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


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Old 03-19-2012, 02:32 PM #1
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Default enlarged vertebrae

Pt is now saying I do have tos not due to ribs but enlarged vertebrae in my neck. Has anyone heard of this
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Old 03-19-2012, 03:07 PM #2
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when i look up enlarged vertebrae all i see is spondylosis and stenosis. i had an mri! you'd think it would show up on that

another thought, maybe my vertebrae feels larger because it is inflamed and it wasn't during mri
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Old 03-19-2012, 03:34 PM #3
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Other congenital causes

Some people are born with an extra band of tissue underneath their skin around the thoracic outlet area called a fibrous band. This can act a bit like an extra rib and cause compression of the thoracic outlet in some people. Anomalous (or extra) muscles around the thoracic outlet that you may be born with can also cause narrowing and compression. Also, some people are born with an enlarged or elongated part of a vertebra in their neck which can cause compression in their thoracic outlet.
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Old 03-19-2012, 06:06 PM #4
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If the MRI was fairly recent, you might have it reviewed by a dc- if you have a copy of it, or ask the md that rx'd to have it looked at again to see it vertebra size might be an issue or not.
Might be good to know if it is an issue.
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Old 03-19-2012, 07:16 PM #5
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maybe she was saying tho it sticks out too much at the sides? it seems like to show that you'd have to do it from a frontal view.


i actually had a chiro who worked on my neck a lot. he shouldve mentioned something. he did at least 8 adjustements tho and my hands were still numb so maybe he just wanted my money.

i think the tx is still the same, i need to unload my neck and increase circulation. my hands became less numb when i strengthened my shoulders. i had a bad flare up and my pt said that my left scapula (tosish side) was 2 inches off my back. that's GOT to effect my circulation somehow.
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Old 03-20-2012, 10:47 AM #6
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maybe i have bone spurs
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Old 03-20-2012, 12:23 PM #7
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they usually mention those in the report if you have them.
Osteo-- something I think..I forgot the official name
I have some anterior at c4/5/6 mild - at least per my 04 MRI.
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Old 03-20-2012, 01:18 PM #8
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Osteophytes?
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Old 03-20-2012, 03:07 PM #9
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yeah i really dont think i have them then. i went to emory for my mri and theyre pretty reputable.

"c-spine presents normal alignment. vertebral bodies are normal in height (unless she means they're FAT????). there is a normal marrow signal pattern. intervertebral discs are normal in height and signal intensity. the cspine cord is normal in size, contour, and signal intensity. the craniocervical junction is normal. the included intracranial structures are grossly normal ((i know, i'm overanalytical but he only used GROSSLY in this part what about the rest!)). the paraspinal soft tissues are normal.

c2-t1 normal normal normal normal..........

normal unenhanced mri of the cspine. "

i think my pt is just trying to understand something that's over her head but i can't blame her. she actually didn't think i had any tos until another doctor said she thought i had tos.
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Old 03-20-2012, 03:09 PM #10
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i can type a lot better today and it's only because my shoulders are taped to my spine. otherwise i'd be a mess. had an awful awful flare up. my bp feels inflamed to me.

i am soooooooooo glad i didnt mess up my neck with my eds, sure i might've messed it up some but not to the point of being obvious on an mri. considering the insane pain ive been in i thought for sure something would be glaring on there
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