KenasarePhysio

Walking stick usage.
The stick should be placed forward at the same time as the affected leg and then the unaffected leg follows. If using two sticks at the same time, a four-point gait may be used by bringing one stick forward, then the opposite leg, then the other stick, followed by the other opposite leg.

Thoracic outlet syndrome

Thoracic outlet syndrome (TOS) is a group of disorders that occur when blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) are compressed. This can cause shoulder and neck pain and numbness in your fingers.

Common causes of thoracic outlet syndrome include physical trauma from a car accident, repetitive injuries from job- or sports-related activities, certain anatomical defects (such as having an extra rib), and pregnancy. Sometimes doctors don't know the cause of thoracic outlet syndrome.

Symptoms
There are three general types of thoracic outlet syndrome:

Neurogenic (neurologic) thoracic outlet syndrome. This most common type of thoracic outlet syndrome is characterized by compression of the brachial plexus. The brachial plexus is a network of nerves that come from your spinal cord and control muscle movements and sensation in your shoulder, arm and hand.

Venous thoracic outlet syndrome. This type of thoracic outlet syndrome occurs when one or more of the veins under the collarbone (clavicle) are compressed, resulting in blood clots.

Arterial thoracic outlet syndrome. This is the least common type of TOS. It occurs when one of the arteries under the collarbone is compressed, resulting in bulging of the artery, also known as an aneurysm.
It's possible to have a mix of the three different types of thoracic outlet syndrome, with multiple parts of the thoracic outlet being compressed.

Thoracic outlet syndrome symptoms can vary depending on the type. When nerves are compressed,

signs and symptoms of neurogenic thoracic outlet syndrome include:

Numbness or tingling in your arm or fingers

Pain or aches in your neck, shoulder, arm or hand

Weakening grip

Signs and symptoms of venous thoracic outlet syndrome can include:

Discoloration of your hand (bluish color)

Arm pain and swelling

Blood clot in veins in the upper area of your body

Arm fatigue with activity

Paleness or abnormal color in one or more fingers or your hand

Throbbing lump near your collarbone

Signs and symptoms of arterial thoracic outlet syndrome can include:

Cold fingers, hands or arms

Hand and arm pain

Lack of color (pallor) or bluish discoloration (cyanosis) in one or more of your fingers or your entire hand

Weak or no pulse in the affected

Treatment for thoracic outlet syndrome usually involves physical therapy and pain relief measures. Most people improve with these treatments. In some cases, however, your doctor may recommend surgery.