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


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Old 02-16-2010, 06:01 PM #11
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rant all you want. I understand.

TOS is tough to live with, deal with and get treatment for.

Keep searching and asking questions. It's worth it when you find a morsel.
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Old 02-16-2010, 08:22 PM #12
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Originally Posted by MarketRisk View Post
I think I meant on the neurolysis side the "Freeing of a nerve from inflammatory adhesions" rather than killing it. Zoe
Zoe,

There are about 20 of us in So. California (US) and I must say I have never seen a doc who says they can free the nerves from adhesions - that gets into what I fear of those docs / PTs/ chiros who promise "cures". I understand the concept. I just haven't seen a successful case yet.

Do you KNOW anyone who this has worked, cured, and they're back at work? I do not mean at all to be argumentative, it's just that this is a newish topic here, so let's keep talking about it, ok? Tell us more, if you can, and when you can.

God bless you. We're all on this journey together...

Tam
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Old 02-17-2010, 01:11 AM #13
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I was thinking it possibly meant something along the lines of scar tissue adhesions...
not sure though..
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Old 02-18-2010, 02:32 PM #14
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Originally Posted by MarketRisk View Post
Hi Tracey,

Oh, rubbish that you had to leave your job. I'm finding that out now as well. Had hoped that I could go back to it, but using the computer is a sure way to make things worse. What do you do now? I find day-to-day living severely affected.

Not had TOS diagnosis. Mentioned it to shoulder surgeon and he said was dependent on what you did with your arms (well, urm, that's what I've been saying for 3 and a half years), old pain consultant said the area (brachial plexus) was 'irritable' in 2008 after his examination put me into hospital because of the flare-up, which GP and I thought was brachial neuritis (sounds like TOS is the same, but without the immuno-response cause). So uncanny when I came on here just how many symptoms fit - heavy arms, iron rod / stab at cervicothoracic junction, winging scapula, wasted trapezius, scalenes in spasm, raised rib, cold, blue hand, anterior chest pain (even admitted for a couple of heart attack type attacks in 2008!), searing face, ears, neck and upper back, feels like breathing fire, right hemisphere headaches, etc...). I thought I was the only one in the world with such a weird collection of symptoms, but jolly good (not for sufferers) that I'm not. And it spreading from right to left. Also, seem to get mild swelling when go into flare. Also, ants crawling nerve pain up back of neck and out across top of neck-shoulder then down back of shoulder blade. Also, icky nerve bundles at scalene, front of top of humerus, palm of hand, wrist, and base of thumb. And on, and on... Had felt so alone before found this site. Mind you, still do, on this side of the pond, bar you Tracey. Sounds like those in the States are actually listened to a little more. I've had denervations along all cervical and thoracic spine that I needn't have had. I do often feel that consultants don't listen to what I say, so I've tried writing it down and then they just ignore that as well. Anyway, enough ranting.

I think I meant on the neurolysis side the "Freeing of a nerve from inflammatory adhesions" rather than killing it. Not sure whether to go for this, which seems the most conservative of the treatments or with the scalene reduction and possible rib removal. Don't know how to find out the pros and cons for me and what I need, when I can't even get a diagnosis here!

You are so lucky with physio that's relevant. My physio is still sticking with the CRPS diagnosis, so it's trying to do repetitions that flare up the nerves. So she and pain consultant are like 'well, muscles flare up after they haven't been used', but I'm very sporty and know what that sort of muscle pain feels like, and this ain't it! So now I just don't do them if they flare it up. Find cold water helps (swimming pool) and clavicle support done up tight (raises shoulder and brings it back, but weakens good left side).

Tempted to see Christopher Jenner and your physio. What botox did he do? Did it help? And on the physio side? Rather disheartening re Carlstedt. What did he say about TOS? Did he offer any tests / physio / surgical options? (Doesn't sound like it.)

Please feel free to private message me - I don't think I can mail you yet, because not written enough messages. Or you can email me at zoestockwell then the hotmail bit (won't allow me to write it, 'coz I've only posted 5 messages). Just bought Dragon Naturally Speaking software - it makes sooooo many funny and infuriating mistakes.

Thinking what other career I could pursue - grumpy mum in pain seems to be top of the list at the moment. Seriously, can only think of dog walking (1/2hr or maybe 1hr a day max.) or dog breeding (cute Cavalier has been great through this, along with family). Something that requires minimal use of the arms and lying down and relaxing. Hmm, can't think of many jobs like that! Aaargh.

