[nospam]

I stumbled upon this in my research. I didn't find any reference to this searching this forum so I figured I would share.

Updated Perspectives on Neurogenic Thoracic Outlet Syndrome
Paul J. Christo & Kai McGreevy (2010)

Abstract
Pain represents a foremost feature of neurogenic
thoracic outlet syndrome (NTOS). Similar to other persistent
pain conditions, the physical discomfort associated
with NTOS can cause severe and often debilitating
symptoms. In fact, those suffering from the syndrome
report a quality of life impacted as significantly as those
with chronic heart failure. This evidence-based literature
review focuses on the classification, etiology, clinical
presentation, diagnostic measures, and surgical treatment
of NTOS, with a focus on nonoperative therapies such as
physical modalities, pharmacological therapies, and more
contemporary minimally invasive intramuscular treatments
with botulinum toxin.