Is My Concern Justified? An Exploration of Possible Thoracic Outlet Syndrome Symptoms
Hello, I am a 23-year-old female, 5 feet 7 inches tall, and weighing 110 pounds. I've recently begun taking pregabalin in hopes that it will alleviate some of my symptoms. Additionally, I am on Vynase and Wellbutrin. While recording a video of myself, I experienced an unexpected and intense pinch that prompted me to withdraw my hand abruptly. In reflection, I noticed a small dot that caught my attention; I can’t help but wonder if this is simply a swollen lymph node, especially since I know I have several engorged ones in that vicinity. I suspect this might relate to my presumed diagnosis of thoracic outlet syndrome (TOS), which may be contributing to my lymphatic system not functioning at its best. I've dealt with various symptoms associated with TOS and have harbored worries about potential blood clots in my arm and armpit, particularly in my bicep and forearm areas. My hand frequently feels chilly and occasionally goes numb, which is quite discomforting. Once, I attempted to massage my pectoral minor muscle, which provided some temporary relief, but unfortunately, the discomfort seems to migrate to different parts of my body. I’ve also noted a throbbing sensation and prominent, bulging veins in my arm that understandably raise concerns for me. However, given that I have Ehlers-Danlos Syndrome (EDS), it's challenging to discern if my current condition is solely due to my weight or if it's related to my underlying issues. I perceive that certain areas of my tissue are lax, which leads me to describe the feeling as "bandy"—as if there’s a web being spun throughout my body making my muscles involuntarily spasm. Additionally, I experience significant scapular winging, which I feel is worth mentioning. If my worries seem excessive, I’m open to that possibility, but my concerns continue to linger!
Answers (1)
7/29/2025, 9:02:02 AM
OpenHealth AI
It sounds like you're dealing with a complex array of symptoms, and your concerns about thoracic outlet syndrome (TOS) and other related issues are valid. Let’s break down what might be happening and offer some clear steps to help manage your symptoms.
Main Points
- Your symptoms suggest potential thoracic outlet syndrome, which can be exacerbated by conditions like Ehlers-Danlos Syndrome (EDS).
- Some symptoms like numbness, coldness in your hand, and bulging veins need careful monitoring.
- It’s important to take actions that help alleviate your discomfort and monitor your symptoms effectively.
Explanation
Thoracic outlet syndrome occurs when the blood vessels or nerves just below your neck are compressed. This can cause symptoms such as numbness, tingling, coldness, or weakness in the arm. Given your EDS, which affects the elasticity of your connective tissues, you may be more prone to issues related to your joints and muscles. The swollen lymph nodes you've mentioned could be related, especially if your body is trying to manage inflammation or infection.
Your description of symptoms like chilly hands, scapular winging, and discomfort that migrates is significant. It’s understandable to feel anxious about these sensations, especially when combined with concerns about blood clots.
Next Steps
-
Monitor Symptoms: Keep a detailed diary of symptoms, especially noting when they occur, their intensity, and any activities that make them worse or better. Pay particular attention to any changes, such as new swelling, color changes, or increased pain in your arm.
-
Manage Discomfort:
- Continue gentle stretching and strengthen your shoulders and upper back. Specific exercises for your posture might help alleviate some pressure in the thoracic outlet.
- Utilize ice or heat packs to soothe any discomfort, particularly after activities that exacerbate your symptoms.
-
Lifestyle Adjustments:
- Ensure good posture when sitting or standing, as this can reduce pressure on your nerves.
- Avoid any positions or activities that provoke numbness or coldness in your hands, like prolonged overhead movements.
-
Communication: If you notice any worsening symptoms such as severe pain, considerable changes in coloration of your arm, or if you experience severe swelling, it may be necessary to consult a healthcare provider. With your underlying conditions, they can help assess your risk and provide tailored interventions.
-
Pursue Support: Engaging with a physical therapist familiar with EDS and TOS may be beneficial for developing a personalized exercise program. They can provide hands-on treatment and strategies that could help.
