Is there a reoperation for thoracic outlet syndrome? Does it work?

Varies. It really comes down to your specific diagnosis. If you have had a TOS surgery and are still having problems then the big question is...why? It may be you have another completely different condition in addition to TOS and in that case more TOS surgery would not help. If something was not done right or something has recurred, then TOS surgery may help.
Comments. Failure of thoracic outlet surgery is often due to post-operative scarring, and have found that second surgery may worsen, but sometimes, the problem is not at the thoracic outlet, but more distal, pectoralis minor syndr. Suggest plexus EMG by experienced operator.
Who knows? . 22y male questions if redo operations for TOS "work". Laypeople might note that TOS is a speculative diagnosis. Many medical doctors disbelieve it even exists. Amongst "doctor-believers" there is controversy as to etiology. Poor outcomes in significant number of operative subjects illustrates these matters. Sufferers should exhaust all alternatives before undergoing the knife. Redo at your peril. .

Related Questions

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...

How long should I wait to work out my upper body after having a first rib resection for thoracic outlet syndrome?

More info needed. A lot depends on how much surgery was required. You should discuss with your operating surgeon to have your questions answered by the person who was doing the surgery. Good luck. Read more...

Can thoracic outlet syndrome be cured?

Quite often. Several centers of expertise thruout the usa now exist with surgeons possessing great experience. Success rates are approaching 80-85 % in carefully selected cases, whose preoperative testing is definitive. Excellent outcomes can be found at ucla, johns hopkins, washington univ. In st louis, and psl in denver, co. Read more...

Is thoracic outlet syndrome permanent?

Not necessarily. Assuming that is correct diagnosis, this can commonly be helped with physical therapy. There may be necessity to consider surgical intervention for refractory symptoms, yet that surgery is commonly successful. This is a difficult diagnosis, to come to, so I would make sure you are comfortable with how you came to this diagnosis, and if not consider another opinion. Read more...
Impressions. First, make certain that you do indeed have neurogenic TOS (proven by EMG study of brachial plexus), or vascular TOS (proven on arteriographic surveys). Feldenkreis PT can reverse about 85% of cases, and experience surgeons have well over 93% positive outcomes. Nearest expertise to you at Johns Hopkins. Read more...

What is thoracic outlet syndrome release?

Surgery. Thoracic outlet surgery is done to remove pressure or compression of the nerve, artery, and vein going to the arm. This involves removing the first rib, and releasing any scar tissue present. This results in significant reduction in symptoms in most cases. Read more...

What are tests for thoracic outlet syndrome?

No specific test. Unfortunately, there is no specific "thoracic outlet syndrome test". There are a number of things that may lead your physician to consider this diagnosis, but quite frankly the diagnosis is often overlooked. Symptoms are pain above your collarbone or in the affected arm, but the process can also affect the vein and artery to the arm. Studies of the arteries and veins can confirm the diagnosis. Read more...
EMG and Ultrasound. A few new approaches to diagnose tos are available now. Ultrasound imaging may demonstrate the narrowing than compresses nerves and blood vessels. New EMG techniques can show abnormal nerve function over the thoracic outlet. Angiographic imaging of blood vessels can display the local compressions. Read more...