title: Updated perspectives on neurogenic thoracic outlet syndrome.
abstract: Pain represents a foremost feature of neurogenic thoracic outlet syndrome (NTOS). Similar to other persistent pain conditions, the physical discomfort associated with NTOS can cause severe and often debilitating symptoms. In fact, those suffering from the syndrome report a quality of life impacted as significantly as those with chronic heart failure. This evidence-based literature review focuses on the classification, etiology, clinical presentation, diagnostic measures, and surgical treatment of NTOS, with a focus on nonoperative therapies such as physical modalities, pharmacological therapies, and more contemporary minimally invasive intramuscular treatments with botulinum toxin.
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Division of Pain Medicine, Johns Hopkins University School of Medicine, 550 North Broadway, Baltimore, MD 21205, USA. pchristo@jhmi.edu
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Christo
authors.forename: Kai
authors.initials: K
authors.lastname: McGreevy
mesh_terms: D006801:Humans; D010146:Pain / Q000175:diagnosis / Q000601:surgery; D059408:Pain Management; D013901:Thoracic Outlet Syndrome / Q000175:diagnosis / Q000601:surgery / Q000628:therapy