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


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Old 10-17-2012, 09:22 PM #11
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Quote:
Originally Posted by Jo*mar View Post
Hi Teresa,
Sounds like you got a quadruple whammy for TOS...

Did the PTs , DCs, etc, do any manual trigger point work, massage, low level laser therapy, e stim, rib mobilizations, posture/body work?

I also got these things for at home use

Digital IF stim & fist had a dial EMS stim - digital controls are much easier and no accidental bumps to a higher level like with a dial adjustment.
IF stim is less prone to give zaps/zingers.

Far infrared heating pad

foam roller/ Swiss exercise ball

tennis balls for floor or wall trigger work

Most of us do have to adjust our lifestyle & activities.
I know it mentally takes a lot to readjust & come to terms with it, but it's better to avoid those flares and sometime later on, you slowly can take baby steps to more activity.

Many of us have gone thru the 5 stages of grief, with any significant loss we tend to go thru those..
Hi Jo*mar

Curious to know if you recall any members on the forum that have experienced facial numbness on their operative side that starts acting up when laying down and as a result even when getting plenty of sleep creates aching type pain and when rising in the morning feeling just awful dizzy/lightheaded & nauseous and great fatigue throuhout the day. This is now occuring 20 months post op in addition to neck & chest tightness & BTW I can only sleep on my non-operative side only as when I sleep on my operative side I get almost a choking feeling which in turn brings on coughing and more pain.
I also have had shortness of breath quite a lot post surgery which has been very slow in improving....now mostly with exertion. I have been told that with phrenic nerve injuries it takes a long time even when it heals that the diaphragm takes time to get stronger to move as it should......also curious to know of others who have this problem.
Can this be scar tissue creating compression on nerves, etc.? and have others who also have experienced these symptoms found any answers?

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Old 10-17-2012, 09:50 PM #12
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chloecasey, Many have had TMJ sx w/TOS, I don't recall anyone mentioning facial numbness or symptoms like that.
You could try a forum wide search (link in my siggy) for posts about that, make sure the time frame goes back to 2006 the forum start up year.
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Old 10-17-2012, 10:03 PM #13
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Quote:
Originally Posted by Jo*mar View Post
chloecasey, Many have had TMJ sx w/TOS, I don't recall anyone mentioning facial numbness or symptoms like that.
You could try a forum wide search (link in my siggy) for posts about that, make sure the time frame goes back to 2006 the forum start up year.
Jo*mar

Thanks for responding....I don't have TMJ at all.
Forgot to mention that I had Horner's syndrome (operative side eye) that still is evident especially when fatigued.....another symptom of injury to the sympatheic nerve chain, as is the phrenic nerve.

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Old 10-18-2012, 09:52 AM #14
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Hi Stos,

Thanks for your welcome. I live in the Los Angeles area and think I have a pretty good team of help at the moment, but am open to any/all new suggestions.

My goal is to get back to work so anyone that can help me get there I am good with. I was in Sales when this hit, and it became impossible to drive for extended periods, sit for extended periods and the stress of the industry I have been in for about 20 years brought on more pain. I have been out of work for almost a year and really would like to get back to something.

Out of Curiosity what do others do for work out there that does not aggravate their symptoms?



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Originally Posted by stos2 View Post
Hi, Welcome to the forum. I am glad you found this site. Everyone here pretty much has similar symptoms if not the same exact history of how they got TOS.

My motto is when you are feeling better is when you land yourself in pain again by trying to reclaim your life as it was before.
So remember all the do's and don't do's that you have figured out for your body, that keep you out of pain or make you go into pain.
( Somehow, remember them all the time!) That helps me a lot Also, my surgeon once told me that once you have TOS, and even if you are recovering well, you will always have about 20 percent of TOS all your life, so you always have to be cautious. I take that advice seriously as most of us TOS er's are hypermobile and go out of range easily and therefore go into pain easily.

Also if you put a general area where you live, it helps everyone recommend someone, since most people on this forum are very helpful and very knowledgeable and will guide you to the right PT or specialist to help you if they can. I have benefited tremendously from all the local people in Ca who have guided me in the right direction. I would have headed for another surgery, if it wasn't for them. God bless them all and everyone on this forum.
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Old 10-18-2012, 09:55 AM #15
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Thanks Kelly,

Everyday is a new and different experience. Sometimes the regular pains I have subside, only to have new stuff. This is the oddest thing I have ever gone thru.

Are you able to work at all?



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Theresa,

My TOS developed while I was working as an attorney. It was a very sedentary job but I was only working 3 days a week, so my story is kind of atypical. My symptoms began gradually. I have all the usual symptoms above the naval plus chronic headaches and frequent migraines (about 10 a month lately).

I had surgery with James Avery in SF almost 8 years ago. I developed scar tissue on my Brachial Plexus following surgery (shown on an MRI I had 8 months after surgery). Now I'm a chronic pain patient using Hydromorphone daily which helps some but not enough.

I'm glad you found us.

