The cause of the compression varies and can include: Thoracic outlet syndrome is usually caused by compression of the nerves or blood vessels in the thoracic outlet, just under your collarbone (clavicle). See your doctor if you consistently experience any of the signs and symptoms of thoracic outlet syndrome. Lack of color (pallor) or bluish discoloration (cyanosis) in one or more of your fingers or your entire hand.Signs and symptoms of arterial thoracic outlet syndrome can include: Paleness or abnormal color in one or more fingers or your hand.Blood clot in veins in the upper area of your body.Discoloration of your hand (bluish color).Signs and symptoms of venous thoracic outlet syndrome can include: Pain or aches in your neck, shoulder, arm or hand.Numbness or tingling in your arm or fingers.When nerves are compressed, signs and symptoms of neurogenic thoracic outlet syndrome include: Thoracic outlet syndrome symptoms can vary depending on the type. It's possible to have a mix of the three different types of thoracic outlet syndrome, with multiple parts of the thoracic outlet being compressed. It occurs when one of the arteries under the collarbone is compressed, resulting in bulging of the artery, also known as an aneurysm. This type of thoracic outlet syndrome occurs when one or more of the veins under the collarbone (clavicle) are compressed, resulting in blood clots. The brachial plexus is a network of nerves that come from your spinal cord and control muscle movements and sensation in your shoulder, arm and hand. This most common type of thoracic outlet syndrome is characterized by compression of the brachial plexus. Neurogenic (neurologic) thoracic outlet syndrome.There are three general types of thoracic outlet syndrome: In some cases, however, your doctor may recommend surgery. Most people improve with these treatments. Treatment for thoracic outlet syndrome usually involves physical therapy and pain relief measures.
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