New Studies On Pec Minor syndrome

jkl626 · 03-29-2013, 12:46 PM

Dr. Thompson has new studies out regarding Pec minor Tenomoty vs.Rib resection

http://www.science20.com/news_articl...eatment-103207

nospam · 03-29-2013, 02:27 PM

Great find and great info on Dr. Thompson's approach.

Quote:

This study looked at 200 patients treated for neurogenic thoracic outlet syndrome from 2008 through 2011. To determine the best surgical approach for each patient, the doctor examined two locations of potential nerve compression – the side of the neck above the collarbone and the upper chest just below the collarbone, near the shoulder.

If patients experienced pain and tenderness in both places, they were offered the traditional procedure that includes removing the first rib and scalene muscles in the neck and detaching the tendon of the pectoralis minor muscle, which connects to the top and front of the shoulder blade. Of the 200 patients, 143 underwent this procedure.

When symptoms occurred exclusively under the collarbone, patients only received detachment of the pectoralis minor tendon as a minimally invasive procedure. The remaining 57 participants in the study underwent this outpatient procedure.

....

"The ideal candidate for the minimally invasive procedure would be a patient with characteristic and debilitating symptoms, no response to physical therapy and clinical exam findings that were completely localized to the pectoralis minor tendon," Thompson says. "That's the really exciting subset of patients. You might be able to have a big impact with a minor outpatient procedure. The trick is to properly identify these patients. We still have to rely primarily on the experience of the physician and old-fashioned diagnosis by physical exam – knowing the anatomy, knowing what we're feeling and what elicits symptoms."

teetertot · 03-30-2013, 02:37 AM

Quote:

Originally Posted by nospam

Great find and great info on Dr. Thompson's approach.

I actually read Dr. Thompson's entire textbook on TOS. (I highly recommend it, but you have to buy it from him because it is out of print.)
Then, I actually flew to Denver from CA, just to see him (on my own dime), and two years into my symptoms.
I was very disappointed because he seemed to be leading the questions and providing the replies, and would not allow me to elaborate on MY own symptoms. When I left, he said he suspected I actually had pec minor syndrome ... which I did not! I followed his advice, but Botox in the pecs actually made my shoulder problems worse, whereas botox in my upper traps & overworked rhomboids had previously helped reduce the pain.
When I left Denver, airfare, hotel, and over $400 later, I felt like he was trying to have data to support his new theories, and diagnosed me with pec minor syndrome instead of TOS to add a name to a list.... but it wasn't me!

The disturbing thing is, I'm actually a clinician and I know the exams, the results, the lingo, and most of all, what I'm feeling. 80% of most diagnoses can come from taking a good history and exam! Now I feel that a family practice doc or neurologist who says they've never seen TOS is mistaken. They simply don't know how to diagnose it!
(On another note, I bought 5 copies of his book, and dedicated some to the several doctors who had missed my diagnosis!)
I don't want anyone to go what I went through just because a doctor isn't well informed about a condition. This action actually saved a colleague of mine from ending up like me, all because we had the same doctor and he'd had me first so he recognized it in her!

Sorry, I'm rambling...!

teetertot · 03-30-2013, 04:39 PM

Shheesh... I was tired and mixed up my consults...sorry!

Actually the book was by Dr. Sanders in Denver, & he said I had pec. minor syndrome.
However, I also flew to Wash U to see Dr. Thompson!
In the end they were extra opinions for a desperate woman, but my insurance doesn't cover out of state care.

Sorry about the error!

Quote:

Originally Posted by teetertot

I actually read Dr. Thompson's entire textbook on TOS. (I highly recommend it, but you have to buy it from him because it is out of print.)
Then, I actually flew to Denver from CA, just to see him (on my own dime), and two years into my symptoms.
I was very disappointed because he seemed to be leading the questions and providing the replies, and would not allow me to elaborate on MY own symptoms. When I left, he said he suspected I actually had pec minor syndrome ... which I did not! I followed his advice, but Botox in the pecs actually made my shoulder problems worse, whereas botox in my upper traps & overworked rhomboids had previously helped reduce the pain.
When I left Denver, airfare, hotel, and over $400 later, I felt like he was trying to have data to support his new theories, and diagnosed me with pec minor syndrome instead of TOS to add a name to a list.... but it wasn't me!

The disturbing thing is, I'm actually a clinician and I know the exams, the results, the lingo, and most of all, what I'm feeling. 80% of most diagnoses can come from taking a good history and exam! Now I feel that a family practice doc or neurologist who says they've never seen TOS is mistaken. They simply don't know how to diagnose it!
(On another note, I bought 5 copies of his book, and dedicated some to the several doctors who had missed my diagnosis!)
I don't want anyone to go what I went through just because a doctor isn't well informed about a condition. This action actually saved a colleague of mine from ending up like me, all because we had the same doctor and he'd had me first so he recognized it in her!

Sorry, I'm rambling...!

starlight17 · 04-16-2013, 04:16 PM

Thanks for sharing!

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