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


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Old 12-20-2012, 11:58 AM #251
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[QUOTE=tic2;941134]
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If I recall correctly, Dr. Angle does not trust imaging in diagnosing neurogenic TOS. I'd be surprised if he didn't at least look at it but relies more on clinical diagnosis with physical exam vs. imaging.

I really liked Angel and I have been told I have compression of major veins just below my clavicle. But he actually rolled his eyes and read part of the report and mocked what was written. He shot down all credibility of the report.
I am not complaining but was totally shocked.
I am so tired of finding a solution and having doctors question what others have done or said.
How long does it take to figure this out?
The stress is literally killing me.
Tic2,

I think if it is vascular, which in your case it is venous, the report should hold some truth. With neurogenic TOS it's hard to diagnose with pictures but with vascular it is usually pretty obvious because of blood flow issues with compression. Mine was arterial and my MRA showed the fallout in my subclavian artery with compression in certain positions. Does that make sense?
Good luck and hang in there. What does Art think?
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Old 12-20-2012, 12:26 PM #252
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[QUOTE=stos2;941145]
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Tic2,

I think if it is vascular, which in your case it is venous, the report should hold some truth. With neurogenic TOS it's hard to diagnose with pictures but with vascular it is usually pretty obvious because of blood flow issues with compression. Mine was arterial and my MRA showed the fallout in my subclavian artery with compression in certain positions. Does that make sense?
Good luck and hang in there. What does Art think?
I need to go back and see Art. Yes your MRA makes sense to me. I am actually a chemical engineering professor with a PhD and have read and can read all my imaging films.
I have been studying TOS articles for about 6 years.

Art and James thought Collins was on the right track.

Thanks for your support. Happy holidays
Mary
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Old 12-20-2012, 02:05 PM #253
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I need to go back and see Art. Yes your MRA makes sense to me. I am actually a chemical engineering professor with a PhD and have read and can read all my imaging films.
I have been studying TOS articles for about 6 years.

Art and James thought Collins was on the right track.

Thanks for your support. Happy holidays
Mary
Hi Mary, dont give up hope. see what dr gelabart and dr mckenna have to say.When do you see them? Also you might want to think about spending the money and see Dr. Jordan only because he is an excellent diagnostician and does not have any loyalties one way or the other. The initial visit was $618 and blue cross should cover whatever percentage coverage you have. He will probably send you to gelabart,Ahn or mckenna for opinions. The MRA shouldnt lie and I know Dr. Mckenna is a fan of them. .My experience is to get all the opinions you can and make your decisions after you find the dr. you most trust.
You know your body best and what your symptoms are!
Good luck and try to have a nice holiday!
JKL
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Old 12-20-2012, 03:38 PM #254
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[QUOTE=jkl626;941173]
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Hi Mary, dont give up hope. see what dr gelabart and dr mckenna have to say.When do you see them? Also you might want to think about spending the money and see Dr. Jordan only because he is an excellent diagnostician and does not have any loyalties one way or the other. The initial visit was $618 and blue cross should cover whatever percentage coverage you have. He will probably send you to gelabart,Ahn or mckenna for opinions. The MRA shouldnt lie and I know Dr. Mckenna is a fan of them. .My experience is to get all the opinions you can and make your decisions after you find the dr. you most trust.
You know your body best and what your symptoms are!
Good luck and try to have a nice holiday!
JKL
Thank you
Happy holidays too!
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Old 12-21-2012, 11:51 AM #255
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Default Happy Holidays and all the very best in 2013!

[QUOTE=tic2;941154]
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Originally Posted by stos2 View Post

I need to go back and see Art. Yes your MRA makes sense to me. I am actually a chemical engineering professor with a PhD and have read and can read all my imaging films.
I have been studying TOS articles for about 6 years.

Art and James thought Collins was on the right track.

