Treatment varies depending on the type of TOS. Surgery may successfully treat true neurologic TOS, vascular TOS, and some cases of traumatic TOS. The other types of TOS vary considerably in their response to nonsurgical treatment.
Pain medication, starting with nonsteroidal anti-inflammatory medications (eg, ibuprofen ), is usually the mainstay of therapy. In addition, physical therapy is often prescribed to strengthen the muscles of the neck and shoulders and help improve their flexibility.
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