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Thoracic Outlet Syndrome Thoracic Outlet Syndrome/Brachial Plexopathy. In Memory Of DeAnne Marie. |
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06-19-2012, 05:33 PM | #4 | |||
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I think the scalene block procedure is unnecessary for diagnostics since you have multiple cervical ribs. All the surgeons in L.A. do not rely on the scalene block for diagnostics. Sam Ahn and Niren Angle (Orange County) do not as they have found that negative results do not rule out TOS (as was the case with me). Why do you say 50% of those with TOS suffer from pec minor syndrome? Most of the surgeons I consulted did not believe in the necessity of the pec minor surgery (either never heard of it or never done it). I believe Dr. Sanders and his protege Annest in Denver led the charge regarding pec minor tenotomy. Dr. Thompson in St. Louis performs it as well. I haven't found any others who do. The outcomes of the pec-minor procedures are not overly positive in this forum. While I get compression at the pec-minor, they are able to release it in therapy (and I have learned some self release techniques). Do a search on this forum to see some of the downsides of having the pec minor surgery. In regards to neurolysis, scarring/adhesions can develop from inflammation and edema. You definitely want to choose a surgeon who is prepared to perform the surgical neurolysis if necessary. Great write-up BTW
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Marc . ACDF C5-C6-C7 2/28/11 . . . . |
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"Thanks for this!" says: | olecyn (07-13-2013) |
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