Wonder if just proper physio, directed at the actual problem, would help... Be nice to just be believed by a consultant / physio re the symptoms. That's where the EMG results were useful - suddenly you're not treated as such a looney. Appalling; my symptoms haven't changed, but the reaction to them has. No wonder chronic pain sufferers have psychological problems. Oh, just be cheery, and the pain gate theory means that you won't feel your pain so much. Oh, so it's my attitude that's causing me pain. I even had one CBT guy saying that my relationship problems were causing the 'pain in my neck'! Oh dear, think I've still got a lot of ranting to do. Hope you and the forum don't mind.

Best wishes,
Zoe
Please feel free to rant all you want - i have had my fair share since joining.....no one on here will mind at all!

I have been up to london to see a vascular dr today - im a little shattered so not able to stay on the laptop for long....i will email you over the weekend on the address you've given. There are a couple of other people on here from the UK who have really helped me out over the last year or so....we need to support each other where we can as the dr's arent always there to do it for us and friends/family may not always get it either!
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Old 02-19-2010, 12:59 PM #15
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Finding a good physio is key....when I was immediately post op (and before I ran into problems again with scar tissue), I saw a great physio near Reading. She told me that people in the UK need to look for physios with a qualification called MACP as this means they have done loads of extra training.
I've tried to put the website link below but can't but essentially the www you'd expect then macpweb etc should work or a google search will find it- if you choose central region, you can see who is close to Cambridge - seem to be a few working within NHS so you might be able to find out which of them specialise in upper limb problems and a few privately. Be interested in what you find out as I"ll be moving back to Cambridge in October and will need to find one too!

hope this helps
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Old 02-23-2010, 12:18 AM #16
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Default ranting good, prevents atrophy

i have a job now where i am required to smile for 28 hrs a week mostly on my feet. when i get home i have to practice rolling my eyes, frowning, and smirking so those other face muscles don't atrophy. i can't get used to standing up 8 hrs a day but i am hoping the podiatrist can help. so far none of this aggravates anything other than my feet.

some jobs may be beneath you, but give you the opportunity to stretch more often and have less computer work. keep looking for the job that will not hurt you. even if you don't find it at least you tried. look for ways to move beneficially when you get breathing spells.

also, on the nerve adhesions. my pt explained that nerve glides are what treat this and prevent further adhesions.
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Old 02-18-2011, 09:09 AM #17
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Default Did you have the Eden Lange

Hi

I have been dianosed finally with Spinal Acce3ssory Nerve damage after having a lymph node biopsy. Took the docs 7 months to figure it out. I too ama candidate for the Eden Lange Procedure. Did you or anyone you know have the procedure done. I am 48 years old and just terrified
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Old 02-21-2011, 12:46 AM #18
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Quote:
Originally Posted by MarketRisk View Post
thanks for your messages. so many threads, i don't know where to start. and when computing makes it worse, hard to do!

did wonder why, once flare-up flaring up, that symptoms become apparent on the left arm as well?

any drugs that help? anyone in the uk? apparently they don't do much with this in the uk. i contacted dellon in the states and he said to come over there for surgery (after i've seen carlstedt here in london). also saw that nath deals with neurolysis.

upper, upper trapezius very wasted as well, and don't see how that would be affected by neurolysis?

why do my arms feel so darned heavy? i'm not carrying anything!

best wishes to you all. sorry that you know what i'm going through (if you know what i mean) x
Dillon is very knowledgable, and I am not sure if when you got here he would suggest surgery or not, there is one other doc that if anything are doing a modified release.

The fear is the scar tissue. It sounds like your work is just another day of reinjury. I have dragon dictate, but when working I have to edit and upload photos labeling them just too much to do when Dragon'ing.

The nerves affected are coming off the spine, from the Cervical C4/5/6/7/8 & T1. THese become the three major nerves of the arm, Radial, Ulnar and Medial, all the way down to the finger tips, three feet away. THe neck does not discriminate to one side with TOS. When one side is affected the body is mirrored and will compensate on the other side.

I found a lot of relief in flares with a medrol pak, steroids, and Toradol shot.
I recently fell into the left arm and did the rocking in pain until the doc did the Toradol and medrol pak.

BUT work habits have to change to help tone down the pain. There is no way to work through the pain without hurting yourself more.

The heaviness is the nerve compression.
If you raise your arms, the outlet area, behind the collar bone, infront of the first rib becomes compressed. This makes the arm fall asleep, tingle, feel heavy.
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