Remember that it’s important to validate your experiences and concerns; you’re seeking clarity and relief, and that is completely reasonable. If you require more guidance on managing this condition or wish to discuss specific exercises, feel free to reach out. Take care!
Related Questions
28-Year-Old Male Experiencing Scalp Sensations Post-Amitriptyline Treatment
I am a 28-year-old man in generally good health, without any cardiac concerns. Approximately a month ago, I encountered intense pain localized to one side of my head, which was unresponsive to paracetamol. However, a single dose of a migraine treatment provided substantial relief. Following that, I began a regimen of amitriptyline, starting at a nightly dose of 10 to 25 mg. While my head pain has diminished significantly—by about 90 to 95%—I now experience occasional uncomfortable sensations on my scalp. These feelings include pins and needles, a cooling sensation, and some crawling feelings near my hairline and ears. There are fleeting moments where I feel brief throbs lasting a second, but I do not have any persistent headaches. To clarify, I do not experience any of the following: - Nausea - Weakness in my limbs - Numbness - Changes in my vision - Coordination difficulties - Seizures The symptoms I have are transient, shifting around and often intensifying when I become conscious of them or as the day progresses. I would like to know: Is it common to experience these sensations during the recovery stage following episodes of neuralgia or migraine-like discomfort? Additionally, could the amitriptyline potentially be causing these temporary paresthetic sensations? I am seeking some reassurance or advice on what is typically observed during this healing process. Thank you.
Concerns About My Toes
Age: 30, Female Currently, I am on the lookout for a reputable podiatrist in my vicinity. However, I've encountered a perplexing issue with my foot. Just last night, I noticed a growth on the side of my toe, something entirely new to me. I maintain a nutritious diet and have a demanding job that requires me to be on my feet quite often. My footwear includes brands such as Brooks Ghost Runners, Hoka Bondi 9’s, and Nike Motiva’s, and I don’t opt for restrictive socks. I also apply Vick’s Vaporub to my feet, a practice handed down from my family, and stick with simple, non-fragrant lotions like Vanicream and CeraVe SA Cream for my skin. In addition, I am curious about the my big toenail's change in color. What might be the underlying reasons for this? Also, I have these persistent dark spots on my toes that I've struggled with since my days on the runway. Despite my efforts, nothing has succeeded in lightening or diminishing their appearance. I'm just looking to determine if there might have been a factor from the past that could have contributed to these issues. I’m not sure what else to include, but I’m open to answering any questions you might have. Thank you for your attention! Best wishes from a worried soul!
Strange Jelly-Like Substance Observed from Wound
I’m a 21-year-old female living with an auto-inflammatory condition known as hidradenitis suppurativa (HS). Recently, I've experienced a concerning issue with one of my wounds. This particular wound causes significant pain and excessive bleeding. However, whenever I attend to it, I tend to find this unusual jelly-like substance present within it. Interestingly, this phenomenon has only occurred with this one wound and not any of the others I have. The bleeding seems to persist until I manage to remove this jelly substance, after which it typically slows down and comes to a halt completely. I’m seeking insights into what this might signify so that I can effectively discuss it with my healthcare provider.
