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


advertisement
Reply
 
Thread Tools Display Modes
Old 07-04-2017, 02:36 PM #1
matthewhockey21 matthewhockey21 is offline
Newly Joined
 
Join Date: Jun 2017
Posts: 4
5 yr Member
matthewhockey21 matthewhockey21 is offline
Newly Joined
 
Join Date: Jun 2017
Posts: 4
5 yr Member
Default 13+ months left medial scapula pain - TOS?

Without drilling you with tons of detail I was rear-ended at a stop light. I was looking down and to my right when it happened (which is apparently an important detail). The woman wasn't driving fast at all (as evidenced from basically zero damage to my bumper).

That was on a Monday. Just as a pre-caution, I went and got cervical x-rays, etc. at an urgent care facility. All was okay. About five days later, I was working out doing high-knees and I felt a sharp, albeit short pain in my butt and calf. Skipping a lot of the story ...I was told it was a grade 1 hamstring tear and did some PT. From that day on (working out), I've had this 'pulling' sensation in my calf at all times and random tingling in my feet. It turns out it wasn't a hamstring pull but a realization that I have a spondylolisthesis (grade 1, 4mm slip at L5-S1/ bi lateral pars defect right above it) and that it is some sort of nerve sensation (all the EMGs check out and show no nerve damage). Before discovering it was this, they were worried it was DVT.

More importantly - two weeks after the accident I had a tiny amount of pain in my left rhomboid. Nothing crazy ... until it was. About a month later I developed this parascapular pain (along my left medial shoulder blade) that is awful and comes and goes - I have done EVERYTHING and every test (I've consulted orthos, neurologists, spine surgeons, pain specialists (although I have zero interest in ever getting pain killers - I refuse to get on those)

I was an athlete who was working out all the time and now am significantly cut back as I experience this pain every day

My symptoms:
- Burning pain around the left medial scapular border with palpable tenderness (I do not get it while laying down or sleeping)
- Some left (same side as pain) facial numbness. Comes and goes
- Ever so slight temperature change in hands

Potential theories:
- Brachial plexopathy - neurogenic thoracic outlet syndrome
- Cervical radiculopathy at c7 (I'm avoiding cervical epidurals... especially if we aren't sure it is this)
- Dorsal scapular nerve entrapment
- Long thoracic nerve injury (Dr. Nath thinks decompression of the long thoracic will help me)

Imaging (which I can make available for anyone)
- Cervical/ brachial plexus/ thoracic MRIs

Medicines Attempted
- Medrol Dose Pack
- Neurontin (300mg 2x/ a day). Stopped after 4 months due to mood side effects

Procedures attempted:
- Medial Branch Block of C5,C6,C7
- Trigger point injections
- PT (tens unit, etc)
- Accupuncture
- I just began neuromuscular massage (I'm in LOS ANGELES if anyone has a recommendation)

Other Factors
- Ever since the accident my testosterone has been incredibly low (went to ~200 levels from about 650)
- The AlignMed S3 greatly reduces my symptoms

Next suggested steps
- Thoracic facet joint injections (pain management)
- Botox scalene injection (neurologist)


I have a digital health record of all this since the last year and am more than happy to share with someone.

Thank you so much for taking the time to hear this out
matthewhockey21 is offline   Reply With QuoteReply With Quote

advertisement
Old 09-27-2017, 09:32 AM #2
cort1596 cort1596 is offline
Newly Joined
 
Join Date: Sep 2017
Posts: 1
5 yr Member
cort1596 cort1596 is offline
Newly Joined
 
Join Date: Sep 2017
Posts: 1
5 yr Member
Default I hope I can help...

Hello, You are describing very similar pain to what I had before I discovered that I had scapular muscle detachment. I had surgery in January. **
it is relatively rare but it also may be under diagnosed. **. I hope this helps.


Quote:
Originally Posted by matthewhockey21 View Post
Without drilling you with tons of detail I was rear-ended at a stop light. I was looking down and to my right when it happened (which is apparently an important detail). The woman wasn't driving fast at all (as evidenced from basically zero damage to my bumper).

