Does surgery for thoracic outlet syndrome work? Actual success rates may shock you.
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- čas přidán 8. 02. 2017
- Matt talks about how success is measured for thoracic outlet syndrome surgeries. The metrics for success can skew heavily towards favorable results. It's important to know what research has really been saying about outcomes if you're considering surgery for your hand wrist and forearm aches and pains.
Athanassiadi K. et al. (2001) Treatment of thoracic outlet syndrome: long-term results: www.ncbi.nlm.nih.gov/pubmed/1...
Degeorges et al. (2004) Thoracic outlet syndrome surgery: long-term functional results. www.ncbi.nlm.nih.gov/pubmed/1...
Altobelli et al. (2005) Thoracic outlet syndrome: pattern of clinical success after operative decompression. www.ncbi.nlm.nih.gov/pubmed/1...
It may be much more productive to think about your issues as a problem that can be solved muscularly rather than via surgical intervention.
For a DIY program to help retrain shoulder basic mobility, strength, stability, and comfort, check out:
👉 The Shoulder Fix TOS Edition: www.uprighthealth.com/thoraci...
See also: www.uprighthealth.com/blog/do...
**Other Do It Yourself Exercise Programs**
uprighthealth.com/diy
Facebook: / uprighthealth
I had arterial, venous, and nerve compression, on both sides. I had the surgery on both sides 2 weeks apart and no complications. Both went through my neck area. My pulse would cut out when I lifted my arms past a certain point. I couldn't lift my arms over my head without losing blood flow. I went to a vascular surgeon and did my research on the surgeon. So I don't agree with this.
Did you have ribs removed? What side effects have you had?
Do you mind sharing your results? I dont understand why people say things like this and fail to share the most important info lol
Yes I had both 1st ribs removed from breast bone to spine. I had no long lasting side effects at all. It has been 10 years now. I had 2 stints placed in affected arteries/ veins prior to the surgery but the surgeon didn't tell me which ones he placed them in. I switchers vascular surgeons after that too one I felt more comfortable with to perform the actual surgery. I did have complications directly after my left rib removal. I formed blood clots in my arm, chest wall and abdomen. I was placed on blood thinners. It did affect my breathing some. I was in the hospital for 6 days following that one. But I f did fully recover and they caught the clots immediately.
I did not get a notification of the reply
@@erinray3038 Thank you.
I agree with what TS said. I have TOS on both sides. I have nerve and artery compression on both sides and it is very scary. Sometimes I start passing out while driving, sometimes I feel like I’m going to faint at the grocery and have to leave. I was diagnosed with FMS and CFS as well as TOS all in one sitting with my current PCP. She never even touched me only talked to me and could diagnose? I don’t know but I have been in PT for five years, I have moved across the country from a cold to a warm climate. I have been mostly bed bound and always house bound for four years since this all started. I am 34 and was a hair stylist for 13 years. I have had whiplash 3 times one very severe. I have many spinal issues and back issues along with arthritis and stenosis etc etc. I recently did some of the self exams to see how severe my TOS is because it has recently progressed in severity. I lose my pulse on both sides when I raise my arms and the pain is to the point that loving this way is no longer an option. I can’t do anything, literally I have no quality of life. I have done so much research over the five years I have been sick and tried many treatments including botox, wrist surgery, PT, massage, infrared light therapy, pain management, water therapy, I have a special bed that allows me to elevate my head and sleep in a wellness position. I can’t work or do cleaning and most days I spend in bed. I found this video to be very non informative, very vague, and basically feeling like it’s a sales pitch. As the other person points out, people with real severe TOS that is life altering and life threatening this video leads people to believe some simple program that you developed will cure them. That simply not true and for some with severe TOS like mine surgery may be the only option. If we scare ourselves into waiting like I have been doing for two years, then we can end up with permanent nerve damage or worse. This video does not give any real facts or tangible info and is simply selling a program. My mom had the surgery on her right side in the 80s and she found the best surgeon that had done the most TOS surgeries and she had an easy recovery and 95% reduction in overall symptoms long term. She had the surgery 20 years or more now and her condition only improved with time as her body was no longer in chronic pain. Her severe TMJ was gone, arm pain gone, handwriting improved, headaches gone, motion sickness better, and she will have mild shoulder pain from over use from time to time but rest and heat make it better. She had nerve compression and they removed a portion of the first rib. Her arteries were not affected like mine and she had less severe issues than I do with mine. She did a lot of PT and massage after her surgery and kept on it for best results. You can’t just have surgery and expect to be fixed, that’s not how it works. Anyway I think you should at least tell people to find a TOS surgeon to be evaluated properly before they start any program and seek out proper treatment if arteries are involved or nerve damage has begun. You can’t undue nerve damage so it’s a pretty scary thing to experience.
Hopefully u respond back to me I had TOS surgery on my left side 5 days ago. Quick question was one of ur symptoms in credible neck pain and that u had to lay down every 30 minutes for like 5 to 10 minutes before getting up again. That's one of my symptoms and that's really why I did the surgery because I csnt stand it. I'm hoping that's on of your symptoms then I'll feel better about getting this surgery. I'm still so swollen so I dont know if it worked or not and wont for a while
Bless you. You sound like me. I am feed up with it.
