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 moreSee 1 more doctor answer
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
Approaches: Feldenkreis physical therapy approaches have proven to be highly successful both pre- and post-op TOS procedures. Medications can provide symptomatic relief, and have found some success with compounded analgesic pain cremes, especially those containing ketamine. ...Read moreSee 1 more doctor answer
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?
Some ideas: 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 moreSee 1 more doctor answer
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
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 vsounds 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 moreSee 2 more doctor answers
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