Perioperative Pain Management for Thoracic Outlet Syndrome Surgery

Thomas, Chelsea; Segna, Kara

doi:10.1007/978-3-030-55073-8_44

Cited by 1 publication

(1 citation statement)

References 18 publications

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“…The therapeutic approach in the treatment of TOS should be multidisciplinary and comprehensive [16]. Conservative treatment strategies should ideally combine physical (diathermy, laser, TENS, and ultrasound) and medicinal approaches (starting with non-steroidal anti-inflammatory drugs and/or opioids, and progressing to miorelaxants, anticonvulsants, anticoagulants, pregbalin, and eventually botulinum toxin injections), with emphasis on daily application of kinesitherapy (postural and ergonomic education) [51][52][53].…”

Section: Discussionmentioning

confidence: 99%

Sleep Problems and Disabilities of the Arm, Shoulder, and Hand in Persons with Thoracic Outlet Syndrome—A Cross-Sectional Study

Milenovic

Klasnja

Škrbić

et al. 2022

IJERPH

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Thoracic outlet syndrome (TOS) arises as a result of a specific relationship among the anatomical structures that may cause compression in the muscles, nerves, and/or blood vessels in the neck, thereby compromising the local circulation. The aim of the current study was to establish the presence of sleep disturbance and disability in the shoulder, arm, and hand in individuals affected by TOS, as well as to ascertain if there are any differences in these findings relative to TOS-free individuals. The study sample comprised 82 TOS patients and 81 TOS-free individuals aged 19–66 years. Data were gathered by administering the Disabilities of the Arm, Shoulder, and Hand (DASH) and Pittsburgh Sleep Quality Index (PSQI) instruments. The results showed that both the DASH (t = −13.21, p < 0.001) and PSQI (t = −7.27, p < 0.001) scores obtained by the TOS group were higher relative to the controls and were strongly and positively correlated (ρ = 0.58, p < 0.01). As positive DASH scores may be indicative of TOS, they signal the need for further diagnostic evaluations. In individuals in whom TOS is already diagnosed, high DASH scores imply that further sleep quality assessments are required, as compromised sleep patterns may undermine quality of life.

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