Battling Chronic Nausea and Vomiting for Over Two Years
For the past two years, I (age 26, female) have been enduring an incredibly challenging health situation. I experience intense nausea daily and find myself vomiting numerous times, with almost nothing providing relief. To provide some background, I’m from West Texas and I currently weigh around 190 pounds, standing at 5’7”. Initially, my weight was about 211 pounds when these symptoms began, and it fluctuates frequently between 190 and 225 pounds. I engage in vaping and consume THC. Previously diagnosed with hypothyroidism, my condition seemingly resolved, according to my healthcare providers. Additionally, I have polycystic ovarian syndrome (PCOS). I have consistently faced irregular bowel movements, with stools that are loose and sometimes appear to have mucus. Compounding my struggles, I've also suffered from migraines. I have had an IUD for over five years, experiencing two insertions of the Kyleena device. In December 2022, my battle with health took a severe turn when I was diagnosed with stage 4 Hodgkin’s Lymphoma, requiring chemotherapy treatment, specifically AVBD (Apologies for not recalling the exact medication names). By July 2023, I had fortunately achieved remission. However, after reaching remission, my vomiting worsened, transforming from primarily white foam to a mixture of 80% bile, any food I attempt to consume, and still white foam. This intense vomiting, accompanied by significant pain in my upper back, escalated to more than eight episodes daily by November 2023. At that time, THC seemed to be the only avenue for me to retain any food. During this tumultuous period, I consulted various doctors who, after confirming I wasn’t pregnant, attributed my symptoms to Cannabinoid Hyperemesis Syndrome (CHS). Immediately, I ceased THC consumption for over six months, yet the vomiting continued unabated. Each time, doctors would prescribe ondansetron, regardless of my claims that it provided no relief. I experimented with various diets recommended by medical professionals, but there were no improvements in my condition. Eventually, I obtained a referral to a gastroenterologist who intended to perform an endoscopy. However, the procedure was prohibitively expensive even with insurance, and thus was never conducted. This doctor also ordered blood tests to rule out several gastrointestinal disorders, such as Crohn's disease, Irritable Bowel Syndrome (IBS), and gluten sensitivity, but all results came back normal. Afterward, I had another appointment with a different gastroenterologist, but the doctor failed to meet with me. Instead, a nurse informed me that the doctor had merely recommended promethazine without conducting any tests or scheduling further visits. When I mentioned the possibility of gallbladder issues, the doctor laughed dismissively at my suggestion. Discussing my situation with my oncologist, he suggested that my heightened sensitivity to food odors stemmed from my chemotherapy experiences while I was working in fast food. While food smells indeed affect me, I'm primarily triggered by medical scents such as rubbing alcohol and cleaning agents. This ongoing ordeal has been overwhelmingly distressing. I now experience episodes of vomiting accompanied by bright red blood, presumably due to a throat tear. When I first encountered this troubling symptom, I consulted a doctor who appeared unfazed and prescribed a promethazine suppository, which does help but makes me extremely drowsy. My nausea persists nearly around the clock, often feeling as if there’s a heaviness in the upper part of my abdomen. I frequent urgent care facilities when my symptoms intensify, only to be met with minimal assistance since this is a chronic issue. Currently, I lack a primary care physician. Whenever I sought one, I encountered skepticism regarding my condition, with some healthcare professionals implying that I was exaggerating my symptoms. Though many physicians who do take my situation seriously seem baffled, I've lost count of the diverse medical experts I've consulted about these ongoing issues. If anyone has insight or suggestions, I would genuinely appreciate it. I can share my latest bloodwork results if that would be helpful—just let me know!
Strange Stomach Sensation Leading to Waking Up
Greetings. I'm a 36-year-old male, standing at 172 centimeters and weighing 90 kilograms. I don't take any medications, nor do I smoke. I've been living with diastasis recti for several years now, and I may also have irritable bowel syndrome (IBS). Additionally, I deal with fatty liver and kidney stones, though I assume these last two conditions are not related to my current concern. Occasionally, I experience a peculiar sensation that jolts me awake; it feels like a quick pulsing in my stomach. I’ve noticed it tends to affect the left side when I’m lying on my left side and the right side when on my right. Remarkably, it can occur even when I’m on my back. This strange feeling often escalates into a surge that fully rouses me. Alongside this, I sometimes feel prickling sensations throughout my body and fleeting lightheadedness. When this sensation disturbs my sleep while I’m turned to my side, shifting onto my back or the opposite side might alleviate it, but not always. In instances where I awaken while lying on my back, I discovered that gently pressing my hands on either side of my stomach can help, as can rising to a sitting or standing position. However, during my last two episodes—one a couple of weeks ago and another tonight—those techniques weren’t effective right away, which made me feel a bit anxious, prompting me to seek advice. Does anyone have insight into what might be going on? By the way, I’ve undergone routine ultrasound examinations of my abdomen by two different physicians during check-ups, both of whom assured me that everything appears normal, including my abdominal aorta and internal organs. They didn’t identify any issues at that time.