Aug 1

Thoracic Outlet Syndrome (Part 1)

Thoracic Outlet Syndrome surprisingly, is one of the more common conditions diagnosed by Dr. Jeff J. Mollins. As the premier accident specialist in New York, with almost 30 years of experience, Dr. Mollins is well aware that Thoracic Outlet Syndrome can result from a traumatic accident/or repetitive motion. Thoracic Outlet Syndrome must be promptly and properly diagnosed so that the injured person can begin a comprehensive regimen of therapy to achieve wellness as expeditiously as possible. Thoracic Outlet Syndrome can range from mild to severe and the sooner it is treated, the sooner it can be resolved and prevent this condition from becoming dire.

Thoracic Outlet Syndrome is a group of disorders that occur when blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) are compressed. This can cause pain in your shoulders and neck and numbness in your fingers. Common causes of Thoracic Outlet Syndrome include physical trauma from an accident (work, automobile, slip and fall, construction accident etc), or repetitive injuries from a job (such as working on a computer), or sports related activities.


Thoracic Outlet Syndrome symptoms can vary, depending on which structures are compressed. When nerves are compressed, signs and symptoms of neurological Thoracic Outlet Syndrome include:

  • Muscles wasting in the fleshy base of your thumb
  • Numbness or tingling in your arm and fingers
  • Pain or aches in your neck, shoulder, or hand
  • Weakening grip

When vascular structures are compressed signs and symptoms include:

  • Discoloration of your hand (bluish color)
  • Arm pain and swelling, possibly due to blood clots
  • Blood clot in veins or arteries in the upper area of your body
  • Lack of color (pallor) in one or more of your fingers or your entire hand
  • Weak or no pulse in the affected arm
  • Cold fingers, hand or arms
  • Arm fatigue with activity
  • Numbness or tingling in your fingers
  • Weakness of arm or neck
  • Throbbing lump near your collarbone

If you consistently experience any of the signs and symptoms of Thoracic Outlet Syndrome – see Dr. Mollins immediately. Dr. Mollins, as always, will conduct a careful history and then perform a comprehensive physical examination to determine an accurate diagnosis. Diagnostic testing and/or radiologic testing may be necessary. If a diagnosis of Thoracic Outlet Syndrome is determined, then Dr. Mollins will recommend a proper therapeutic regimen.

Remember, if the cause of the Thoracic Outlet Syndrome is due to a work related accident whether traumatic (like a slip and fall) or due to repetitive motion (i.e. working on a computer), then it will be covered under workers compensation. Dr. Mollins (and all of his referred medical specialist) are certified to treat workers compensation patients, so you will be treated at no cost.