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


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Old 09-21-2015, 01:36 AM #11
JNT2014 JNT2014 is offline
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Originally Posted by Akash View Post
Hi, I understand your frustration, grapple with the same issue daily.
The fact that Pec stretches aren't working for you, would imply (to me), that your issue is really scalene related/and or cervical. Please try taking a tennis ball and (gently at first) massaging your scalenes. Does that make things better? If so, it might be worth continuing.
I can do pec stretches provided my neck isn't flared up. If my neck is flared up, then chances are, your pec stretching will backfire.
Another tip I recently learnt. Being more and more bound to the bed etc, I was propping my head up and reading. It made things much worse. If you must do this, make sure the pillow and support are from the shoulders and not the neck. Otherwise, it forces the bottom of the neck into further flexion, and activates the scalenes.
The things we learn..
Thanks! Will give it a try. I have been doing scalene massage with my hands, along with a solid amount of neck stretching every day, but maybe a tennis ball will work better.
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Old 09-22-2015, 09:56 AM #12
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Hi,

Does anyone knows how to differentiate the ntos symptoms due to pectoralis minor or scelene muscles ?
One interesting way to note if your pec minor is very dominant is to see your hands. If they are internally rotated, chances are pec minor tightness exists. Basically when you stand, back of your arms face forward as versus thumbs.
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Old 09-26-2015, 05:04 PM #13
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One interesting way to note if your pec minor is very dominant is to see your hands. If they are internally rotated, chances are pec minor tightness exists. Basically when you stand, back of your arms face forward as versus thumbs.
Great test Akash!
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Old 09-26-2015, 05:49 PM #14
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Hi,

Does anyone knows how to differentiate the ntos symptoms due to pectoralis minor or scalene muscles ?
I had a bilateral pectoralis minor release 9 months before my first rib resection/scalenectomy. For me pec minor was more radial/median nerve entrapment and scalenes were median/ulnar nerve entrapment.



When your hands fall asleep, pay attention to what fingers fall asleep first, or go cold first/most. Then compare the hand chart: https://nervesurgery.wustl.edu/ev/ha...s/default.aspx

Then compare this to the where the nerves run through the Thoracic Outlet:
https://www.amtamassage.org/articles/3/MTJ/detail/1666
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"Thanks for this!" says:
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Old 01-31-2016, 10:02 AM #15
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Peck minor causes more tenderness accross chest and under collarbone apply pressure from the front scalene muscle go into spasm an pull up on the 1st rib apply pressure from the top into your anterior and medial insertion points you will be able to tell a difference usually scalene and 1rib is the primary problem and peck minor is more of a secondary entrapment point I've had a 1st rib resection with anterior and medialscalenectomy and a peck minor tenotomy peck minor relieved anterior shoulder/sub scapula/and rib pain is was out pt and back to work on day 2 no meds 1st ribeesectionwasnt horrible but I was down for about 3 weeks nothing like the drama people hype if up to be but everyone is different?
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Old 01-31-2016, 10:45 AM #16
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Originally Posted by CanadianRN View Post
Peck minor causes more tenderness accross chest and under collarbone apply pressure from the front scalene muscle go into spasm an pull up on the 1st rib apply pressure from the top into your anterior and medial insertion points you will be able to tell a difference usually scalene and 1rib is the primary problem and peck minor is more of a secondary entrapment point I've had a 1st rib resection with anterior and medialscalenectomy and a peck minor tenotomy peck minor relieved anterior shoulder/sub scapula/and rib pain is was out pt and back to work on day 2 no meds 1st ribeesectionwasnt horrible but I was down for about 3 weeks nothing like the drama people hype if up to be but everyone is different?
Hi CanadianRN,

What type of tos u are having and post surgery how are you doing now?
What was the cause of your tos? Troma or something else.

Regards
Ramdas
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Old 05-18-2016, 08:29 PM #17
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Hi Canadian RN! I'm a Canadian Ultrasonographer! I was DX. With Ntos on my right side that I've been doing ultrasound with for 14 years and recently had a scalenectomy and 1st rib resection by a Doctor that came up from the Mayo Clinic and specializes in this procedure! Trust me when I say I did my homework! I am 2 mos. Post op and continue to have symptoms. I was OK for awhile but now I'm 2.5 mos. Post op and all the symptoms have returned! Cold hand, discolouration, ring finger pain, wrist pain (mainly radial aspect). How did your Doctor determine the pec. Issue?? I've been told by PT that it's foreshortened and atrophied but no surgical intervention. any advice would really help. Thank you.

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