I have ntos and also degenerative disc disease at c5-6 and bone spurs. My theory is that my ribs are compressing various muscles and nerves at different times-sometimes my scalenes and traps are very tight and other times my pec minor and teres muscles are tight which in turn seem to compress different nerves which cause numbness and loss of strength in my arm and pinky. At the moment my ribs are pushing into my scalpula and pec minor area ( I actually heard a crack while getting a massage) . My PT does rib and joint mobilization and has managed to get my ribs to move with some success in addition to soft tissue mobilization and home exercises. (streching and strengthening)No physical exam that I have had has gotten that specific and I have seen several dr's and 3 vascular surgeons. The ones I have seen dont seem to believe in pm syndrome. Have you had any type of surgery?
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Originally Posted by shengggmd
My previous post may not have made it to the thread. I am both a patient who has been affected by and a vascular surgeon that specializes in tos (for obvious reasons). Just like ntos pec minor syndrome has no objective testing, pec minor syndrome has no real test. I dont care what sanders group says. He made life out of tos surgery and has established some tests that cant be reproduced by others. Only reliable way to establish the diagnosis is by physical exam. This is also complicated by the presence of ntos. When the brachial plexus is irritated at baseline by the scalene muscles upstream. Further compression of that Nerves downstream exacerbates the pain the numbness and tingling sensation( so called double crush). I have personally would never perform pec minor tenotomy until I rule out ntos which is an upstream problem.
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