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Doctor insights on: Safe Exercises For Thoracic Outlet Syndrome

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Is surgery for thoracic outlet syndrome unreliable?

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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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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Is transaxillary first rib resection effective and safe for neurogenic thoracic outlet syndrome?

Is transaxillary first rib resection effective and safe for neurogenic thoracic outlet syndrome?

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

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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

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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 are moderns results for surgery for neurogenic thoracic outlet syndrome?

TSO is caused by-: -pressure from outside of the nerves, it is not a neurological disease. Just like CTS is caused from pressure from outside of the nerve, not a neurological disease intrinsic to the median nerve. ...Read more

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Do patients return to sports after surgery for neurogenic thoracic outlet syndrome?

Do patients return to sports after surgery for neurogenic thoracic outlet syndrome?

They can: Yes, they certainly can, especially at a recreational level. Any surgery can effect an athlete at a high competitive level, depending on the demands of the sport and the surgery that was performed. For instance, if you're a pitcher is the major or minor leagues, it may be difficult to return to your presurgical velocity due to surgical insult and change in mechanics. ...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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Is there a reoperation for neurogenic thoracic outlet syndrome?

Is there a reoperation for neurogenic thoracic outlet syndrome?

Yes.: There are specialists who perform 1st rib resections. It will help quite a bit and alleviate most if not all of your symptoms. ...Read more

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What is physical therapy like after surgery for thoracic outlet syndrome?

What is physical therapy like after surgery for thoracic outlet syndrome?

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 more

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Can surgery for thoracic outlet syndrome make you worse?

Can surgery for thoracic outlet syndrome make you worse?

Tos: You should ask benefits vs risks to the surgeon. This is not a minor surgery and yes I have seen failed surgery with increased problems. U should be absolutely sure what u are undergoing this surgery fot ...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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Thoracic outlet syndrome causes arm/neck pain how?

Thoracic outlet syndrome causes arm/neck pain how?

Crowding: Pressure on brachial plexus the nerves from the spinal cord to arm become a group of nerves called the brachial plexus it is compressed by a crowding from an extra rib on top of the rib cage 1st rib or extra cervical rib the working theory goes adfitionally vascular compression of brachial artery or vein can produce arm symptoms nerve pain can extend proximal to neck or distal to arm and hand. ...Read more

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Does rib resection and scalenectomy have a good track record for treating thoracic outlet syndrome?

Does rib resection and scalenectomy have a good track record for treating thoracic outlet syndrome?

Yes, if imaging: studies confirm that the area of obstruction is caused by these structures. ...Read more

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How can snapping scapula syndrome and thoracic outlet syndrome be related?

How can snapping scapula syndrome and thoracic outlet syndrome be related?

Muscle imbalances: Imo tos results from superior trapezius (st) weak & collar bone droops toward first rib closing costoclavicular space (between these bones) clipping artery & nerves to arm. Weak st conscripts neighbor levator scapulae (ls) to burden lifting scapula (sc) & 20 lb. Arm. Long & narrow, ls incurs chronic spasm, tendonitis at insertion on superior sc spine (pick-like), & snapping as shoulder rotates. ...Read more

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Can surgery make neurogenic thoracic outlet syndrome worse?

Can surgery make neurogenic thoracic outlet syndrome worse?

Well... yes...: surgery is cutting on tissue. It can irritate the nerve and/or produce scar tissue. It would be expected to open up the area to allow the nerve to not be compressed but the consequences of surgery often produce similar situations even when done right. ...Read more