Doctor insights on:
Complications After A First Rib Resection Surgery
Brachial plexopathy: Should ask the surgeon since he has seen how free the plexusl is. I assume you did this to relieve the symptoms with overhead activities. So, I would lift to chest level cautiously and, if symptom-free GRADUALLY proceed toward overhead lifts-- even when supine. If this was resection for a tumor, proceed when healed. ...Read more
What could cause upper back pain between the shoulder blades after first rib resection surgery? Muscular or nerve related?
Possibly both: After a resection surgery you can have scar tissue that develops and pulls on the fascia and musculature disrupting either muscle function or nerves as the brachial plexus is right through this area. If it is between your shoulder blades, you may be looking at a long thoracic nerve issue or rhomboid dysfunction. A trial of PT would help delineate. Best of luck! ...Read more
First rib resection 3 months ago. Right chest has been lower since surgery and doesn't move as much as the left side when breathing. Whatcould be wrong?
Without an actual examination, I cannot give specific medical advice on your particular health, but
surgery will deform the area cut upon. While a punctured lung can occur, this is rare and generally Very obvious. The surgery (or the condition for which the surgery was done) will cause deformity and often scarring and change the function of the area cut upon ...Read more
I had a first rib resection 4 months ago and have significant pain in upper back/neck/shoulder pain. Is it possible it is muscle spasms from surgery?
Yes: Yes, that should be fine. However, I would recommend that you confirm with your surgeon, in case there are special mitigating circumstances in your particular case. ...Read more
Nerve healing: Nerves often heal after being compressed or irritated, as long as the cause is treated. The cervical rib can be a problem for nerves in the arms, removing it may be helpful at times. ...Read more
Go back to your doc: There is no easy way to answer this question without a lot more information. Was this surgery for thoracic outlet syndrome, headaches or another purpose? Do they need to do the other side? Where is your pain? If this operation was supposed to stop the pain then either the cause of your pain was misdiagnosed or the operation was not successful. Get a 2nd opinion or see your doc but do it now ...Read more
POST OP PAIN TOO: The procedure you described sounds like you had underlying THORACIC OUTLET OBSTRUCTION. If you are still having pain follow up with the surgeon and get a post op MRI& MRA To redefine the anatomy and check for scar tissue. ALSO REQUEST MRI OF CERVICAL SPINE TO CHECK FOR CERVICAL DISC DISEASE. ...Read more
Has anyone performed a first rib resection? If so, how have your patients turned out functionally?
First rib: I have performed first rib resection in selected patients with thoracic outlet syndrome. Most have been managed nonoperatively. Those without subclavian or axillary vein thrombosis have done well, those with prior venous thrombosis have done less well. One can expect those with psychological comorbidities don't do as well. Same holds true for those involved with litigation or seeking disability. ...Read more
TOS: TOS is complex and usually responds to physical therapy. Before surgery, multiple tests and physical therapy are done. If you continue with symptoms after a TOS operation, you may need more evaluation, possibly a second opinion before consenting to a second operation. Take a friend with you to consult. Be well. ...Read more
WHY?: Why do you need this procedure?? That answer will determine the kind of Surgical specialist you require! ...Read more
Not mandatory: Depends on the surgeon;s preferences.Get a more detailed answer ›
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
Thoracic Rib: Resection results should not be bad. I have referred you last question to a Thoracic Surgeon to answer. They have experience with this procedure so should be able to give you better information. ...Read more
How long does it take to feel normal again after a first rib resection for thoracic outlet syndrome?
6 weeks to 4 months: Most patients will feel pretty good in 6-8 weeks. This is the amount of time it takes for most of the surgical pain to subside. However, it usually takes 3-4 months for symptoms to completely subside and patients feel as good as they will feel. Return to work for light duty is possible in 2-4 weeks, but return to heavy labor is a minimum of 3 months. ...Read more
What activities could be limited in the long term after a first rib resection for thoracic outlet syndrome?
No restrictions: The first rib removal, should have no significant effect on activities in the long term. ...Read more
Is it possible to have 100% return to normal activity after first rib resection for thoracic outlet syndrome?
TOS: Resection of the first rib should not result in any limitation in normal activity. The primary limitation is the potential for residual TOS symptoms. If you are involved in activities that require overhead maneuvers, like rockclimbing or work that requires reaching, it is unlikely that a patient will be completely asymptomatic. ...Read more
How do I know if I have internal scar tissue on my nerves after my first rib resection? Is there anything I can do to prevent it?
Pain: You would have pain in the region, achy, burning usually. The only means of prevention is to prevent injury. No real way of avoiding the pain, if it is coming after the injury. ...Read more
First rib resection for thoracic outlet syndrome 6 months ago still haven't gotten relief pain just as bad. Should I be concerned?
Yes: This is a difficult situation diagnosis to deal with. There can be other reasons for the pain and I think you should see your surgeon again, and possibly a pain specialist. ...Read more
Experience and appro: First rib resection for TOS is usually via the armpit or above the claviclr. Experienced surgeons get relief of symptoms in more than 90% of patints with sensory symptoms and slightly less with vascular symptoms. Recovery may take 4-6 weeks depending on approach and symptoms. Physical therapy may still be necessary post op ...Read more
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
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
How long should I wait to work out my upper body after having a first rib resection for thoracic outlet syndrome?
Is there anything I can do to improve my recovery from a first rib resection for neurogenic thoracic outlet syndrome?
Stretch and slow car: Stretch and slow cardio firnessGet a more detailed answer ›
Rob resection: Its not a brand new procedure. Your thoracic surgeon will answer your questions about potential outcome and complications. This procedure is done to relieve significant complications of the syndrome. How safe is it to continue with the first rib compression? You must weigh pros and cons of the procedure vs syndrome. ALL surgery is dangerous with potential for significant complications. ...Read more
About how long is the recovery from a first rib resection and scalenectomy for neurogenic thoracic outlet syndrome?
Approach?: In general recovery should be in the range of 2-4 weeks. The operative approach may be responsible for some slight differences but the idea is to o relieve pressure and allow full functional return to the affected arm. Depending on the duration and severity of symptoms physical therapy may aid in recovery ...Read more
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