Doctor insights on:
Cervical Rib Syndrome
1st rib fx & TOS: Trauamtic 1st rib fractures can contribute to TOS especially when there is a non-union (fracture pieces do not heal back together as one unit. Pieces press on vessels & nerves). Hemorrhage from the fracture into the thoracic outlet can also contribute to TOS (compression of vessels & nerves by blood). ...Read more
Crowding: Pressure on brachial plexus the nerves from the spinal cord to arm become a group of nerves called the brachial plexus it is compressed by a crowding from an extra rib on top of the rib cage 1st rib or extra cervical rib the working theory goes adfitionally vascular compression of brachial artery or vein can produce arm symptoms nerve pain can extend proximal to neck or distal to arm and hand. ...Read moreSee 1 more doctor answer
Nerves are pinched: Thoracic outlet is the result of the big nerves and blood vessels in the neck and chest being pinched by the muscles and bones at the top of the rib cage as they exit towards the arms. A cervical rib is just one cause of this problem. It can be treated with physical therapy or surgery. ...Read more
No: Carapal tunnel refers to the "tunnel" through which the median nerve travels as it enters the hand at the wrist. This is a site of compression on the median nerve and is considered a focal entrapment neuropathy. Pinched nerves at the neck from bulging discs are a different location entirely. ...Read moreSee 2 more doctor answers
Muscle imbalances: Imo tos results from superior trapezius (st) weak & collar bone droops toward first rib closing costoclavicular space (between these bones) clipping artery & nerves to arm. Weak st conscripts neighbor levator scapulae (ls) to burden lifting scapula (sc) & 20 lb. Arm. Long & narrow, ls incurs chronic spasm, tendonitis at insertion on superior sc spine (pick-like), & snapping as shoulder rotates. ...Read more
If scapular instability is the cause of thoracic outlet syndrome, would rib resection/scalenectomy resolve neck & scapula pain?
More complex: Thoracic outlet syndrome surgery includes, often, first rib resection and/or scalenectomy, but there are different surgical approaches and also, pectoralis minor decompressions. Scapular instability may or may not be present, and this may represent problems in the upper brachial plexus. Since this is so individualized and particular in most cases, best to discuss with experienced vascular surg. ...Read more
TOS: Tos involves the lower portion of the brachial plexus, where nerves from the neck pass through a tunnel into the chest on the way to the arm. The plexus can get trapped in the outlet area, and this event can cause pain, numbness, tingling, weakness, but can also affect blood vessels. On occasion, a congenital first rib can cause compression but trauma may also promote tos. ...Read moreSee 1 more doctor answer
Maybe transient: Many cases of tos respond to physical therapy, feldenkreis postural therapies, or even chiropractic. Therefore, presence of pain is merely a symptom and can potentially be reversed. Only about 10-15% of patients are considered surgical candidates, but with newer techniques, outcomes are highly favourable these days if patients have positive EMG studies. ...Read more
Narrowing of space: Thoracic outlet syndrome is narrowng of the space between the first rib and the anterior scalene muscle. The axillary vein and artery and brachial plexus nerve passes through this space. Narowing the space can pinch the artery, vein, nerve or all of the above. Also, a rare, abnormal cervical rib can cause the same problems. ...Read moreSee 2 more doctor answers
Related: The thoracic outlet contains both a collection of nerves like the brachial plexus and blood vessels serving the arms. Any compromise of the to can cause symptoms affecting both the nerves and circulation by compression of either or both causing similar sensations of cold, numbness and tingling. Simple exercises such as wall push-ups can sometimes yield some relief. See a physical therapist or dr. ...Read moreSee 4 more doctor answers
Can thoracic outlet syndrome or any other brachial plexus issues cause scapular instability/winging?
Winged Scapula: A "winged scapula" is a result of injury to the long thoracic nerve which innervates the serratus anterior muscle. The long thoracic nerve is made up of portions of the brachial plexus, namely cervical roots 5, 6, 7, so in theory, a brachial plexus injury can cause a winged scapula but it is unlikely to be in isolation of other nerve problems. Winged scapula is not typical in thoracic outlet. ...Read moreSee 1 more doctor answer
Can cervical radiculopathy and intervertebral disc disorder with myelopathy, cervical region cause bladder problems?"
Possibly: Slipping rib syndrome is also known as tietze's syndrome. As like any joint, if you have increased flexibility, your ribs can easily move in and out of place as well. ...Read more
Having thoracic outlet syndrome issues because of first rib cartilage/ligament tear. Rib moves and irritates nerves. What can I do?
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