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


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Old 09-21-2012, 01:45 PM #1
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Default strengthening exercises and TOS

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Originally Posted by heybro View Post
I have heard before that "strength" stuff is bad in physical therapy.

My physical therapy has been going ok (not hurting me like most have in the past).

Until.....he just gave me strengthen exercises.

i flared up after these.

so what is the reasoning behind it all?
I had TOS surgery in June. Dr Donahue stated flatly "no PT". He showed me 5 stretches to do, 3x/day, for next YEAR. In his opinion, most Ph therapists are over-eager and the exercises very often delay/hinder recovery. Internal swelling can linger for many MONTHS, so you don't want to build up muscles and cause compression on your nerves/blood vessels unwittingly. He told me to listen to my body, begin exercises very slowly and start with simple stuff like yoga (which I am doing).
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Old 09-21-2012, 03:16 PM #2
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I think often PT places are expected to "fix" the problem , or at least show a good rate of improvement, in 6-8 sessions or 2 sets of sessions.
For TOS or chronic RSIs, that is just not enough time. In that senario they do tend to press forward too quickly, causing problems for us.

Often those injuries took many years to build up to the extreme/chronic symptoms, those symptoms cannot be reversed in a month or 2.

I do think often some sort of skilled manual or "hands on" therapy is needed. Self stretching alone often doesn't do all that we need. But each case of TOS is different.
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Old 09-22-2012, 12:04 PM #3
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my health ins wont cover my pt anymore because it shouldve cleared by now

yeah right!! this took YEARS. its not gonna heal overnight.
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Old 09-22-2012, 01:02 PM #4
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That's one reason I don't go to a therapist, can't afford it. Insurance usually only pays for several visits. That, and the fact that I've never found one who's been any help anyway.
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Old 12-12-2012, 11:41 AM #5
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Default A good answer to why strengthening too soon is bad

"You should NOT try to develop or strengthen a sick muscle. Weights and bands will do that! The muscles will pull and contract even harder against the nerves, vessels and flesh to exacerbate the pain and symptoms. The best for these sick muscles are heat, stretching, massage and being unlocked with needles. So avoid weights until the muscles are healthier." Stephen S Rodrigues MD

He posted this on the Facebook TOS page.
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Old 12-12-2012, 02:26 PM #6
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Quote:
Originally Posted by fclegg View Post
I had TOS surgery in June. Dr Donahue stated flatly "no PT". He showed me 5 stretches to do, 3x/day, for next YEAR. In his opinion, most Ph therapists are over-eager and the exercises very often delay/hinder recovery. Internal swelling can linger for many MONTHS, so you don't want to build up muscles and cause compression on your nerves/blood vessels unwittingly. He told me to listen to my body, begin exercises very slowly and start with simple stuff like yoga (which I am doing).
Would you mind sharing the stretches you were given for those of us who are eager to find good sound direction post-op? Thanks so much I believe this is a key element in healing and recovering and has been far too often left out of the equation in recovery. I certainly don't want to end up right back where I was pre-op. This is the part that has been most frustrating to me. Thanks again for sharing
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