Thoracic Outlet Syndrome Pain Management Specialist in Tampa, FL
What is Thoracic Outlet Syndrome?
Thoracic outlet syndrome is a group of disorders that occur when blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) are compressed.
Interventions:
1. Scalene Injection (local anesthetic or botox)
2. Pectoralis Minor Injection (local anesthetic or botox)
3. T1 & T2 Paravertebral Nerve Blocks (for post operative pain control after surgery for TOS)
What are the two types?
Vascular (5%)
Neurogenic (95%)
What are the symptoms?
numbness, tingling, burning, and weakness (in the arm and hand)
pain in the neck, upper back, shoulder, or arm
possible temperature changes and swelling in the hand due to irritated blood vessels
symptoms may be worsened by working with arms out in front, lifting the arm over the head (such as brushing hair), and repetitive activities (such as typing or computer use)
Articles by Dr. Kalava on Thoracic Outlet Syndrome Pain Management
Kalava A, Pribish AM. T1 Paravertebral Catheter for Postoperative Pain Management After First Rib Resection for Venous Thoracic Outlet Syndrome: A Case Report A & A Practice January 15, 2018 https://www.ncbi.nlm.nih.gov/pubmed/29634572
Kalava A, Camporesi E, Illig KA, Robards CB. T1, T2 paraverterbal blocks provide opioid sparing in first rib resection for thoracic outlet syndrome. J Clin Anesth. 2017 Dec 4;45:4-5 PubMed PMID: 29216506 https://www.sciencedirect.com/science/article/pii/S0952818017310954
