Can Thoracic Outlet Syndrome Come Back After Surgery?

Does TOS cause fatigue?

Signs and symptoms include: fatigue • loss of strength and dexterity (dexterity is the ability to use hands) Page 3 Vascular Surgery Thoracic Outlet Syndrome (TOS) -3- Neurogenic Thoracic Outlet Syndrome is the most difficult to diagnose because the signs and symptoms can mimic other conditions..

Is Thoracic Outlet Syndrome painful?

Symptoms of thoracic outlet syndrome relate to the compression of blood vessels and nerves. Possible symptoms are: Pain. A sharp or dull aching, mainly in the arm or hand.

What aggravates thoracic outlet syndrome?

Thoracic Outlet Syndrome Causes and Risk Factors Injuries:Whiplash, a broken collarbone, or other injury can leave scar tissue and inflammation. Poor posture: When your shoulders slump, your collarbones can move out of place and press on your nerves. Weak shoulder muscles can cause bad posture.

What is the best treatment for thoracic outlet syndrome?

Treatment may include: Physical therapy. If you have neurogenic thoracic outlet syndrome, physical therapy is the first line of treatment. You’ll learn how to do exercises that strengthen and stretch your shoulder muscles to open the thoracic outlet, improve your range of motion and improve your posture.

What happens if thoracic outlet syndrome goes untreated?

Thoracic outlet syndrome can cause neck and shoulder pain, numbness and tingling of the fingers and a weak grip. If left untreated, TOS can lead to increased pain and decreased function. Certain forms of the disease can cause serious blood clots.

Why is thoracic pain a red flag?

Thoracic back pain red flags If you have thoracic spine pain, these are the alarm features to look out for: Recent serious injury, such as a car accident or a fall from a height. Minor injury or even just heavy lifting in people with ‘thinning’ of the bones (osteoporosis).

How do you heal a long thoracic nerve?

The treatment options include physical or occupational therapy, and surgery. Surgery involves repair of the nerve either directly or with grafts and one of the widely employed surgical procedures is scapulothoracic fusion. Usually recovery of the nerve takes a long time; up to 6 months.

Is massage good for thoracic outlet syndrome?

Massage therapy is an excellent addition to most treatment plans for Thoracic Outlet Syndrome. The compression caused by the scalenes can be decreased by relieving those muscles of tension through direct massage.

Is heat good for thoracic outlet syndrome?

Applying heat to the thoracic outlet may relieve nerve and muscle compression that can lead to pain and swelling.

Can thoracic outlet syndrome recur?

Abstract. After initial relief of severe thoracic outlet syndrome by transaxillary resection of the first rib, a few patients may gradually develop recurrent neurologic symptoms in the neck, shoulder, arm and hand caused by postoperative scar tissue entrapment of segments of the brachial plexus.

What doctor can diagnose thoracic outlet syndrome?

Making a proper diagnosis is the most important step in TOS. Doctors who treat this condition include vascular surgeons, chest (thoracic) surgeons and vascular medicine physicians. To diagnose your condition, your doctor will perform a complete physical exam and will review the results of previous diagnostic tests.

What exercises can I do with thoracic outlet syndrome?

Scalene stretch: Sit or stand and clasp both hands behind your back. Lower your left shoulder and tilt your head toward the right until you feel a stretch. Hold this position for 15 to 30 seconds and then come back to the starting position.

Is thoracic back pain serious?

The short answer, in most cases, is no. Most people with thoracic spine pain get better without treatment in a couple of weeks. However, thoracic back pain is more likely to be due to a serious cause than pain in other areas of the spine.

Is tos a disability?

Undiagnosed, untreated TOS can result in chronic pain and life crippling disability in young, productive patients. TOS properly diagnosed and correctly treated is life changing.

What does thoracic nerve pain feel like?

Pain that starts in the lower neck and travels to the posterior shoulder, back and chest. Numbness or tingling may be experienced from the neck to the posterior shoulder, back and thorax or chest. Muscle weakness may occur on any muscle that is innervated by the pinched nerve.

Can you get disability for thoracic outlet syndrome?

If your TOS has kept you from working for 12 months or more, you should apply for disability benefits. To obtain an approval for your claim, however, your supporting medical records and documentation must demonstrate clear evidence of your disability.

What nerves are affected by thoracic outlet syndrome?

Neurologic symptoms occur in 95% of cases of thoracic outlet syndrome (TOS). The lower two nerve roots of the brachial plexus, C8 and T1, are most commonly (90%) involved, producing pain and paresthesia in the ulnar nerve distribution.

What is the recovery time for thoracic outlet syndrome surgery?

Recovery: Most patients will feel some level of discomfort/pain as they recover from surgery for at least 1-2 weeks. Return to activity: Patients often to return to light activity in seven to 10 days.

Does thoracic outlet syndrome go away?

Can thoracic outlet syndrome improve on its own? No. For people who have mild TOS, lifestyle changes may be enough to make the symptoms go away. But more serious TOS should be treated by a doctor as soon as possible.

How do you sleep with tos?

Change sleeping positions. Try sleeping on one side, or sleep without a firm pillow. If symptoms are caused from overdeveloped neck mus- cles, reduce exercises that build the neck muscles. Thoracic outlet syndrome is usually curable in most patientswithphysicaltherapyorchangesinsleepinghabits.