Chest parade syndrome occurs when nerves or blood vessels between the collarbone and first rib are compressed, such as shoulder pain or tingling in your arms and hands.
This syndrome is usually more common in women, especially those who have had a car accident or repeated chest injuries, but it can also develop in pregnant women, decreasing or disappearing after delivery.
- Chest outlet syndrome can be cured with surgery; However.
- There are other treatments that help control symptoms.
- Such as physical therapy and strategies to decrease on-site compression.
Symptoms of this syndrome may include
When presenting these symptoms, it is important to consult an orthopedist or physiotherapist to make the correct diagnosis with the symptom provocative tests, the diagnosis is made by observing the symptoms, not being mandatory for the tests, but the simple x-ray and 2 positions of the cervical spine, chest and trunk, can be useful to control the shrinkage of the area.
Symptom provocation tests may include:
Other tests your doctor may prescribe include CT scans, magnetic resonance imaging, myelography, magnetic resonance imaging, and Doppler ultrasound, which can be monitored when other conditions are suspected.
Treatment should be guided by an orthopedist and usually begins with taking anti-inflammatory drugs, such as ibuprofen and diclofenac, or pain relievers, such as acetaminophen, to relieve symptoms in times of crisis, and physiotherapy is recommended to strengthen muscles and improve posture., thus preventing the onset of these symptoms.
Using hot and resting compresses can be helpful in relieving discomfort, but also, if you are overweight, you should lose weight, avoid lifting your arms above the shoulder line, carrying heavy objects and bags over your shoulders.Manual techniques that the physical therapist and stretching exercises can also be performed.
Exercise helps decompress nerves and blood vessels near the neck, improving blood circulation and relieving symptoms, it is recommended to consult with a physical therapist before performing the exercises, adapting them to each case.
Exercise 1
Tilt your neck to one side as much as possible and stay in this position for 30 seconds, then do the same exercise for the other side and repeat 3 times.
Exercise 2
Stand up, pull out your chest and then pull your elbows as far away as possible, stay in this position for 30 seconds and repeat the exercise 3 times.
In more severe cases, where symptoms do not go away with medication or physical therapy, your doctor may recommend vascular surgery to decompress the affected vessels and nerves. In surgery, you can cut the ladder muscle, remove the cervical rib, remove structures that can compress the nerve or blood vessel and are responsible for symptoms.