That was on a Monday. Just as a pre-caution, I went and got cervical x-rays, etc. at an urgent care facility. All was okay. About five days later, I was working out doing high-knees and I felt a sharp, albeit short pain in my butt and calf. Skipping a lot of the story ...I was told it was a grade 1 hamstring tear and did some PT. From that day on (working out), I've had this 'pulling' sensation in my calf at all times and random tingling in my feet. It turns out it wasn't a hamstring pull but a realization that I have a spondylolisthesis (grade 1, 4mm slip at L5-S1/ bi lateral pars defect right above it) and that it is some sort of nerve sensation (all the EMGs check out and show no nerve damage). Before discovering it was this, they were worried it was DVT.

More importantly - two weeks after the accident I had a tiny amount of pain in my left rhomboid. Nothing crazy ... until it was. About a month later I developed this parascapular pain (along my left medial shoulder blade) that is awful and comes and goes - I have done EVERYTHING and every test (I've consulted orthos, neurologists, spine surgeons, pain specialists (although I have zero interest in ever getting pain killers - I refuse to get on those)

I was an athlete who was working out all the time and now am significantly cut back as I experience this pain every day

My symptoms:
- Burning pain around the left medial scapular border with palpable tenderness (I do not get it while laying down or sleeping)
- Some left (same side as pain) facial numbness. Comes and goes
- Ever so slight temperature change in hands

Potential theories:
- Brachial plexopathy - neurogenic thoracic outlet syndrome
- Cervical radiculopathy at c7 (I'm avoiding cervical epidurals... especially if we aren't sure it is this)
- Dorsal scapular nerve entrapment
- Long thoracic nerve injury (Dr. Nath thinks decompression of the long thoracic will help me)

Imaging (which I can make available for anyone)
- Cervical/ brachial plexus/ thoracic MRIs

Medicines Attempted
- Medrol Dose Pack
- Neurontin (300mg 2x/ a day). Stopped after 4 months due to mood side effects

Procedures attempted:
- Medial Branch Block of C5,C6,C7
- Trigger point injections
- PT (tens unit, etc)
- Accupuncture
- I just began neuromuscular massage (I'm in LOS ANGELES if anyone has a recommendation)

Other Factors
- Ever since the accident my testosterone has been incredibly low (went to ~200 levels from about 650)
- The AlignMed S3 greatly reduces my symptoms

Next suggested steps
- Thoracic facet joint injections (pain management)
- Botox scalene injection (neurologist)


I have a digital health record of all this since the last year and am more than happy to share with someone.

Thank you so much for taking the time to hear this out

Last edited by Chemar; 09-27-2017 at 12:30 PM. Reason: NeuroTalk Guidelines re sending members to other groups
cort1596 is offline   Reply With QuoteReply With Quote
Reply

Tags
cervical, left, nerve, pain, thoracic

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
13+ months burning medial scapula pain after accident matthewhockey21 Neuromuscular 4 07-03-2017 02:32 PM
Pain in left eye and left side amiralikhan Chronic Pain 5 03-24-2014 11:16 AM
Seeking Understanding - 1 Year Ago, DX TN, 3 Months Ago, DX PN Leg/Arm, all Left Side nochance Peripheral Neuropathy 7 11-02-2013 03:06 AM
Winged Scapula-Pain from dorsal scapular nerve damage zzebra Thoracic Outlet Syndrome 2 09-12-2012 10:21 AM


All times are GMT -5. The time now is 04:51 AM.

Powered by vBulletin • Copyright ©2000 - 2024, Jelsoft Enterprises Ltd.

vBulletin Optimisation provided by vB Optimise v2.7.1 (Lite) - vBulletin Mods & Addons Copyright © 2024 DragonByte Technologies Ltd.
 

NeuroTalk Forums

Helping support those with neurological and related conditions.

 

The material on this site is for informational purposes only,
and is not a substitute for medical advice, diagnosis or treatment
provided by a qualified health care provider.


Always consult your doctor before trying anything you read here.