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thoracic outlet syndrome

Pins and Needles in Your Arm? It Could Be Thoracic Outlet Syndrome

September 29, 2025

What causes tingling, numbness or weakness in your arm or hand?
One possible cause is thoracic outlet syndrome, a condition that happens when nerves or blood vessels are compressed, usually between your collarbone and first rib. Symptoms like pins and needles, arm pain, or changes in colour or temperature can all point to this underdiagnosed condition. In many cases, a vascular ultrasound scan of your arm arteries may help your doctor investigate further.

 

What Is Thoracic Outlet Syndrome?

Thoracic outlet syndrome (TOS) occurs when there’s pressure on the nerves, veins, or arteries usually in the space between your collarbone and first rib, known as the thoracic outlet. This can lead to symptoms in the neck, shoulder, arm, or hand.

There are three types of TOS:

  • Neurogenic TOS – affects nerves (most common)
  • Venous TOS – affects veins
  • Arterial TOS – affects arteries (least common but most serious)

Each type has different symptoms and may require different tests to diagnose, including vascular ultrasound to assess blood flow in the arm.

 

Common Symptoms of Thoracic Outlet Syndrome

TOS can cause a range of symptoms that may appear slowly or suddenly. 

These often include:

  • Tingling or numbness in the fingers or hands
  • A feeling of heaviness or weakness in the arm
  • Pain in the neck, shoulder, or collarbone
  • One arm that changes colour or feels colder than the other
  • Pins and needles when raising or holding the arm overhead
  • Swelling or visible veins in the arm (venous TOS)

Because these symptoms can overlap with other conditions (like carpal tunnel, cervical spine issues, or general poor posture), imaging can help clarify what’s really going on.

 

How Is Thoracic Outlet Syndrome Diagnosed?

Diagnosis often begins with a physical exam by your GP or specialist. They may perform certain arm or shoulder movements to reproduce your symptoms, which can suggest TOS. But to confirm the diagnosis and determine which type of TOS is present, further testing is often needed.

One of the most effective non-invasive tools for this is vascular ultrasound, particularly of the arm arteries. This type of scan can:

  • Detect arterial compression or narrowing
  • Be done dynamically (with arm movement) to simulate the compression
  • Help rule out other vascular causes of arm symptoms

Capri Ultrasound offers vascular imaging tailored for TOS assessment, using dynamic scanning techniques to capture compression during arm movement.

 

When Should You Get a Vascular Ultrasound?

A shoulder or arm artery ultrasound may be recommended if you’re experiencing:

  • Cold fingers or a pale, discoloured hand
  • Weak or absent pulses in the arm
  • Arm pain during activity or when holding your arm up
  • Unexplained swelling or tightness in one arm

These could also suggest arterial thoracic outlet syndrome, which is less common but more serious and requires imaging.

 

Can You Get a Bulk Bill Ultrasound for TOS?

Yes, at Capri Ultrasound, bulk billed ultrasounds are available for eligible patients under medicare when referred by:

  • A GP or specialist (e.g. vascular surgeon, neurologist)
  • Referrals for arm artery scans (which fall under Medicare item numbers)

Capri Ultrasound is one of the few clinics that offers bulk billing for Medicare-eligible vascular scans because we believe your health shouldn’t come at high costs. If you’re unsure whether your referral qualifies, our team is happy to review it before your appointment.

📍 If you’re now googling ‘Bulk Bill ultrasound’ or ‘ultrasound Gold Coast’ you’re in luck. Capri Ultrasound is an expert in vascular imaging clinic located in the centre of the Gold Coast on isle of Capri. 

 

Managing TOS: What Happens After Imaging?

Once a diagnosis is made, treatment will depend on the type and severity of TOS. For many people, non-surgical options like physiotherapy, posture training, and exercise can help relieve symptoms, especially for neurogenic TOS.

If you’re interested in exploring gentle stretches and posture exercises that may help, this guide from Healthline offers a helpful overview.

In more severe cases, especially involving vascular TOS, surgical intervention may be considered, but imaging is always the first step.

 

Book Your Ultrasound With Us Today

If you’re experiencing unexplained arm pain, tingling, or cold hands, don’t wait. It could be thoracic outlet syndrome, and early diagnosis makes a big difference.

Capri Ultrasound offers high-quality, non-invasive imaging to help identify what’s behind your symptoms. We’ll check your referral, confirm Medicare eligibility, and support your GP or specialist with fast, accurate results.

👉 Send us your referral or contact us today to book your scan!

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