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Doctor insights on: Doctors Remove Rib Treat Thoracic Syndrome

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Do doctors, during surgery really remove a rib to treat thoracic outlet syndrome?

Do doctors, during surgery really remove a rib to treat thoracic outlet syndrome?

Yes: Thoracic out let syndrome is caused by narrowing of the space in the chest that contains the nerves (brachial plexus) and arteries (axillary artery and veins). Sometimes an extra rib, called the cervical rib narrows the space. Usually it is the 1st rib and the anterior scalene muscle. Surgery to remove the 1st rib and the ant scalene muscle can help with symptoms. ...Read more

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Dr. Bennett Machanic
311 doctors shared insights

Thoracic Outlet Syndrome (Definition)

A condition were the first rib or an extra rib causes compression between the clavicle and the rib of any one of the following three subclavian artery, ...Read more


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Do surgeons leave a part of the first rib during surgery for thoracic outlet syndrome or do they remove the whole thing?

Do surgeons leave a part of the first rib during surgery for thoracic outlet syndrome or do they remove the whole thing?

TOS: The removal of the first rib is a fairly involved procedure, but results are frequently highly gratifying. In my experience the entire rib is excised. ...Read more

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What percent of first rib resections are unsuccessful for thoracic outlet syndrome?

What percent of first rib resections are unsuccessful for thoracic outlet syndrome?

85%-90% success: These results suggest that surgical decompression can alleviate pain and quality of life in patients with a wide range of abnormalities at the thoracic outlet. ...Read more

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Having a hard time finding any success stories for people who have had a rib resected for thoracic outlet syndrome. Does this surgery work?

Having a hard time finding any success stories for people who have had a rib resected for thoracic outlet syndrome. Does this surgery work?

Yes: You are not looking hard enough. The first line of treatment is physical therapy, followed by life style modification, weight loss, etc. Surgery is a time tested therapy which has improved over time, and carries excellent results. ...Read more

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What kind of doctor should you see for thoracic outlet syndrome?

Physiatrist: A vascular surgeon can find & operate. The operation is notoriously ineffective in many, but not all. A physiatrist can also diagnose. Unfortuntely, many neurologists disbelieve tos because their studies cannot detect. An experienced physical therapist is best clinician to lead way to improvement & without surgery. See my discussion on chronic pain board at quora.Com. ...Read more

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What does this mean: cervical rib and thoracic outlet syndrome?

What does this mean: cervical rib and thoracic outlet syndrome?

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

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What is the link between a ?Cervical rib and thoracic outlet syndrome?

What is the link between a ?Cervical rib and thoracic outlet syndrome?

Varies: Many people remain asymptomatic with a cervical rib. The most severe complication is thoracic outlet syndrome caused by compression of the brachial plexus (weakness in affected arm) and/or subclavian artery (decreased pulses in affected arm). ...Read more

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Looking for a doc in the LI/nyc area that specializes in thoracic outlet syndrome. My symptoms correspond with TOS. EMG/NCV normal but still symptoms?

Looking for a doc in the LI/nyc area that specializes in thoracic outlet syndrome.  My symptoms correspond with TOS. EMG/NCV normal but still symptoms?

Speak to your doctor: Your doctor first will guide you , to establish diagnosis then will refer you , as you are aware there are several great hospitals in your area . ...Read more

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How do people do after first rib resection for thoracic outlet syndrome?

How do people do after first rib resection for thoracic outlet syndrome?

Symptoms improve: TOS surgery can provide good relief of referred symptoms; however, there are many variables. The severity of the condition prior to surgical release and the health of the patient. With an accurate diagnosis and good surgical technique without complication there is a good chance that symptoms related to TOS will resolve. ...Read more