Is a second operation for thoracic outlet syndrome common?

No. It is not and should only be considered by a surgeon VERY experienced in the surgical treatment of TOS. If you tryly need reoperative surgery, you should travel to a center and surgeon with appropriate expertise.
TOS. TOS is complex and usually responds to physical therapy. Before surgery, multiple tests and physical therapy are done. If you continue with symptoms after a TOS operation, you may need more evaluation, possibly a second opinion before consenting to a second operation. Take a friend with you to consult. Be well.

Related Questions

Is it common to return to sports after surgery for neurogenic thoracic outlet syndrome?

With care. 21yo male w. concern return to sport post-surgery for neurogenic Thoacic Outlet Syndrome, TOS. Aircraft mechanics, house painters & major league pitchers prone to TOS. Repetitive overhead work overdevelops muscles of inferior clavicle/scapula draw while superior trapezius, ST, loses mass & tone; leading to costoclavicular-clavicular dimension closure w. abduction. Solution: shrug exercises of ST. Read more...

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...

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...
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. Read more...
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! Read more...

Is thoracic outlet syndrome surgery a major surgery?

Yes. It usually involves first and/or cervical rib resection. What makes the surgery major at this point is extent of nerve or vascular compression that patient presents with that will determine further surgical approaches. Read more...
Yes. All surgery is major, to one degree or another. Most of the risk can be reduced with preparation, so the experience of the surgeon is important. You do want someone who pays attention to details, and does not treat this like an assembly line procedure. Talk to the operating surgeon and ask questions. Read more...
Yes. This is a relatively rare operation that should be done by someone with experience. Results are best when the compression is of an artery or vein, less good for nerve compression. Complications include failure of surgery, damage to nerves and blood vessels to arm, nerve to diaphragm or shoulder muscles and "pneumothorax" (air in the chest). Helpful for the right indications, EXPERIENCE IS KEY. 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...

Can surgery actually make thoracic outlet syndrome worse?

Yes. THis is usually true when it involves nerve compression rather than compression of blood vessels. Nerves can be damaged during surgery or scarring can compress nerves. This can happen in a small but real minority of persons. Read more...