Take care,
Kelly
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Old 10-18-2012, 10:03 AM #16
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Hi Jo-mar,

Thanks for your response and all the suggestions. I have done all of those therapy's at one time or another, all seem to give some relief, however fleeting.
Some bring on more pain and issues, but I still keep doing them. The best relief I have had is with the Spinal Q brace, it lessened the pain in the scapula and shoulders to a manageable level, however did not take care of the neck pain and arm and finger(s) pain.

I want to avoid surgery at all costs, and I am wondering if you or anyone else have had any experience or success with shots like botox etc?


Quote:
Originally Posted by Jo*mar View Post
Hi Teresa,
Sounds like you got a quadruple whammy for TOS...

Did the PTs , DCs, etc, do any manual trigger point work, massage, low level laser therapy, e stim, rib mobilizations, posture/body work?

I also got these things for at home use

Digital IF stim & fist had a dial EMS stim - digital controls are much easier and no accidental bumps to a higher level like with a dial adjustment.
IF stim is less prone to give zaps/zingers.

Far infrared heating pad

foam roller/ Swiss exercise ball

tennis balls for floor or wall trigger work

Most of us do have to adjust our lifestyle & activities.
I know it mentally takes a lot to readjust & come to terms with it, but it's better to avoid those flares and sometime later on, you slowly can take baby steps to more activity.

Many of us have gone thru the 5 stages of grief, with any significant loss we tend to go thru those..
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Old 10-18-2012, 02:16 PM #17
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Teresa,

When this all started I felt like my doctor was looking at me like I was nuts. Every time I saw her I had a new ailment.

I haven't been able to work since I went out on what I thought would be a two month leave (that was in Feb. 2003). It's been a huge adjustment to go from a busy person who got to use my brain to one who spends most days leaving the house once a day for a cup of coffee.

Take care,
Kelly
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Old 10-19-2012, 10:02 AM #18
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Hi Kelly,

I relate to all you are saying and my heart goes out to you. It has been difficult for me as well to go from a very busy person to basicly a pile of rubble.
It has been a very rough year physically, mentally, and spirituality for me. I lost my Dad, my Mom is terminally ill, lost my job and my health all in 6 months time....it has definately taken a toll.
I am hoping that I can get back to some form of work soon, it is difficult when you don't know day to day what your body is going to do.



Quote:
Originally Posted by kellysf View Post
Teresa,

When this all started I felt like my doctor was looking at me like I was nuts. Every time I saw her I had a new ailment.

I haven't been able to work since I went out on what I thought would be a two month leave (that was in Feb. 2003). It's been a huge adjustment to go from a busy person who got to use my brain to one who spends most days leaving the house once a day for a cup of coffee.

Take care,
Kelly
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Old 10-19-2012, 10:34 AM #19
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Hi Teresa,

If you are in the L.A. area, You are very lucky as Ando and Aston physical wellness therapy is in Anaheim Hills. Dr. Art Ando and Dr. James Sposa are very highly specialised and know TOS very well. I travel from Northern Cal just to see them. I highly recommend them unless you are seeing them already! They truly are masters at what they do. They will teach you how to be able to sit, maybe mobilise your ribs whatever is needed and help you with getting better, they can just see and feel whatever is not right in your posture, your musculature, any myofascial issues and have ways to fix it. It was the most thorough evaluation I have ever had. Their exercises are helping me a lot.
www.andoaston.com, Phone (714) 974 0330.

I also do Peter Edgelow's diaphragmatic breathing routine which I learnt here in Northern Cal along with the L.A. therapy exercises. Any Abdominal Breathing is so important to help you relax and feel more in control than out of control and there is so much more to it when you have TOS. It reduces the compression on the nerves and vessels.

I also believe in doing cardio almost everyday for 20 to 30 mins atleast to warm up those muscles, essentially breaking out in a sweat. Just walking or whatever form of cardio that does not aggravate symptoms. No incline,no swinging arms etc.

I have never benefited from any kind of shots, always got more injured, so please research and study it properly before you go ahead with them.

Qs. What kind of bilateral TOS do you have? Is it mainly neural? Who did the diagnosis?
Qs. Are you taking any nerve medication like Gabapentin/neurontin?

Last edited by stos2; 10-19-2012 at 11:13 AM. Reason: adding info
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Old 10-19-2012, 11:50 AM #20
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Quote:
Originally Posted by tat868 View Post
Hi Stos,

Thanks for your welcome. I live in the Los Angeles area and think I have a pretty good team of help at the moment, but am open to any/all new suggestions.

My goal is to get back to work so anyone that can help me get there I am good with. I was in Sales when this hit, and it became impossible to drive for extended periods, sit for extended periods and the stress of the industry I have been in for about 20 years brought on more pain. I have been out of work for almost a year and really would like to get back to something.

Out of Curiosity what do others do for work out there that does not aggravate their symptoms?

Hi I am in L.A. too-I am having the same trouble trying to go back to work. Take a look at my response to Tic2 and also search my thread JKL's journey or how I am seeing all the dr's in L.A. I would like to compare notes and find out who your "team" is. I recently tried to work part time after a year but dont know if I will be able to go back to my regular job.
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