Understanding Cervical Rib & Thoracic Outlet Syndrome

Cervical Rib and Thoracic Outlet Syndrome (TOS) are conditions caused by compression of blood vessels or nerves between the collarbone and the first rib. This compression leads to pain, numbness, tingling, and weakness in the arms or shoulders.
A cervical rib is an extra rib that sometimes develops above the first rib and can contribute to thoracic outlet compression.

At Prime Vascular Care, Dr. Vishal Sheth, a leading vascular and endovascular surgeon in Ahmedabad, provides expert diagnosis and treatment to relieve symptoms, restore normal circulation, and prevent complications.

Common Symptoms

  • Pain, heaviness, or numbness in the neck, shoulder, or arm

  • Tingling or weakness in fingers

  • Swelling or discoloration in the arm or hand

  • Coldness or pale skin due to poor circulation

  • Pain that worsens when lifting or using the arm

  • Visible veins or swelling around the collarbone

Causes and Risk Factors

  • Presence of a cervical rib (extra rib above the first rib)

  • Poor posture or repetitive shoulder movements

  • Previous neck or shoulder injury

  • Anatomical abnormalities or muscle tightness

  • Heavy lifting or sports involving arm overuse

Diagnosis at Prime Vascular Care

  • Dr. Vishal Sheth conducts a thorough physical examination and uses advanced imaging to pinpoint the exact cause of compression.
    Diagnostic tools include:

    • Doppler Ultrasound to assess blood flow

    • CT or MRI Angiography for detailed vascular imaging

    • Nerve conduction studies (if neurological symptoms are present

Treatment Options

  • The treatment plan is tailored according to the type and severity of TOS. Dr. Vishal Sheth focuses on relieving compression, restoring circulation, and reducing pain through both conservative and advanced vascular techniques.

    1. Conservative Management

    • Physiotherapy to improve posture and shoulder alignment

    • Medications for pain and inflammation

    • Lifestyle modifications to reduce repetitive strain

    2. Minimally Invasive / Surgical Treatments

    • Endovascular procedures to manage venous or arterial compression

    • Surgical decompression (in select cases) to remove cervical rib or release tight structures

    • Thrombectomy or venous reconstruction in severe vascular compression cases

Schedule your Cervical Rib & Thoracic Outlet Syndrome with Dr. Vishal Sheth and ensure reliable access that lasts.

Contact us now

Why Prime Vascular Care?

At Prime Vascular Care, we combine expert leadership, advanced technology, and a patient-first approach to deliver comprehensive vascular solutions under one roof. Led by Dr. Vishal Sheth, our center is known for its high success rates, personalized treatments, and compassionate care trusted by 900+ patients.

Expert Leadership

Led by Dr. Vishal Sheth, a highly experienced vascular specialist with 10+ years of surgical and interventional expertise.

Comprehensive Vascular Solutions

From diagnosis to advanced treatment, we offer complete care for all vascular conditions under one roof.

Advanced Technology

Equipped with state-of-the-art diagnostic tools and minimally invasive surgical equipment for safe, precise care.

Patient-Centered Approach

We focus on personalized treatment plans, patient education, and compassionate care for all age groups.

High Success Rates

Proven track record with 900+ satisfied patients and consistently excellent outcomes in complex vascular procedures.

Our team

Parag Sutaria, Director

With over 30 years of experience in accounting, Parag brings extensive experience collaborating with accountants across regions, including two decades in the UK and the US, as well as in outsourcing. His practical skills cover bookkeeping, VAT, management accounts, and year-end processes. As a former VP leading a large team, Parag is a Master of Commerce, Lean Six Sigma Green Belt certified, and proficient in Xero and QuickBooks, with a commitment to process improvement.

Himanshi Sonecha, Director

Himanshi is a highly accomplished accountant with over 16 years of experience across the Indian, UK, and US accounting industries. Her B2B and B2C experience, from early roles to KPO management, showcases operational excellence and high customer satisfaction. A Lean Six Sigma Green Belt, Xero Advisor Certified, and QuickBooks Online (QBO) Certified, Himanshi optimises financial processes with technology, delivering tailored, high-impact solutions.

Our team

Parag Sutaria, Director

With over 30 years of experience in accounting, Parag brings extensive experience collaborating with accountants across regions, including two decades in the UK and the US, as well as in outsourcing. His practical skills cover bookkeeping, VAT, management accounts, and year-end processes. As a former VP leading a large team, Parag is a Master of Commerce, Lean Six Sigma Green Belt certified, and proficient in Xero and QuickBooks, with a commitment to process improvement.

Himanshi Sonecha, Director

Himanshi is a highly accomplished accountant with over 16 years of experience across the Indian, UK, and US accounting industries. Her B2B and B2C experience, from early roles to KPO management, showcases operational excellence and high customer satisfaction. A Lean Six Sigma Green Belt, Xero Advisor Certified, and QuickBooks Online (QBO) Certified, Himanshi optimises financial processes with technology, delivering tailored, high-impact solutions.