Cervical spondylosis or thoracic outlet syndrome: An enigma: Case report
Aparna Gupta, Mohit Gulati
Background: Thoracic outlet syndrome is a group of disorders that occurs when blood vessels or nerves in the space between clavicle and first rib are compressed. This causes pain in shoulders and neck and numbness in fingers. Purpose behind this case report is to bring it to the notice of therapists, the need to be wary of thoracic outlet syndrome which might get unnoticed since the symptoms of thoracic outlet syndrome & other cervical pathologies mostly appear similar. Thoracic outlet syndrome patients usually get the conventional treatment for cervical spondylosis and continue getting it for long without getting much relief from the symptoms. Thoracic outlet syndrome gets missed since number of cases of cervical pathology is far more as compared to thoracic outlet syndrome.
Methods: This case report comprises of two cases of thoracic outlet syndrome, seen at physiotherapy outpatient department, at Shree Guru Gobind Singh Tricentenary University Hospital, in the last six months. Both the patients received treatment for cervical spondylosis elsewhere, before being correctly diagnosed as a case of thoracic outlet syndrome at Shree Guru Gobind Singh Tricentenary University Hospital.
Results: After three weeks of treatment patient reported marked decrease in pain in neck and affected upper limb. Range of motion of affected shoulder also increased.
Conclusion: Knowledge and application of correct differential diagnosis is a must to get positive results well in time.