[mspennyloafer]

has anyone here recovered from neuro pec minor syndrome without surgery? did you have chronic numbness before?

i must have the tightest pecs in the world to have had numbness in my hands for this long

it is not my rib or my scalene tho thank god

[jkl626]

Originally Posted by mspennyloafer

has anyone here recovered from neuro pec minor syndrome without surgery? did you have chronic numbness before?

i must have the tightest pecs in the world to have had numbness in my hands for this long

it is not my rib or my scalene tho thank god

mine has gotten better with daily use of the pinky ball on a stick and soft tissue mobilization, but it is bad again now because my rib moved and is sticking into my scalpula and
pec minor-but I just keep at the exercises and the pt and hope it will contnue to improve. For me it is also the teres major and minor that causes the numbness. If I thought my problem was the pec minor muscle itself i would consider the pm surgery but I am pretty sure my symptoms are caused by my ribs.

[shengggmd]

i have had both pec minor syndrome and neurogenic tos. successfully treated by physical therapy. i am both a patient and a physician. pec minor tenotomy a 45 min. procedure can significantly reduce the compression if the diagnosis is well established. also very quick recovery time. so if physical therapy fails it is a relatively simple procedure. good luck to you

[mspennyloafer]

if i had vascular pec minor i would totally get the surgery

but i have ntos and then my shoulders are winged. i think it would be a bad idea for me but its tempting

interesting about teres muscle groups, i dont have strong muscles back there but i do have trigger points

lats and pecs are my main problem, always tight always thick




i always get a pull extending my arm at my side with my wrist flexed in the fingers..its gotta be my pecs, right? i really dont think its my neck anymore. altho i used to be tight everywhere, my neck is recovering

[mspennyloafer]

Originally Posted by shengggmd

i have had both pec minor syndrome and neurogenic tos. successfully treated by physical therapy. i am both a patient and a physician. pec minor tenotomy a 45 min. procedure can significantly reduce the compression if the diagnosis is well established. also very quick recovery time. so if physical therapy fails it is a relatively simple procedure. good luck to you

how did you get dx'd with pec minor syndrome? through a pt?

[jkl626]

Originally Posted by shengggmd

i have had both pec minor syndrome and neurogenic tos. successfully treated by physical therapy. i am both a patient and a physician. pec minor tenotomy a 45 min. procedure can significantly reduce the compression if the diagnosis is well established. also very quick recovery time. so if physical therapy fails it is a relatively simple procedure. good luck to you

How do you get an established diagnosis? .The only doctor who does the MAC test that I know of is Dr. Mechanic who works with Sanders and Annest and it seems like they tell everyone that they have it. Also I have heard the tenomoty is not that easy and has complications. Have you had it or know others who have had successful Tenotomies? Thanks

[shengggmd]

I self diagnosed after much research and frustration. I am also a vascular surgeon that specializes in tos(obviously due to my personal experience)

[shengggmd]

My previous post may not have made it to the thread. I am both a patient who has been affected by and a vascular surgeon that specializes in tos (for obvious reasons). Just like ntos pec minor syndrome has no objective testing, pec minor syndrome has no real test. I dont care what sanders group says. He made life out of tos surgery and has established some tests that cant be reproduced by others. Only reliable way to establish the diagnosis is by physical exam. This is also complicated by the presence of ntos. When the brachial plexus is irritated at baseline by the scalene muscles upstream. Further compression of that Nerves downstream exacerbates the pain the numbness and tingling sensation( so called double crush). I have personally would never perform pec minor tenotomy until I rule out ntos which is an upstream problem.

[jkl626]

I have ntos and also degenerative disc disease at c5-6 and bone spurs. My theory is that my ribs are compressing various muscles and nerves at different times-sometimes my scalenes and traps are very tight and other times my pec minor and teres muscles are tight which in turn seem to compress different nerves which cause numbness and loss of strength in my arm and pinky. At the moment my ribs are pushing into my scalpula and pec minor area ( I actually heard a crack while getting a massage) . My PT does rib and joint mobilization and has managed to get my ribs to move with some success in addition to soft tissue mobilization and home exercises. (streching and strengthening)No physical exam that I have had has gotten that specific and I have seen several dr's and 3 vascular surgeons. The ones I have seen dont seem to believe in pm syndrome. Have you had any type of surgery?


a

Originally Posted by shengggmd

My previous post may not have made it to the thread. I am both a patient who has been affected by and a vascular surgeon that specializes in tos (for obvious reasons). Just like ntos pec minor syndrome has no objective testing, pec minor syndrome has no real test. I dont care what sanders group says. He made life out of tos surgery and has established some tests that cant be reproduced by others. Only reliable way to establish the diagnosis is by physical exam. This is also complicated by the presence of ntos. When the brachial plexus is irritated at baseline by the scalene muscles upstream. Further compression of that Nerves downstream exacerbates the pain the numbness and tingling sensation( so called double crush). I have personally would never perform pec minor tenotomy until I rule out ntos which is an upstream problem.

[Jomar]

Originally Posted by shengggmd

My previous post may not have made it to the thread. I am both a patient who has been affected by and a vascular surgeon that specializes in tos (for obvious reasons). Just like ntos pec minor syndrome has no objective testing, pec minor syndrome has no real test. I dont care what sanders group says. He made life out of tos surgery and has established some tests that cant be reproduced by others. Only reliable way to establish the diagnosis is by physical exam. This is also complicated by the presence of ntos. When the brachial plexus is irritated at baseline by the scalene muscles upstream. Further compression of that Nerves downstream exacerbates the pain the numbness and tingling sensation( so called double crush). I have personally would never perform pec minor tenotomy until I rule out ntos which is an upstream problem.

I'm sure many would like to hear your story and the therapies that helped you, Feel free to start a new thread for that, it will be easier to follow.