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


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Old 05-08-2012, 08:33 PM #11
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Thanks everyone this is all helpful. Stos2, I do the chin tucks although my pt is not a fan of them. Is burning sensation a result of nerve pain? I will definately talk to the dr's about these drugs. Interestingly my son(14) was prescribed low dose of Nortriptilin for migraines. I think we still have it but he never tried it. His headaches have gotten better on their own.

Marc,What does Nortriptilyn/Gapentin do? Is it also a nerve med? Sorry I havent read the articles yet.

I see Dr. Ahn today for my first surgical consult. Will let you know how it goes!
Burning sensation is generally nerve pain/parasthesia.

Nortriptyline (Pamelor) and Cymbalta are anti-depressants but have beeen found to provide pain relief in low doses (much lower than the anti-depressant dose).

The studies as well as my experience show that the combination of a nerve med and one of these low dose anti-depressants give greater pain relief than either alone.
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Old 05-09-2012, 08:32 PM #12
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Default Nerve Glides

How do nerve glides work for anyone? my pt only gave me one to try and that one exacerbates my shoulder. Is there a good site for them?
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Old 05-09-2012, 09:40 PM #13
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In the useful sticky thread- posts #8 & # 51 links below-

http://neurotalk.psychcentral.com/post32722-8.html
http://neurotalk.psychcentral.com/post711059-51.html
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Old 05-10-2012, 12:48 PM #14
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How do nerve glides work for anyone? my pt only gave me one to try and that one exacerbates my shoulder. Is there a good site for them?
Nerve glides don't work for me either, I wonder why? and I wish they did work!
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Old 05-10-2012, 02:50 PM #15
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Thanks everyone this is all helpful. Stos2, I do the chin tucks although my pt is not a fan of them. Is burning sensation a result of nerve pain? I will definately talk to the dr's about these drugs. Interestingly my son(14) was prescribed low dose of Nortriptilin for migraines. I think we still have it but he never tried it. His headaches have gotten better on their own.

Marc,What does Nortriptilyn/Gapentin do? Is it also a nerve med? Sorry I havent read the articles yet.

I see Dr. Ahn today for my first surgical consult. Will let you know how it goes!
Gabapentin is like a nerve med as it used for patients with fibromylgia kind of pain. It helps us as TOS patients mainly if you have nerve pain ( it helps with irritated nerves). It kind of takes the edge off as someone mentioned and helps us go around our chores and tasks, but it does not do it all.

JKL626,
The other thing I forgot mention was if you avoid looking down, it really helps with the neck pain. If you read, read with your kindle/mag/newspaper on a stand like the musicians do. ( cheap alternative for a kindle or book is a brochure holder ) A lap top is much better than a Ipad, so you limit your looking down too much. Helps me a lot.
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Old 05-10-2012, 08:00 PM #16
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Nerve glides don't work for me either, I wonder why? and I wish they did work!
Nerve glides didn't really help me prior to surgery, but I am seeing positive benefit on my post-surgical side now.
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Old 05-11-2012, 01:35 PM #17
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Originally Posted by stos2 View Post
Gabapentin is like a nerve med as it used for patients with fibromylgia kind of pain. It helps us as TOS patients mainly if you have nerve pain ( it helps with irritated nerves). It kind of takes the edge off as someone mentioned and helps us go around our chores and tasks, but it does not do it all.

JKL626,
The other thing I forgot mention was if you avoid looking down, it really helps with the neck pain. If you read, read with your kindle/mag/newspaper on a stand like the musicians do. ( cheap alternative for a kindle or book is a brochure holder ) A lap top is much better than a Ipad, so you limit your looking down too much. Helps me a lot.
Stos, I do have a laptop,definately much better than a mouse, but I still get sore typing. What is the best way ergonomically to type with a laptop?I am ususally sitting on a couch . when I try to use it at a table, I get sore right away. I think I'll try to put it on phone books. I also am trying to type with my left hand. I definately need help with ergonomics!
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Old 05-11-2012, 04:10 PM #18
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I got a new laptop after Christmas, it my back up & important papers/files machine -, so I only use it once in awhile.

But it has built in mic & voice recognition with Win 7.
You can also plug in a mic to use the VR.
Getting it set up didn't take very long and you can do quite a bit of things with voice instead of mouse or touch pad.

I think Vista has the VR available too.

And Mac has a similar thing, I can't recall the name of it though. ispeak??

Part of it is laptops have a narrower/smaller keyboard so putting wrists closer together in front of you usually rotates elbows out and shoulder rotate in.
usually not a good position of most of us.
I have to use a separate mouse for comfort with my laptop - touch pad is not that great for me.

viewing height/angles w/ laptops.. tough part is getting it so you aren't looking down too much, but can still type or touch pad in comfort... trial and error thing. experiment to see what works for your situation.

My desktop is my main and most ergo set up.
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Old 05-11-2012, 05:13 PM #19
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Jo*mar, I thought this thread was about nerve meds?
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Old 05-11-2012, 05:57 PM #20
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Quote:
Originally Posted by jkl626 View Post
How do nerve glides work for anyone? my pt only gave me one to try and that one exacerbates my shoulder. Is there a good site for them?
Quote:
Originally Posted by jkl626 View Post
Stos, I do have a laptop,definately much better than a mouse, but I still get sore typing. What is the best way ergonomically to type with a laptop?I am ususally sitting on a couch . when I try to use it at a table, I get sore right away. I think I'll try to put it on phone books. I also am trying to type with my left hand. I definately need help with ergonomics!

Sometimes the original poster brings up other topics and we go from there.
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