Doctor insights on:
Weak Tingling Fingers Pain Neck Thoracic Syndrome
I have a weak grip, tingling in my fingers and pain in my neck. Do I have thoracic outlet syndrome?
Intermittent claudication from thoracic outlet syndrome by tight scalene? On and off aching arm, cold hand, tingling, weakness. Dr appt next week ok?
Ok: need full evalation for this wait for the appiontment ...Read more
Current diagnosis is thoracic outlet syndrome. 8 months ago i had 2 cort. Trigger point injctns. (where neck meets shoulder)-got 2 days full relief. Normal?
Correlation: Often adds further evidence of presence of pathology inferior to the scalene muscles, and may support in part, a diagnosis of thoracic outlet syndrome. Often find that pts who respond well to such an injection, are real good candidates for successful conservative or surgical interventions. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
I may have started exercising too early after thoracic outlet syndrome surgery and don't feel well with back an neck pain. What should I do?
Stop exercising...: I suggest you stop exercising, including weight control, at least for now, until you have the opportunity to follow-up with your surgeon. Your surgeon can give you the best idea as to when you can safely begin exercising again. You can apply ice or heat to the area (whichever feels better) and take acetaminophen or ibuprofen for the discomfort. But, if symptoms worsen, go to the ER for treatment! ...Read more
Developed scapular winging & grinding 2 yrs ago. It progressed and now have severe pain in neck and have thoracic outlet syndrome. Any theories?
Cervical rib: In 22 year old, no history of neck trauma, cervical rib, anomalous first rib, or congenital band compressing brachial plexus is most likely cause. Long thoracic nerve compression can cause winged scapula, which is rare with cervical rib, but could occur. Plain neck x-ray for rib abnormality is next step. If there is neck trauma, scalene scarring can explain winged scapula and tos symptoms. ...Read more
Should i get a cervical epidural to r/o spine issues after getting diagnosis of thoracic outlet syndrome? Thinking I should get no relief in neck/shoulder...
No- epidural steroid: Injection is not a diagnostic test but a treatment . You need to have a physician who is knowledgable about both conditions evaluate you and the appropriate studies for both regions and determine the exact cause or causes of your symptoms. An orthopedic surgeon may be a good specialist to choose. ...Read moreSee 2 more doctor answers
If scapular instability is the cause of thoracic outlet syndrome, would rib resection/scalenectomy resolve neck & scapula pain?
More complex: Thoracic outlet syndrome surgery includes, often, first rib resection and/or scalenectomy, but there are different surgical approaches and also, pectoralis minor decompressions. Scapular instability may or may not be present, and this may represent problems in the upper brachial plexus. Since this is so individualized and particular in most cases, best to discuss with experienced vascular surg. ...Read more
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