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NeuroTalk Support Groups (https://www.neurotalk.org/)

- Thoracic Outlet Syndrome (https://www.neurotalk.org/thoracic-outlet-syndrome/)

- - Scalenectomy (https://www.neurotalk.org/thoracic-outlet-syndrome/194074-scalenectomy.html)

chroma

09-20-2013 02:51 PM

Quote:

Originally Posted by stos2 (Post 1016108)

...other parts of the world Dr's are opting to do scalenectomies in cases that they feel are good candidates for scalenectomies only. ... I am not against rib removal if needed. I almost had my ribs removed in St. Louis last August. But it was not necessary as proven in my case.
Good luck with your surgery with whatever you decide.

Obviously the determination in an individual case needs to be made with a qualified surgeon. But in general, do you know what factors contribute to someone being a good candidate for scalenectomy-only vs. a good candidate for rib removal?

per834

09-20-2013 04:06 PM

From what's have read, people who have had previous trauma ( like a car accident) and no obvious rib interference, are good candidates for the scalenectomy only.

16rhonda

09-27-2013 09:04 PM

Quote:

Originally Posted by per834 (Post 1014263)

Hi there- I will be doing a scalenectomy only surgery as well. Mine is scheduled for Olctober...

Hi u mite want to look in the new TOS medical text book just released in may '13. Should be some info. about throw 2 different surgeries. There's a link on this site n u can find it on amazon too. Ask? ? to get all the facts! I didn't even know there was a surgery called Scalenotomy. Is this when they just take part of the muscle? I had Scalenectomy of the Anterior Scalene (all the muscle was removed) and half of the Middle Scalene removed Bc this muscle goes way up the neck, is what my Dr said. I think if the space looks like the artery or vein is being compressed on Ct scan they will remove the 1st rib too.
What I dont understand about that study is if the 1strib & muscle is removed, how could the muscle reattach itself to the rib? It doesn't make sense! I would look at newer studies there are a lot on pudmed.
Where are u having ur surgery?
Best of Luck to u!

per834

09-28-2013 01:52 PM

Hi- I'm having the surgery on 23rd of October at UCSD.
Dr. Brown has done a lot of theses surgeries and he said he has even seen an artery sitting on top of the brachial plexus, causing all the pain. I had a positive scalene block and I was in a car accident when I was in my 20s (with severe whiplash).
Fingers crossed...

16rhonda

10-03-2013 12:57 PM

Quote:

Originally Posted by per834 (Post 1018250)

Hi Im curious where is uscd n what kind of surgeon is Dr. Brown? I also had whiplash from bad accident 4 yrs bf I started w. chronic neck & shoulder pain.
I'm 3wks postop from 1st Rib n Cervical Rib Resction, Scalenectomy of Anterior & Middle scalenes, BP Neuroplasty. My surgeon said it was the worst fibrotic SM he has ever seen, it was as sharp as a knife. I'm having a lot of increased nerve pain n numbness I didn't have bf surgery. I think my surgeon always removes the 1st rib w his tos surgeries. I will ask him next visit.
Wish u best of luck for quick & full recovery!
Rhonda

per834

10-03-2013 02:24 PM

Quote:

Originally Posted by 16rhonda (Post 1019550)

Hi Rhonda,

University of California San Diego is UCSD. Dr. Brown has done had some incredible advances in nerve regeneration. He has done a lot of TOS surgeries at this point.
Good luck with your recovery! Keep us posted!!!

nospam

10-08-2013 11:40 AM

http://neurotalk.psychcentral.com/sh...d.php?t=162293

per834

10-08-2013 01:23 PM

Yes, thanks. I have read that. I have done as much research as possible and then some more!

naysi

02-25-2015 10:51 AM

F/u and SF bay ca surgeon

Quote:

Originally Posted by stos2 (Post 1016108)

I had scalenectomy without rib resection for TOS (R) in 2002 and (L) in 2010. I had scar tissue issues in the L for about 3 years but after break up of scar tissue and therapy I am absolutely fine now. The medical community here in America does not like to to do only scalenectomies as it is not called a complete surgery even though in Europe and other parts of the world Dr's are opting to do scalenectomies in cases that they feel are good candidates for scalenectomies only. I am back to all my normal functions including walking my dog and playing fetch games with him and picking up the 2 gallons of milk from Costco without any pain or symptoms. I am not on any pain medication either. I got off Gabapentin this March and I am still good.
Ofcourse everyone' case is different, I am not against rib removal if needed. I almost had my ribs removed in St. Louis last August. But it was not necessary as proven in my case.
Good luck with your surgery with whatever you decide.

Where did you have your surgery in SF area and by whom? Can you tell visually you are mussing neck muscles? Wondering if it looks normal and like opposite side

Teeners

03-02-2015 01:34 PM

I just had a rib resection, pec minor release, and basically a scalene release. I thought that they would remove the scalennes completely, but in my case they just detached them from the bottom as they removed the rib. The muscles shrunk back about an inch.

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