thanks--the P/T wanted 2x/wk but i have a 6K deductible and pay $85 per visit, so I asked to space--also have young kids & hard to schedule.

Yesterday he tried to find trigger points--didn't really hit any, he did the rib mobilization, both sides, 3x each. But at the time, I wasn't all that "flared up". He'd ask if something hurt or felt better and I kept saying the pain is delayed, and would prob show up after the visit...it did.

I slept some better with the pillow set up, but the shoulder and chest pain started earlier than usual today--and the chest burn is more than ever. Also still get the cold hand, bluish tint to hand & feet. Last note--the only pain meds I do is 2 advil up to 2x/day--that's my choosing--I take other prescriptions and hate taking more.

I hear you on the meds, I try not to take em if I don't really need them.
Early on with my RSI/TOS injury I stupidly kept taking more and more while trying to survive at work. I'd take 2 IB at break with food , and then hr later 1 more then 2 hrs another so by the end of a 10 hr day I was totally over the daily amount. :(messed my tummy up I think, don't have a cast iron gut anymore....
When I finally got written off work , I stopped those darn things , plus PT was helping finally since I wasn't having to go to work also.

wowser a 6k deductible :eek: that's a big chunk.

does a heating pad help you or lying on the floor?

same here i was popping like 4 ibueprofen pills at a time. it messes with your gut and your abilitiy to absorb nutrients--bad!!

khakis, you are lucky, most of us have to go through a lot of bad pts to find a decent one

how severe can the chest pain be--don't want to think heart, i don't really--but no surgeries and no car wreck or anything for me--the burning chest has never been like this, new symptom--both arms are 2

call the PT and ask if this could be part of the delayed pain.
Is anyone there to listen to your heart and see if the beating sound normal?


But if it is really bad, I'd hate to tell you one thing and have it be something else, so if you get really concerned don't hesitate to go to doctor or even ER.
Others in the past did go to ER for chest pains , often it was not due to any actual heart issue.

But don't put off going in to ER if you really think you need to.
If nothing else it will possibly get you some pain relief med.

Calling and asking the PT person or place if this has ever happened before after rib mob might reassure you and let them know you had this result and they may need to move easier next time.
Can't hurt to give them a call. :cool:

When I had the severe spasms - it felt like my chest was vibrating internally and I felt the need to cough a lot.

I could feel my heart beating in my chest, but i didn't really have pain with mine.

The beating was regular and steady no thumps or skips so I just waited it out, mainly because I had read about others having similar and going to ER with no heart problem showing up.

have you tried heat or maybe ice -but ice will probably tighten up the muscles more and not help to relax it.


But I can't say enough- if you feel very bad it might be best to go to ER or doctor. Just for peace of mind.

beat is normal pulse in normal--just called p/t,he said he was pretty conservative--i had him ask another p/t there who said it couldbe related...this guy i saw is young,new to the grp and...i do have family heart issues but am 41 in good health other than hypothyroid and my pulse, breathing, beat seems usual.
i had read abt the chest pain in TOS, i thought,but had not had it (yet)--didn't expect it to be so bad--like skin is really on fire across the whole chest area

QUOTE=Jo*mar;871303]When I had the severe spasms - it felt like my chest was vibrating internally and I felt the need to cough a lot.

I could feel my heart beating in my chest, but i didn't really have pain with mine.

The beating was regular and steady no thumps or skips so I just waited it out, mainly because I had read about others having similar and going to ER with no heart problem showing up.

have you tried heat or maybe ice -but ice will probablmuscles more and not help to relax it.


But I can't say enough- if you feel very bad it might be best to go to ER or doctor. Just for peace of mind.[/QUOTE]

The bluish tint worries me. I still feel like you should consult a vascular expert to make sure there is nothing emergent developing.

I too get sore after pt. if the muscles are too tight it hurts worse afterwards. . I had 8 months of pt and chiro for cervical disk stenosis and it just made my TOS worse. My pt is very familiar with TOS and it still hurts after. She uses ultrasound sometimes. I just had botox and trigger pt injections and i am waiting to see if I can go back to pt and have better results. I also do acupucture also. I am holding off on strengthening until the muscle tightness goes away.

Does the blue tint (comes and goes), cold hand (affected side) always mean Vascular or arterial TOS? I have had an EMG that showed the carpal tunnel. With my bad insurance, I'm already at my max Dr visit limit, and so everything is out of pocket. I had no previous injury, just repetitive movements (computer, being a mom..) I have hypoT which was way undermed. at time of TOS onset--other than that, I'm healthy!
I know you all have to guide me cautiously--just wanting to be wise. The chest pain is much milder--it was like the same nerve pain I get behind my arms, but all across the chest--like on the skin, didn't feel heart-like.
Thanks all, sorry to be so helpless, but I appreciate all the help