Rethinking Neurogenic Thoracic Outlet Syndrome | Fellow Online Lecture Series

Eric Wagner, MD, MS, shares a lecture about Neurogenic Thoracic Outlet Syndrome: Diagnostic and Therapeutic Considerations as part of the AMSSM National Fellow Online Lecture Series. The session was moderated by Robert Bowers, DO, PhD.

[@SDCourage27]

I had the interscaline block with anesthetic spillover in right laryngeal nerve (breathing, voice, swallowing) and phrenic nerve (right lung, diaphragm). It was traumatic and after the first one went well I never knew it was a possible to have this happen so the second time around I was thankful I didn’t get the Botox. I am hypermobile, had two shoulder tightening surgeries teen & early 20s, head injuries, whiplash - I am trying PT and for years I tried posture correcting and a lot of work but my right side (ribs on up) is extremely “compressed”?! I believe it also triggers vasovagal because I black out and have major migraines after any overhead use. I do not want more surgery but I am miserable and unable to function. I was once a travel athlete. The misdiagnosis and the pro athletes you hear of that have taken their lives, it is scary and I understand.
I had an ultrasound but not many other imaging that helped in the v/n TOS Diagnosis but just not a lot of specialists in my area.
Thank you for the info I might have to send my pt here and pm dr here.

[@SDCourage27]

Not dissing the blocks, it was amazing the first time - I had an unprepared and “heavy handed” PM doc that I had major spill over on an SI injection and couldn’t walk. So looking back I would have walked away. I thought I was going to die with this for 8 hours. Couldn’t breathe correctly for days and still feel where it failed. That being said I am moving on with blocks further down in rib spaces to work my way up and hope to get back to PT being beneficial. I am a .ooooo1% and have no desire to play with fire with Botox.

[@juliekafka5105]

Really good! Thank you!