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Paget-Schroeder Syndrome (Thoracic-Outlet Syndrome)

Updated on January 24, 2015

Paget-Schroeder Syndrome (Thoracic Outlet Syndrome)

Thoracic outlet syndrome is a combination of pain in the neck and shoulder, numbness and tingling of the fingers, and a weak grip. The thoracic outlet is the area between the rib cage and collar bone.

Thoracic outlet syndrome is a rare condition caused by compression of blood vessels and nerves in the area of the clavicle (collar bone). This compression usually is caused by the presence of an extra cervical rib (above the first rib) or an abnormal tight fibrous band connecting the spinal vertebra to the rib.

Symptoms of thoracic outlet syndrome may include:

- Pain, numbness, and tingling in the last three fingers and inner forearm

- Pain and tingling in the neck and shoulders (carrying something heavy may make the pain worse)

- Weakness of the muscles in the hand

Information and photo courtesy of

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    • Infact profile image

      Infact 6 years ago

      I was diagnosed with Thoracic Outlet Syndrome. It was caused by repetitive movement. I am now in the process of looking into surgery. I was told that my rib probably will not have to be removed, but the nerve strings basically "untangled".

      Thanks for the info!

    • profile image

      flex-3 9 years ago

      The vast majority of patients with pain, numbness, weakness or tingling down the arm suffer from a combination of physical problems. Usually there is osteoarthritis of the cervical spine resulting in stenosis, that is, direct compression of nerve roots. Along with this, I usually see a postural deficiency - slumped shoulders, forward head carriage, kyphosis or

      humpback". If this postural problem exists for 6 months or more there is a permanent contracture of the anterior shoulder and chest musculature, tendons and joint tissue. In particular, the pectoralis minor muscle becomes shortened, reducing the space within the Thoracic Outlet. This problm can be easily corrected, usually within 10 to 14 days, resulting in a major reversal of symptoms. Once the pec minor and other contracted tissues are legthened and "unlocked" the nerve and vascular compression ceases. In our physical rehab center we designed a device that does just that. For information go to

      Dr. Carlucc