A member asked:

Should i get a cervical epidural to r/o spine issues after getting diagnosis of thoracic outlet syndrome? thinking i should get no relief in neck/shoulder...

4 doctors weighed in across 3 answers

No- epidural steroid: Injection is not a diagnostic test but a treatment . You need to have a physician who is knowledgable about both conditions evaluate you and the appropriate studies for both regions and determine the exact cause or causes of your symptoms. An orthopedic surgeon may be a good specialist to choose.

Answered 7/14/2013

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Dr. Mark Weston answered

Specializes in Orthopedic Spine Surgery

Yes: Tos is a provisional diagnosis of exclusion, if you want to exclude cervical radiculopathy which overlaps significantly with tos then i, njections are needed surgical outcomes of tos have not been excellent surgical outcomes for cervical radiculopathy are great good luck.

Answered 4/12/2013

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Why do this?: Indication for cervical epidural injection in presence of nerve compression due to disk or other lesions. Not a helpful test for thoracic outlet syndrome, which can be confirmed by ultrasound, EMG of plexus, or even angiographic studies.

Answered 10/4/2014

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