Neck Pain
Arterial TOS most often presents with symptoms of intermittent ischemia of the hand including pain, pallor, claudication, numbness, and coldness. Venous TOS is associated with arm swelling and cyanosis. Patients with neurogenic TOS experience neck pain, trapezius pain, supraclavicular pain, shoulder pain, arm pain, paresthesias, hand weakness, arm weakness, and/or shoulder weakness.
Typically, the patient presents with neck pain and stiffness, interscapular pain, upper limb pain and paresthesias, temporomandibular dysfunction, occipital headache, visual disturbances, psychological distress, and concentration difficulties. A history of car accident or sport related injury is common.