Thanks for your support. Happy holidays
Mary
Happy Holidays to you too! Good luck in 2013 to all our members! Wish and hope from the bottom of my heart that you all feel really good and are steps ahead in your recovery in the new year!
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Old 12-29-2012, 02:07 AM #256
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Default HI Marc

How are you doing?
Just read through ALL your journeys, advice and the sharing. Thank God for people like you...perfect example of how I found my docs and referrals for correct medical help.

Ur story is parallel to mine seeing multiple docs before Dr Williams, the lack of return calls from other docs, the ER room, etc..He can diagnose but his protocol and lack of patient care is sad. Yes, Dr Ahn needs 50 lashings for his approach, surgical malfunctions and lack f honesty. However, we dont hear of the patient's who have been a success with him do we? Dr Gelabert, Jordan and even Justin Brown are educated TOS professionals for sure. Ando and Aston had a lot to learn about TOS when we connected and boy did Art learn quickly.

Keep me posted on your recovery and life with TOS. It is an unforgiving condition. And when someone like yourself shares their story it makes life so much easier for others
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Old 03-05-2013, 09:58 PM #257
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Hello all.

I had to read my old posts to realize that my headaches and neck pain dated all the way back to August! The good news is that the problem is not related to TOS or my TOS surgery. After botox and numerous injections and diagnostic blocks, it appears that the source of the problem is adjacent to my cervical fusion from 20 months ago. I had RF Ablation of C2, C3, and C4 medial branch nerve roots on the left side Friday and the right side will be this afternoon. I had residual pain from the procedure but started feeling substantial relief yesterday. I'm hoping to be feeling much better by Xmas!

I have been able to work without major problems. Luckily the holidays are slow for my line of work. I take Percocet as needed for the pain along with 2400mg Gabapentin/day. I did go off of the Gabapentin a few times for the diagnostic nerve blocks and I noticed that I still have a lot of ulnar numbness on the left side. I'm back in PT to continue to increase mobility post rib resection surgery.

My wife and I are expecting our 1st child in June. Things are looking up!
The RF Ablation procedure eliminated 70% of my occipital neuralgia but I developed severe spasms in the SCMs with pain radiating behind the ears into the temples and face. I was referred to a neurologist specializing in movement disorders to investigate potential cervical dystonia. He concluded that the tension was all myofacial and not dystonia.

Valium and Neurontin have been the only things providing relief (other than Percocet). I tried Baclofen but got no relief and had to return to Valium. My pain management doc wanted to try me on Suboxone and started me on a drug taper before starting the Suboxone. When I reduced the Neurontin I realized I was experiencing the same symptoms I had prior to rib resection surgeries. I returned to 800mg x3 of Neurontin.

I decided to see Dr. Sheldon Jordan since he understands TOS as well as other neurological disorders (most neurologists do not). Dr. Jordan believes I am suffering from TOS recurrence. This recurrence is a risk when the rib is resected transaxially and the scalenes are not fully removed. Dr. Jordan says sometimes the anterior and middle scalenes scar to each other, forming a noose around the plexus. Dr. Jordan has an EMG/ultrasound guided botox procedure to treat TOS non-surgically (sucessfully, I've spoken with a few of his success stories) but it does not appear that my insurance will cover it (I can't offered his cash rates). The procedure has to be repeated every 6 months and surgery may still be necessary.

I am going to have MRIs of the brachial plexus and likely have full supraclavicular scalenectomies and neurolysis with Dr. Angle soon. I think surgery is the best option for me since I bounced back so well from the previous procedures. I have to get better before our baby arrives in June!
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Old 03-06-2013, 08:29 AM #258
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good luck Marc, I hope all things go well. My 1st surgery was transaxially approach and had the 2nd surgery within a year after the 1st. My surgeon, Dr Clair said that a small portion of the 1st rib can not be removed from this approach and the stub can cause problems. I have had much better results from the 2nd surgery even though it has taken a long time.
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Old 03-06-2013, 08:52 AM #259
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Good luck!!

I have major scm problems too. Im pretty sure its what makes me feel very dizzy
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Old 03-06-2013, 09:05 AM #260
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