Thoracic Outlet Syndrome and Work Injuries
Thoracic outlet syndrome is pressure on the nerves or blood vessels that pass between the collarbone and the first rib. It can follow repetitive overhead work or an injury such as a fall or a crash. Spine Doctors Chicago examines these symptoms, provides conservative care and refers for testing when needed.
Common symptoms
- Numbness or tingling in the arm and fingers
- Aching in the neck, shoulder or arm
- A weaker grip
- An arm that tires quickly when held overhead
Symptoms that need prompt medical attention
Swelling of the arm, a change in the color of the hand, or a hand that turns cold can point to a blood vessel problem. Those symptoms need prompt medical attention.
Work that can contribute
- Repeated overhead reaching or lifting
- Long hours in one posture, such as at a workstation or behind the wheel
- Carrying heavy loads on the shoulders
- A fall, a crash or another injury to the neck and shoulder area
Why it takes a careful examination
These symptoms overlap with neck disc problems and with nerve pressure at the elbow or wrist. The provider examines the neck, shoulder and arm, uses positions that reproduce the symptoms, and refers for imaging or nerve testing when the findings call for it.
Treatment
Conservative care focuses on posture, mobility of the neck, ribs and shoulder, strengthening, and changes to the work setup. When symptoms do not improve, the provider refers you to a specialist.
Billing for a work injury
When treatment is for a work injury, Illinois law directs the provider to bill the employer directly, and for a covered injury the worker is not billed for the difference between the charge and what the employer or its insurer paid. In general, Illinois also lets an injured worker choose their own doctor.
Related: Workers' Compensation Chiropractic
Frequently Asked Questions
Is thoracic outlet syndrome hard to diagnose?+
It can be, because the symptoms overlap with other neck and arm conditions. That is why the examination covers the neck, shoulder and arm together.
Do I need surgery?+
Many people start with conservative care. A specialist decides whether surgery is appropriate, by referral.
Will I get a note for work?+
Yes. The provider writes a work status note at each visit describing any restrictions.
Arm numbness or a weak grip from work? Call Spine Doctors Chicago to schedule an evaluation.
(773) 690-0677This page is general health information, not a diagnosis or medical advice for your situation. Workers' compensation details are general information, not legal advice.