Thoracic Outlet Syndrome Thoracic Outlet Syndrome/Brachial Plexopathy. In Memory Of DeAnne Marie.


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Old 11-18-2010, 12:30 PM #1
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Default In need of help http://neurotalk.psychcentral.com/images/smilies/frown.gif

i have posted here earlier but i believe i put my info in the wrong area,

my info is as follows :
40 yr / male great shape (personel trainer part time )
i work in a large commercial freezer and was hurt on the job closing a large heavy freezer door with my left arm , the door is very old and got stuck in the tracks and yanked on my arm causing a a very sharp pain on my scapula and spinal area shortly after that my arm started to turn blue a went numb , i have been off of work for 3 months now on wcb as my doctors will not allow me to go back until they figure out why every time my arm is lowered to my side (below heart level ) it will go numb , turn blue and purple with bright pink spots and start to swell this has been very consitent , i will also be in a lot of pain if it becomes cold out side or walking in a cold area , what baffles my doctor is it will do this all the time and if i raise my arm above my head it will go from dark purple to very white but when i bring it back down it will go purple again right in front of him is this some form of thorasic or venous thorasic ??? really driving me nuts
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Old 11-18-2010, 01:09 PM #2
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What kind of Drs have you been seeing so far? {Drs of your own choosing or someone else chose them?}

What kinds of tests so far?
list of testing info - http://neurotalk.psychcentral.com/post580952-11.html
[5. Doppler tests are like sonograms of the arm to see if there are any blockages of blood flow. You can have neurogenic TOS and still have vascular / circulation type symptoms, but these may not show up on this test.]

Any comprehensive evaluation by an advanced PTs or expert chiropractors?
they spend more time on the study of the body/tissues/skeleton/alignment ect...than most MDs.

Sounds like something got yanked out of normal position and is now compressing the veins & or arteries for the arm.

did they do a MRI with arms up or out to show a possible blockage better?

Have you consulted {interviewed} some good work comp attys yet?
sometimes they may have a list of doctors..that can help prove a claim.

Sounds like a vascular Doc is needed for opinion/consult at the least.
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Old 11-18-2010, 01:21 PM #3
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test that have been run so far is i had a mri to rule out rotar cuff , xrays of the chest and neck to rule out a extra bone all were clear except on the xrays of the neck c4-c7 all showed lipping and slight narrowing but that was just on a normal xray my dr is pretty positive it is some form of venus tos but he is not a expert in that field also i should mention that i have a great deal of discomfort around my scapula i have been told there is a vesel that the venus vein from the arms drain there but so far i never had a mri of the back only at the deltoid area looking for rotar cuff which i tried to tell that specialist that was not it as i have movement and no severe pain in this area . i should also mention my veins on my left side are always popped out now and the hand feels like as if u had burnt your finger tips that numbing feeling afterwards
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Old 11-18-2010, 02:55 PM #4
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I would keep on them about finding the problem, a vascular specialist or vascular surgeon might be the next step.
here's our drs & PTs sticky thread -
http://neurotalk.psychcentral.com/thread135.html

the other sticky threads up above the main TOS thread list are full of saved info also - great way to get a crash course on TOS info.
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Old 11-18-2010, 03:24 PM #5
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i did recieve a call today to see a vascular surgen today but my appt is almost 2 months away with my present symptoms should i be concerned due to the type my md feel it is venous tos
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Old 11-18-2010, 11:44 PM #6
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I suppose you will be OK , other than the pain and discomfort , just be watchful of any new pain or changes that might be a clot forming.

Many have gone years in the diagnosis merry go around & especially when work comp is concerned.

If a possible clot arises go to ER.

What Are the Signs and Symptoms of Excessive Blood Clotting?
http://www.nhlbi.nih.gov/health/dci/...ebc_signs.html
http://www.medicinenet.com/blood_clots/article.htm

more results - http://www.google.com/search?q=clot&...9933d19f024e3b
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Old 11-19-2010, 02:35 PM #7
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thanks for all your help today at physio while i was do my neck stretches my scapula froze causing severe pain as well as cause my arm to turn very cold and a dark shade of purple i just hope the doctors figure what going on soon going very stir crazy( md is sure its t.o.s venues type but in canada they send you to a specialist to confirm ) been advised that my life style as a far as work( i work in temps of -40 f ) and all the physical activities i do ie ersonel training , bjj , and sung hang do (korean martial arts) may change and prob will not be going back to it
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Old 11-19-2010, 03:14 PM #8
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wow, yep those activities are pretty physically stressful , try to find other hobbies and modify what you can for now.

be gentle with your self - slow easy stretches - don't force positions or movements - it can make your body tighten & fight the release
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Old 11-19-2010, 04:03 PM #9
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i have also noticed that the arm that has been effect my fingers /hand are starting to curl in like a fist is this a normal thing with tos
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Old 11-19-2010, 07:05 PM #10
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Like clawing up?
That could be a nerve problem.
some do get that.
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