division of Pain Medicine, Johns Hopkins University School of Medicine, 550 North Broadway, Baltimore, MD 21205, USA. [email protected]
Type
Published Article
Journal
Current pain and headache reports
Publication Date
Feb 01, 2011
Volume
15
Issue
1
Pages
14–21
Identifiers
DOI: 10.1007/s11916-010-0163-1
PMID: 21104206
Source
Medline
License
Unknown

Abstract

Pain represents a foremost feature of neurogenic thoracic outlet syndrome (NTOS). Similar to other persistent pain conditions, the physical discomfort associated with NTOS can cause severe and often debilitating symptoms. In fact, those suffering from the syndrome report a quality of life impacted as significantly as those with chronic heart failure. This evidence-based literature review focuses on the classification, etiology, clinical presentation, diagnostic measures, and surgical treatment of NTOS, with a focus on nonoperative therapies such as physical modalities, pharmacological therapies, and more contemporary minimally invasive intramuscular treatments with botulinum toxin.

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