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.
Iffy. My opinion: idea that scalene muscles etiologic is unproven theory & surgical attempts to correct this are doomed. Idea that narrow costoclavicular dimension, CD, is etiologic is correct & proven w. Subclavian artery Doppler & Addson's. Surgical attempts to lower first rib, "floor" of CD, is worthy, but iffy. Better to use shrug exercises to elevate clavicle, the "ceiling". Physical therapy wins!
Depends. First, in my experience, 85% of all confirmed TOS cases respond to conservative measures if given sufficient time, and best approach is Feldenkreis techniques. The remainder may benefit from surgery, but need to find experienced and skilled surgeon. This is NOT a surgery for the novice! Success rate is at least 92-93% if pt has confirmed diagnosis.

Related Questions

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...

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...

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...

Does surgery for thoracic outlet syndrome cause long term pain?

Caution. Surgery is done to relieve pain. "Long term pain" is probably referring to failure of the surgery to relieve the pain of TOS. TOS is complicated. Vascular TOS needs surgery. Neurogenic TOS should only have surgery after ALL CONSERVATIVE therapy has failed. The surgery is not always successful. Your thoracic outlet is filled with nerves, blood vessels and muscles: serious complications can occur! Read more...

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...

What exercises should you do after surgery for thoracic outlet syndrome?

Strengthen shoulder. Exercise generally targeted at strengthening the shoulder girdle, improving posture and improving range of motion. Also depends on whether the surgery was for vascular or neurogenic complaints. The recovery after surgery for vascular compression is much quicker than when the problem was neurologic symptoms. Read more...

How can I start golfing again after having surgery for thoracic outlet syndrome?

Thoracic Outlet. The time to start golfing again is determined by the surgeon who did your surgery. I would contact her/him and ask this specific question. Read more...