Thoracic outlet syndrome and Nucynta


Thoracic Outlet Syndrome Symptoms and Causes

Thoracic outlet syndrome (TOS) causes pain in the shoulder, arm, and neck. It happens when the nerves or blood vessels just below your neck are compressed, or squeezed. The compression can happen between the muscles of your neck and shoulder or between the first rib and collarbone. You may feel burning, tingling, and numbness along your arm, hand, and fingers. If a nerve is compressed, you may also feel weakness in your hand. If a vein is compressed, your hand might be sensitive to cold, or turn pale or bluish. Your arm might swell and tire easily.

TOS is more common in women. It usually starts between 20 and 50 years of age. Doctors do nerve and imaging studies to diagnose it.

There are many causes of TOS, including

  • Injury
  • Anatomical defects
  • Tumors that press on nerves
  • Poor posture that causes nerve compression
  • Pregnancy
  • Repetitive arm and shoulder movements and activity, such as from playing certain sports

Treatment depends on what caused your TOS. Medicines, physical therapy, and relaxation might help. Surgery may also be an option. Most people recover.

NIH: National Institute of Neurological Disorders and Stroke

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Recent Reviews

iBefore starting Nucynta I had some very bad sides effects of insomina. I had two occasions of getiing up from sleeping(more like tossing and turning all nite) for several days and being in a trance like state. Husband drove me the doctor he felt

My girlfriend took 6 pills one shot !!! What can that medicine do ?!!!!

Do Not Take This Medication. I am a physician who had surgery and prescribed for post op pain. Horrible Side Effects.Horrible Dizziness, Rash, Flushing, which lasted an extended period of time. I will not prescribe this medication to a patient and

Flushing of cheeks, neck area after taking 50mg for pain associated with breast reconstruction

I was prescribed 50 mg Nucynta for post-op knee surgery. I took one pill, and slept 6 hours. I awoke with awful itching, severe dizziness, and a swollen mouth. I did not realize it was from the pill. I took one more pill 8 hours after the first,

Nucynta seems to give me a period of anxiety and mild chest discomfort, not pain but discomfort that seems to be related in some way to the anxiety which lasts for about a half hour, I dont know what the idea was supposed to be behind this medication

I have sjogren's syndrome. Can i use arcalion or is it not good for me?

<span style='color: #808080;'>i was stricken with guillain barre syndrome at 17 years old. It all started when i woke up one morning and stood up then dropped to the floor. My leg muscles were cramping and hurt so bad to ev

<span style='color: #808080;'><b>Describe Your Guillain-Barre syndrome from INFLUENZA (SEASONAL) (FLUARIX) 2009 Experience Here: </b> <strong></strong><span style='color: #808080;'>To whom ever it may

I have been using Restasis for about1 1/2 months. At first I didn't really notice anything, but it seemed like Clear Eyes Max strength soothing eyedrops worked better. I have Sjogren's Syndrome. I was having floaters in the left

3 day after taking , eye becoming reddish, could this be side effect that could lead to Steven Johnson Syndrome ?

66 yearr old male living in Winnipeg, MB Cannada. Ialso have other medical problems besides this one. Like Epilepsy, Antidepressant,Migraines,Chloresterol,Klinefelter's Syndrome,High blood pressure, Shortness of breath, HIV, ITCHING.

About a year ago i was suscribed Primperan for my rumination syndrome to stop vomiting and feeling nausea. About one hour after i took my medicin my tounge started rolling and swelling, my teeth chattering and i got cramps in my face. I had to go wit

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Thoracic Outlet Syndrome Clinical Trials and Studies

Treatments might be new drugs or new combinations of drugs, new surgical procedures or devices, or new ways to use existing treatments. The goal of clinical trials is to determine if a new test or treatment works and is safe. Clinical trials can also look at other aspects of care, such as improving the quality of life for people with chronic illnesses. People participate in clinical trials for a variety of reasons. Healthy volunteers say they participate to help others and to contribute to moving science forward. Participants with an illness or disease also participate to help others, but also to possibly receive the newest treatment and to have the additional care and attention from the clinical trial staff.
Rank Status Study
1 Not yet recruiting A Study to Look at Tapentadol Tablets in Children and Adolescents in Pain
Condition: Pain
Interventions: Drug: Tapentadol prolonged release;   Drug: Morphine prolonged release
Outcome Measures: Proportion of participants classified as responders;   Constipation;   Tolerability
2 Not yet recruiting An Efficacy and Safety Study of Tapentadol in the Treatment of Post-operative Acute Pain Requiring Opiod Treatment in Pediatric Participants
Condition: Acute Pain
Interventions: Drug: Tapentadol 4 mg/mL;   Drug: Tapentadol 20 mg/mL;   Other: Placebo
Outcome Measures: For US: The total amount of supplemental opioid analgesic medication used within the first 12 hours after first intake of investigational medicinal product (IMP) [tapentadol oral solution or placebo] in participants aged from birth to less than 17 years;   For Europe: The total amount of supplemental opioid analgesic (pain killer) medication used within the first 24 hours after first intake of IMP in participants aged from 2 years to less than 18 years;   The total amount of supplemental opioid analgesic medication used within the first 12 hours after the first intake of IMP in participants from 2 years to less than 18 years;   The total amount of supplemental opioid analgesic medication used within the first 24 hours after the first intake of IMP in participants aged from birth to less than 17 years;   The total amount of supplemental opioid analgesic medication received during treatment with IMP over a maximum period of 48 hours after the first dose of IMP;   The total amount of non-opioid analgesics used (irrespective of the indication) during the treatment period (2 days) within the first 24 hours or within the first 12 hours after the first dose of IMP;   Palatability of IMP in participants aged 3 years to less than 18 years assessed using facial 5-point hedonic scale;   Acceptability of IMP in participants aged 3 years to less than 18 years assessed using facial 5-point hedonic scale;   Change from baseline in the Face, Leg, Activity, Cry, and Consolability (FLACC) total score in participants aged less than 3 years;   Change from baseline in the Faces Pain Scale-Revised (FPS-R) pain intensity score in participants aged 6 to less than 12 years;   Change from baseline in the Visual Analog Scale (VAS) pain intensity score in participants aged 12 to less than 18 years;   Clinical Global Impression of Change (CGIC);   Patient Global Impression of Change (PGIC);   Time to receive first and second patient or nurse controlled analgesia after the first dose of IMP;   Time from first dose of IMP until treatment discontinuation due to lack of efficacy
3 Recruiting Prospective Longitudinal Observational Study to Evaluate the Clinical Characteristics and Opioids Treatments in Patients With Breakthrough Cancer Pain
Conditions: Tumor;   Cancer Pain;   Breakthrough Cancer Pain;   Neuropathic Pain
Interventions: Drug: Morphine;   Drug: Fentanyl;   Drug: Methadone;   Drug: Buprenorphine;   Drug: Oxycodone;   Drug: Hydromorphone;   Drug: Tapentadol
Outcome Measures: Number and duration of episodes of BTcP;   Time to reach the peak of pain in the BTcP;   Maximum intensity of BTcP;   Intensity of pain;   Effect of the treatments