Treatment of thoracic outlet syndrome focuses on relief of the symptoms caused by compression of the nerves and blood vessels. A person may need physical therapy as well as exercises to strengthen the muscles of the shoulder, neck, and upper arm. Practicing good posture and good work habits may also reduce symptoms. This includes learning the proper way to sit, type, and talk on the phone.
Over-the-counter anti-inflammatory medication or prescription pain medication may also be needed. Surgery may be needed to remove the first rib or restructure the muscles of the thoracic outlet.
Side effects will depend on the treatment used. Medications can cause stomach upset, rash, or an allergic reaction. Side effects to surgery include a risk of bleeding, infection, or allergic reaction to anesthesia.
A person may have to continue exercises as long as he or she has symptoms. If a person has surgery, then physical therapy may be needed to strengthen the muscles of the shoulder and arm. A person may be limited on range of motion, heavy lifting, and strenuous exercise while recovering from surgery.
A person can monitor symptoms based on the intensity of pain, weakness, and ability to move the arm and shoulder. Any new or worsening symptoms should be reported to the healthcare provider.