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Warning-sign checks

Thoracic outlet syndrome: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services for sudden shortness of breath, chest pain, coughing up blood, fainting, or severe breathing difficulty.

    These symptoms can occur if a blood clot reaches the lungs.

    A cold, very painful, pale hand with sudden weakness or loss of movement is also an emergency because blood flow may be severely reduced.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek urgent same-day medical care for:

    • Sudden swelling, pain, tightness, or blue-purple colour in one arm
    • New prominent veins around the shoulder or chest
    • A hand that becomes unusually cold, pale, or blue
    • Rapidly worsening hand weakness or loss of feeling
  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a non-urgent medical assessment if you have recurring arm pain, tingling, numbness, heaviness, or weakness, especially when symptoms are linked to arm position or overhead movement.

    These symptoms have several possible causes, so an assessment can help identify the source.

Every sign above is quoted from the sofidex article on Thoracic outlet syndrome. If you are not sure, err upward — it is always reasonable to be checked.