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Magnate
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Join Date: Aug 2006
Posts: 2,871
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Magnate
Join Date: Aug 2006
Posts: 2,871
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Brachial plexapathy is TOS
It is the same thing, doctors correctly use the Term brachial plexapathy. ie) TOS. The brachial plexus, consist of the cervical enrve roots off the spine at level C5/6/7/8- T/1. They travel behind the collar bone, in front of the first rib (the Thoracic INLET outlet)
After they pass through the outlet into the arm the same nerve cell becomes the median, ulnar and radial neves that travel the three feet to the finger tips.
Anywhere along that path a sick nerve is compressed by a hinge/joint it can inflame with symptoms. As the elbow and wrist.
So what we call TOS the docs will refer to brachial plexapathy. Many or most doctos will never see a case in their career, understand it, know how to treat it, or really have the answeres we want.
A lot is affected by HOW you may have developed, as some get carpal tunnel from over use, positional, an injury as a fall or car accident or even an anomolie as large collar bone, short fibrous bands that support the head/neck to the collar bone, or extra or malformed first ribs that compress the brachial nerve bundle as it passes.
Then there is TRUE arterial TOS with blood clots, this needs a bypass operation and treatment. often there is weird anomolie of path the vein took through the scalense muscle of the neck and it needs to be re routed to not be squeezed by thoses muscles. That true tos is about 5% of the TOS cases. Most are vein/neuro compressions.
Just my memory from what doc Togut shared at out support meetings and the asking of tons of questions over the years.
Feel better,
Dianne
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Pocono area, PA
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