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Doctor insights on: How Risky Is Surgery To Treat Thoracic Outlet Syndrome

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How risky is surgery to treat thoracic outlet syndrome?

How risky is surgery to treat thoracic outlet syndrome?

Somewhat: Risks include: injury to arteries and veins injury to the nerve failure to accomplish goals of therapy pain. ...Read more

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Dr. Bennett Machanic
315 doctors shared insights

Thoracic Outlet Syndrome (Definition)

A group of disorders that occur when certain blood vessels or nerves in the ...Read more


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How major is surgery for thoracic outlet syndrome?

How major is surgery for thoracic outlet syndrome?

Yes: I think any surgery is major and when it comes to thoracic outlet syndrome, surgery is not common and is typically last resort as they try physical therapy and other modalities first, but there are many causes of thoracic outlet syndrome so it depends on what is obstructing that needs to be moved or repaired or removed. Ask your vascular surgeon for specifics on your case. ...Read more

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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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Is it common to return to sports after surgery for neurogenic thoracic outlet syndrome?

Is it common to return to sports after surgery for neurogenic thoracic outlet syndrome?

With care: 21yo male w. concern return to sport post-surgery for neurogenic Thoacic Outlet Syndrome, TOS. Aircraft mechanics, house painters & major league pitchers prone to TOS. Repetitive overhead work overdevelops muscles of inferior clavicle/scapula draw while superior trapezius, ST, loses mass & tone; leading to costoclavicular-clavicular dimension closure w. abduction. Solution: shrug exercises of ST. ...Read more

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Is thoracic outlet syndrome permanent? What if you get the surgery?

Is thoracic outlet syndrome permanent?  What if you get the surgery?

If the symptoms: were caused entirely by compression and damage is still reversible, surgery should be curative. Consult with a thoracic surgeon or vascular surgeon. ...Read more

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Is a thoracic surgeon the best person to go to for thoracic outlet syndrome surgery?

Is a thoracic surgeon the best person to go to for thoracic outlet syndrome surgery?

Yes: thoracic surgeon will be the best to do this kind of surgery a lot of general surgeon with thoracic surgery experienced and training can do a similar good job since most thoracic surgeon are heart surgeon only few will have an interest in general thoracic surgery look for the surgeon experience in this kind of surgery how many they did and how are their results,always ask for a second opinion . ...Read more

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Is surgery effective for thoracic outlet syndrome ?

Is surgery effective for thoracic outlet 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 more

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How successful is surgery in the treatment of thoracic outlet syndrome?

How successful is surgery in the treatment of thoracic outlet syndrome?

Quite successful: Surgery to remove the first rib (or an extra rib, if there), and break up any fibrous bands of tissue is successful in relieving symptoms in up to 80% of patients. Additional treatment to widen blood vessels (angioplasty) or even bypass compressed blood vessels is sometimes necessary. Even with surgery, symptoms may recur in a small percentage of patients. ...Read more

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Is surgery for thoracic outlet syndrome unreliable?

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 more

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What is the best surgical treatment for neurogenic thoracic outlet syndrome ?

What is the best surgical treatment for neurogenic thoracic outlet syndrome
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Thoracic outlet synd: first rib resection by a surgeon who did many of these. I would shop arround. It is not a common surgical procedure. That being said it is not complicated. ...Read more

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What is recovery like after surgery for thoracic outlet syndrome?

Piece of cake --: it will be ok -- if your doctor told you you needed the surgery then get it done and you will find relief of symptoms pain and numbness of your upper limb immediately ...Read more

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How common is thoracic outlet syndrome?

How common is thoracic outlet syndrome?

Not very common: Three manisfestations: 1. Pinching of the artery leading to the arm and hand (most common) 2. Pinching of the vein leading to the arm and hand, resulting in swelling (next common) 3. Pinching of the nerve resulting in various types of pain (not very common). ...Read more

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Is surgery my only options to treat carpal tunnel syndrome?

Is surgery my only options to treat carpal tunnel syndrome?

Splints, surgery: The most common treatments for cts are wrist splints that typically are worn at night , anti inflammatory medications, some advocate steroid injections, and if the symptoms persist, a carpal tunnel release surgery. Surgery typically has a very good success rate. ...Read more

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Is surgery needed for thoracic outlet syndrome due to a first rib fracture?

Is surgery needed for thoracic outlet syndrome due to a first rib fracture?

Surgical interventio: If there is evidence of SEVERE vessel compromise which cuts off the circulation to your arm (rare cases patients can see severe discoloration to the digits-nearly gangrene appearance), then a vascular surgeon will operate. Otherwise, they will want you to complete a course of PT with strengthening of your shoulder girdle muscles before going to more aggressive measures. ...Read more

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How can I rehab after thoracic outlet syndrome surgery?

How can I rehab after thoracic outlet syndrome surgery?

Physical therapy: Slowly increasing your movements, your range of motion , and slowly increase your strength training. ...Read more

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Is there a reoperation for thoracic outlet syndrome? Does it work?

Is there a reoperation for thoracic outlet  syndrome? Does it work?

Varies: It really comes down to your specific diagnosis. If you have had a TOS surgery and are still having problems then the big question is...why? It may be you have another completely different condition in addition to TOS and in that case more TOS surgery would not help. If something was not done right or something has recurred, then TOS surgery may help. ...Read more

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Is surgery for thoracic outlet syndrome curative?

Is surgery for thoracic outlet syndrome curative?

Type of TOS?: Patients with cervical rib, arterial TOS, or Venous TOS may require surgery. Only about 10-15% of patients with symptomatic TOS come to surgery. Success rate somewhere in the 90% range for appropriately chosen patients. Most patients respond to therapy and/or medications. ...Read more