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


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Old 04-13-2007, 11:22 PM #1
ozzy14 ozzy14 is offline
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Join Date: Feb 2007
Location: Sydney, Australia
Posts: 91
15 yr Member
ozzy14 ozzy14 is offline
Junior Member
 
Join Date: Feb 2007
Location: Sydney, Australia
Posts: 91
15 yr Member
Default Doctors, What doctors?

Having read many stories on this website regarding doctors visits I must say.....what Doctors visits?

I was sent for 3 tests in 2005 and received the following results.

Test 1:

Right & left venous duplex ultrasound:

"On abduction to 180 degrees there is a complete occlusion of the elft axillary vein and significant dampening of the waveform of the right axillary vein. The sonographic features are consistent with bilateral thoracic outlet syndrome more marked on the left side"

Test 2:

Arterial Doppler Ultrasound Both Arms:

"Normal flow, waveforms and velocities are present in the axillary, brachial, radial and ulnar arteries in both arms on restting. However, on further abduction of the right are with the patients hand behind the left side of the head there is amarked reduction and dampening in flow and velocity in the right azillary arter. On the left side, with abudcution marked reduction in velocities and dampening of flow is demonstrated within the left axillary artery" The appearances are consistent with balateral thoracic outlet syndrome which is more prominent on the left side"

Test 3:

MRI Cervical Spine:

C5/6 demonstrated a focal central disc protrusion indenting the ventral sac and compressing the cord. This causes AP canal narrowing of 40% centrally. Mild left entrance zone forminal compromise is seen abutting the left side exiting C6 nerve root.

C6/7 level is notable for a small discovertebral ridge in the left entrance zone foraminal region abutting the exiting left C7 nerve root.

I returned to the surgeon (spinal surgeon) who organised the tests and he referred me to a "hand surgeon" who has a interest in thoracic outlet syndrome.

I seen the hand surgeon who stated that she could remove cervical rib but success rate for surgery was not very high & very painfull. She had only performed one other surgery similar to this. (Probably because she was a hand surgeon!)

She sent me back to original surgeon (spinal surgeon) and he sent me off to physiotherapy for 9 months. I have since stopped going to physio due to very little improvement. I havnt seen anyone since. My local Dr just provides me with pain relief like Panadeine forte.

My big question is this. Should I be on some other meds??? Does anyone use anti inflamatories? Do they work?

What about the Dr situation? Should I be seeing someone else?

I hear a lot of posts about other treatments scalene, botox etc. None of this has been mentioned to me. I just take meds (that rarely work) and hope for the best.

Any advice would be beneficial.
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