Doctor insights on:
Failed Neck Surgery Syndrome
Maybe: Before surgery, one should do everything they can to reconstitute the muscle and skeletal systems of the shoulder. My clinical findings implicate weakened muscles that hold up the shoulder and keep the collar bone from collapsing toward the first rib; thereby constricting the space between these two bones. Trapezius muscle strength is of utmost concern, and a good physical therapist can help. ...Read moreSee 2 more doctor answers
TOS: TOS is combinations of many problems in a complex anatomic location. There are so simple diagnostics or solutions. If properly diagnosed, AND non surgical therapies like PT fail to improve the symptoms, then surgery with an experienced TOS surgeon can be both therapeutic and reliable. Take friend with you to appointments and therapy. Be well. ...Read moreSee 2 more doctor answers
Yes: Many patients can adequately treat symptoms of cts with simple, non-operative treatment. This might include night splints, nsaids, cortisone injection into carpal canal. If symptoms continue or progress, with incrasinain, weakness, or worsening numbness and tingling, surgery may be required. ...Read moreSee 4 more doctor answers
Yes: It is important that the diagnosis be correct and be confirmed with muscle blocks and the appropriate nerve test. surgery requires that the scalene muscles in the neck be released. this can be done by removing the muscles through the neck, sometimes with rib removal, but rib removal is not always necessary. Success rate is about 90 percent some improvement; 75 percent good improvement. ...Read more
Possibly: Surgery for Thoracic Outlet Syndrome should be a last resort, and should only be considered for severe compression of the Subclavian artery or vein or when there is loss of muscle(atrophy) and weakness in the hand. Avoid bench pressing weights or pressing weights upward above your shoulders. For detailed information on exercise rehabilitation SEE:http://bit.ly/1rWEGJq also http://bit.ly/1BRx6lO ...Read moreSee 2 more doctor answers
Scalenectomy was suggested after a failed first rib resection for thoracic outlet syndrome. Any advice?
An option : For TOS, many of "experts" have gone to scalenectomy instead of 1st rib resection. Also it depends on the type of TOS you have, true TOS, vs neurogenic, vs presumed. My advice is to get 2-3 opinions from surgeons who do a lot of these which means usually a large academic center. Many years ago a mentor told me, "Nothing is so bad that it can't be made worse with surgery." ...Read more
POST OP TOO: TOO is a very tricky diagnosis to make hopefully you had a full workup with US/MRA/MRI. You need to check with your doctor over timing of when to start PT. The goal is always to decrease pain and increase ROM. You don't want to wait too long and risk getting a post op frozen shoulder . Call your surgeon and pick a PT person who has experience with post op TOO. Exercises are available theraband.com ...Read moreSee 1 more doctor answer
PT after Surgery: Yes it is.Get a more detailed answer ›
Is surgery still an option in suspected cubital tunnel syndrome if non surgical treatment & corticosteroids have failed but NCS came back normal?
Yes: This is a relatively rare operation that should be done by someone with experience. Results are best when the compression is of an artery or vein, less good for nerve compression. Complications include failure of surgery, damage to nerves and blood vessels to arm, nerve to diaphragm or shoulder muscles and "pneumothorax" (air in the chest). Helpful for the right indications, EXPERIENCE IS KEY ...Read moreSee 2 more doctor answers
Had bilateral carpel tunnel release. developed rsd .then nerve blocks for pain. now i'm told i have thorasic outlet syndrome and dystonia. is there an?
See details: Without knowing specifics and having access to test results, it is impossible to comment. None of it makes good sense to me. Consider a second opinion. ...Read more
Pain from spine surgery years after 3 failed back surgeries. I also have spinal stenosis, spinal fusions, fibromyalgia, severe scar tissue, bad hip?
Post fusion 2009: now l4-5 right facet joint arthrosis, severe neural foriminal stenosis with some compression. Surgery needed?
Have seven year undiagnosed bilateral neuropathy (tingling in hands and arms). Mri of head and neck negative. Carpl tunnel surgery ineffectual. Treatmen for thoracic outlet disorder ineffectual. What else should we do?
I have chronic pain from entrapped nerve in scar from foot surgery. Conservative tx failed. How successful is surgery to destroy nerve? Risks?
This would depend : On which nerve, location of entrapment and method of destruction. One can use chemicals, can heat the tissue or freeze it to ablate it. If you are in pain, i would think the reward outweighs the risk. Otherwise what are you left with? A painful foot.....Good luck, I am sure you are frustrated. Usually, the procedure you ask about is done under a small incision if and the risk should be minimal. ...Read moreSee 4 more doctor answers