This test involves the patient positioning their arms upward at 90 degree angles and opening and closing their hands slowly over a three-minute period. One physical examination maneuver often used to identify NTOS is the elevated arm stress test (EAST). These symptoms can often be confused with angina, carpal tunnel syndrome, cervical spine disease and others – and NTOS diagnosis often involves a long process of ruling out these conditions first. This irritation can cause pain, tingling, numbness, weakness and other debilitating symptoms in the neck, chest, arms and hands. The most common type of TOS, neurogenic thoracic outlet syndrome (NTOS), occurs when anatomical abnormalities in the bony and soft tissues of the lower neck compress and irritate the brachial plexus nerves in the area. TOS occurs when there is compression, injury or irritation of the nerves and/or blood vessels in the thoracic outlet located behind the collar bone. Thoracic outlet syndrome (TOS) is a group of conditions that often evade diagnosis. In cases where many different conditions share symptoms, accurate diagnosis is key to help patients find relief and effective treatment. Pain, numbness, tingling, swelling, weakness and impaired circulation can be signs of a number of different conditions and health issues, but the root of the problem can be difficult to pin down.
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