James Cyriax1 on treatment of thoracic outlet syndrome

"Within two or three weeks, (the typical middle aged sufferer) loses her long standing symptoms and, as long as she keeps to her regime, remains well.
After a time, the nerves lose the heightened sensitiveness resulting from repeated bruising; some months later the patient finds she can relax her precautions a good deal."

His treatment involves sitting up in the evening until the nerves have gone through their process of recovering - until their pins and needles have come and gone.

You need to wedge yourself in a canyon of cushions in an armchair, arms resting on the cushions so that your shoulders are up near your ears.

The pressure off, your nerves are able to recover now, rather than in the middle of the night.

This over, you will be able to go to bed and have an undisturbed night.

That's the easy part, of his thoracic outlet syndrome treatment.

During the day, you need to hold your shoulders slightly shrugged all the time, and right up near your ears all the time you are lifting anything.
This isn't easy.

It has to become a habit.








if im not having neck spasms, just pins and needles all the time does this sound legit? or is it hoaky

also i dont get why your nerves arent at rest when lying flat on your back, theres no gravity...

That site has some interesting self help/ body /pain exploration info.
here's the link for the main page.

http://www.holistic-doc-pain-support.com/index.html


As you read down the page after selecting a topic on the left there will be blue links to more info pages.

Maybe being flat still causes the nerve crowding of the top rib/clavicle??

And the pillow /mattress combo would make a difference too, I think.

I know quite a few w/ TOS have said they aren't comfortable when trying to sleep on their back. But side sleeping is a problem often too.

yeah pillows under my neck, i cant use those at all

good and bad news is
since wearing a neck brace (almost 2 months ago) and getting the left side loosened up, im recovering and less burning, no spasms. but im also not using my neck. i really think if i had any muslce tone i would have the tos you all seem to have..

i wore a backback a few days ago and it hurt my rt droopier shoulder. wonder if you have like multiple (very minor) stretch injuries to your bp would that make your hands go numb for a long time..


im thinking more of a stretch issue than a pinching issue. i have had pinching issues but *knock on wood* i think they are in remission. the only place i might be stuck tho is when i put my chin down to my chest and slump it feels liek glue is pasted all over my back. i dunno if this is somewhat normal tho, since im hypermobile i seem to exaggerate things being "tight" ive noticed. i bet if i had never stretched ANYTHING id be on the road to recovery by now. stretching is a very tricky thing.

with sleeping i bet people who have shoulder/bp injuries cant sleep on their sides either.

and then i wonder if tingling during sleep is just a reflection of injuries sustained during the day, you get a build up of injuried tissues and they just puff up over night.

im depressed and rambling. bleh.

oh and i went to a neuro..my first. he doesnt even think i have tos. he's blaming this all on being hypermobile, i think.

but my pts are treating me like i have tos (in the droopy shoulder sense). so i do have it i think, i dont think theres anything the neuro could do to help so it didnt really matter to me

im going to keep a tingle log and try this one week where i dont have to do anything..keepiing pillows under my arms and ill see if i notice less.

ALSO i just got my coworker to squeeze both of my arms, she said that my rt arm felt fatter. SO TAKE THAT DOCTORS who dont believe me!!

Speaking of logs, does anyone keep them around here?

I'd think it would be extremely valuable for others here to see progress, etc. especially post surgery.

If I have to go the surgical route, I'm thinking of creating an ongoing log. This kind of detail would not only help others, but I'd think would help the person emotionally going through recovery.

KY

yeah the problem is back in the day i didnt have voice activation software and couldnt type so..grr.

but logs are awesome, i encourage you to write in one

. Surrounding each such fibre is the endoneurium. This forms an unbroken tube which extends from the surface of the spinal cord to the level at which the axon synapses with its muscle fibers, or ends in sensory receptors. The endoneurium consists of an inner sleeve of material called the glycocalyx and an outer, delicate, meshwork of collagen fibres. Nerves are bundled along with blood vessels, since the neurons of a nerve have fairly high energy requirements. Within the endoneurium, the individual nerve fibres are surrounded by a low protein liquid called endoneurial fluid. The endoneurium has properties analogous to the blood-brain barrier, in that it prevents certain molecules from crossing from the blood into the endoneurial fluid. In this respect, endoneurial fluid is similar to cerebro-spinal fluid in the central nervous system. During the development of nerve edema from nerve irritation or (injury), the amount of endoneurial fluid may increase at the site of irritation. This increase in fluid can be visualized using magnetic resonance neurography, and thus MR neurography can identify nerve irritation and/or injury.

i have crappy ehlers danlos collagen too, i bet that affects how slow the nerves heal