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-   -   post-op arm numbness and scapular pain from TOS surgery (https://www.neurotalk.org/thoracic-outlet-syndrome/234287-post-op-arm-numbness-scapular-pain-tos-surgery.html)

Jeneu 03-30-2016 10:27 AM

post-op arm numbness and scapular pain from TOS surgery
 
Hi, I am 4 weeks post right rib removal and scalenectomy. I have worked as an ultasonographer for 14 years and developed signs and symptoms of TOS throughout the years but most significantly in the last 2 years. I have the venous and neurogenic type which has been operated on and the left is also the venous type but presently asymptomatic. Immediately after surgery I experienced terrible scapular pain and continue to today. It becomes more painful with exercise or just as time throughout the day passes. I also experienced new posterior arm numbness from my axilla to the elbow. I don't know if these are normal post-op symptoms? Has anyone else experienced these post-op symptoms?

Jomar 03-30-2016 11:29 AM

Can you look in a mirror or have someone check your scapula for signs of possible winging? I think a rare few did have winging post op..
https://www.google.com/search?q=scap...g+scapula+test

Has any PT been mentioned, have you told this to the surgeon?
I'd suggest an expert PT evaluation at the very least. If surgeon doesn't follow up.

Many nerves and such were moved around during the surgery, they can react and take time to calm down.. Hope others that had surgery can share more on that part of things..

Jeneu 04-01-2016 03:13 PM

Thanks Jomar,
That was a helpful link. I think it explains some of the pain I am experiencing. The thoracic nerve passes btw. The first rib and clavicle which would definitely be affected by the surgery.
I do have long-standing winging and my next f/u with the surgeon is next week. Thanks for your reply.

Jeneu 05-18-2016 08:13 PM

Quote:

Originally Posted by Jeneu (Post 1206707)
Thanks Jomar,
That was a helpful link. I think it explains some of the pain I am experiencing. The thoracic nerve passes btw. The first rib and clavicle which would definitely be affected by the surgery.
I do have long-standing winging and my next f/u with the surgeon is next week. Thanks for your reply.

So, 2 months in post op and crappy news...I think. All preop symptoms are back!!!! Lateral neck pain, numbness and tingling, discolouration of my hand, decreased temperature of my hand and ring finger pain. So frustrating...the neuritis behind the scapula has settled but numbness in my axilla remains. The physiatrist said continue PT, massage to break down scalenes, and continue trying to strengthen. My strength is now back to where I was at the pre-op stage. I'm told that it's most likely scar tissue formation. I have no regrets though, b/C if I had opted out I would have never known if recovery from this annoying syndrome would have been possible. Any support or advice would be sooooooo appreciated. :)

Quote:

Originally Posted by Jo*mar (Post 1206467)
Can you look in a mirror or have someone check your scapula for signs of possible winging? I think a rare few did have winging post op..

Has any PT been mentioned, have you told this to the surgeon?
I'd suggest an expert PT evaluation at the very least. If surgeon doesn't follow up.

Many nerves and such were moved around during the surgery, they can react and take time to calm down.. Hope others that had surgery can share more on that part of things..



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