Treatment of true neurogenic and arterial thoracic outlet syndromes is usually successful. Treatment of disputed thoracic outlet syndrome is often unsuccessful. This may relate to the uncertainty of the underlying cause of the pain.
Neurologic pain can occur on either sides of the forearm, upper back and upper chest, neck and ear. Pain is especially evident on the ring and small finger. Patients often experience nocturnal paresthesias, awakening with numbness or pain.
Neurologic symptoms occur in 95% of affected persons.
Reports concerning demographic information are controversial and range from three per 1,000 to 80 per 1,000 people.
Thoracic outlet syndrome is most common in women who are 35 to 55 years of age.
Tinel's test is used to assist in the diagnosis of carpal tunnel syndrome, not thoracic outlet syndrome. It is performed by tapping the median nerve along its course in the wrist. The test is positive when it causes tingling or pain in the thumb, index finger and middle finger.
Thoracic outlet syndrome is due to a compression of nerves or arteries at the brachial plexus, and carpal tunnel syndrome is due to nerve compression at the wrist.
Neurogenic TOS is thoracic outlet syndrome caused by a nerve disorder.
Neurologic TOS requires outpatient referral and conservative outpatient physiotherapy. Vascular thoracic outlet syndrome requires more urgent care that typically includes immediate heparinization, vascular surgery consultation, color flow.
It pertains to the thorax... But you can use it as a thoracic spine, thoracic surgery, thoracic cavity, thoracic outlet syndrome, thoracic spine pain, thoracic vertebrae, thoracic medicine, thoracic surgeons, thoracic strains, sprain thoracic, or thoracic spine disorder; it's pretty self explanatory.
Could be thoracic outlet syndrome.
CPT codes are for procedures. ICD-9 codes are applied to diagnoses. ICD-9 code for thoracic outlet compression syndrome arterial is 353.0. The ICD-10 cross-map to this code will be G54.0. Supercoder has detailed info on this.
Perhaps 64722 for decompression of the brachial plexus and 21615 for first rib resection.
TVP of C7, Anterior Scalene, Costoclavicular, and Pectoralis Minor.
The subclavian vein is involved in 40% of cases and the subclavian artery in 1% of cases.
The lower two nerves (C8 and T1) are most commonly affected in 90% of persons, following the ulnar nerve distribution.