neurologic disorders
Thoracic Outlet Compression Syndromes (TOS)
Treatment of TOS
Physical therapy, analgesics, and tricyclic antidepressants In severe cases, surgery Most patients who have a thoracic outlet compression syndrome without objective neurologic deficits respond to physical therapy, nonsteroidal anti-inflammatory drugs, and low-dose tricyclic antidepressants. If cervical ribs or subclavian artery compression is identified, an experienced specialist should decide whether surgery is necessary. With few exceptions, surgery should be reserved for patients who have significant or progressive neurovascular deficits and do not respond to conservative treatment. 