Legends of thoracic outlet syndrome

Excerpt

A 34-year-old lady was referred to our clinic with a suspect diagnosis of tendinitis after she had been seen by an orthopedic surgeon for her complaints of pain and swelling in the right wrist joint. A magnetic resonance imaging (MRI) had also been performed, which could have not depicted any tendinitis. She had been prescribed a nonsteroidal antiinflammatory drug and a static wrist splint, but after having completed a 2-week treatment, she applied to our clinic as she did not get any benefit out of it. She described the pain to exist for the last 1–2 years and especially after occasions where she used her right upper extremity. She added that a mild swelling would sometimes accompany. On detailed questioning, she also declared that she suffered from weakness and fatigue when she used her arms overhead or when she carried heavy objects. She admitted that she also experienced intermittent tingling sensations in the fingers. The rest of the medical history was unremarkable but a diagnosis of tachycardia with unknown origin. …