Hope that you get better.
@@MichaelHenriksenGM update on that ?
@@MichaelHenriksenGM please share results and how youre doing
I am in same boat and have a fused 1st and 2nd rib so scared of surgery but i have no life at moment as its deliberating.
TOS surgery outcomes are bad compared to what? The only other treatments for TOS are physical therapy (which doesn't work for most), and botox of the scalene muscles, which is proven to loose effectiveness overtime. If there was some alternative treatment that always guaranteed 100% relief, or if surgery regularly lead to worse outcomes than no surgery, then yes, of course we should stop offering surgery, but that is just not the case. Yes medicine can be corrupt, and surgeries have been performed for money that lead to worse or unimproved outcomes, such as cardiovascular stents. However, in the case of surgery for PT resistant TOS, the science indicates that rib resection is the most valuable intervention we currently have. You have to put it in perspective. For someone who is severely disabled, becoming significantly less disabled is still a win, even if it's not a magic cure.
This video was published in February 2017, yet the studies you speak about are from 2001-2005. There are three types of Thoracic Outlet Syndrome and you do not mention which type the patients in the study have, and where these surgeries took place. Who were the surgeons? Were they thoracic, orthopedic, or vascular surgeons? What exactly did they have done? Did they have complete rib recessions? Scalenectomy only? Did any of these patients have pec minor release? What caused their TOS? How old were they? How many had anatomic abnormalities vs sore numb hands brought on by repetitive movement as you experienced. You also don't mention what type of post op care and or PT these patients received. No, surgery is NOT for everyone and a good surgeon would not do it unless it was the last option. Since TOS is so rare, and the surgery is risky, you need to look at the success rates from the surgeon, or group of surgeons who use the same method, and have the same experience. In your description you talk about surgery for the hand, wrist, and forearm pain which is confusing because these are not typical TOS symptoms. You deleted my comments from Facebook, and blocked me, so I will say it again here. You are not a Dr. or a PT and NOT an expert in TOS. You should not be selling a program to "fix it". Again, there is a big difference between TOS symptoms caused by weak shoulders, or bad posture, vs someone with real TOS. Some of your exercises could cause someone with real TOS to have a blood clot, an aneurysm, permanent nerve damage, or even a stroke! Your program could seriously hurt someone with real TOS!
Thanks for your message and for your interest in engaging in dialogue here. I’m not sure if you are the same person whose comment I saw on FB the other day claiming you were blocked, but I have been attempting to answer all questions and queries openly. I’m not sure why you think you were blocked or if we somehow have blocked you, but your concerns are being heard, and I will address them here.
As you note, TOS is extremely rare. Studies of reasonably good quality on treatment are even more rare. The studies showcased here are the ones that appear to be the most useful as they have large sample sizes and are relatively detailed about what was done and not done. If you would like the details on everything, you may click through to the links to read the studies. Any of the more recent studies that we’ve been able to locate are of tiny sample sizes and often omit key pieces of information (like how success is actually measured).
Your suggestion that people ask their specific surgeon what his success rates are like is reasonable; however it is important to keep in mind that it is a rare surgeon indeed who would tell you, “I get bad results from doing this surgery that I’m suggesting.” Especially with such a rare surgery, it may be very hard for someone to give you an accurate reflection of success rates. Just as a massage therapist or may be biased to tell you that they can definitely heal your problem, a surgeon will be subject to the same level of bias.
Therefore it’s prudent to see what kinds of results surgeons get when studying larger groups. Keep in mind surgeons willing to subject their results to such scrutiny do so with a great deal of confidence, so one could probably assume these surgeons are relatively representative of a high-quality of care (i.e. a surgeon who doesn’t think he would be getting good results wouldn’t willingly agree to be part of a study where everyone would find out he gets bad results). If these larger studies show a trend toward less than stellar results, it’s important to see that and know that going in.
I’m not sure why you are suggesting symptoms in the arm, forearm, and hand are not common to TOS. Referencing practically any reputable source will show very clearly that symptoms into the arm, forearm, and hand are extremely common in TOS and are actually one of the defining characteristics of both neurogenic and vascular TOS. The most obvious example of such a source is the Mayo Clinic: www.mayoclinic.org/diseases-conditions/thoracic-outlet-syndrome/symptoms-causes/dxc-20237890
We are actively researching the blood clot, aneurysm, and nerve damage aspect of the TOS diagnosis and treatment protocol to see what information is available.
I do want to make clear that our program is setup to go in steps and progressions to avoid aggravating problems. The teaser Facebook video that seems to have elicited your fears and shock showed some exercises that are definitely in the advanced stages of retraining shoulder function. We do not throw those directly at every person. We’re actually revising that video at the moment to make that a bit clearer.
The goal is to help as many people as possible avoid surgery if at all possible. This requires thinking about and approaching the problem differently. When the surgical research and understanding of the symptoms and surgical results are so ambiguous and muddied with poor quality studies, it is in everyone’s best interest to find ways to avoid surgery as best as possible and for as long as possible.
Matt, I understand you are passionate about exercise, and as you can see, I am passionate about TOS. I do agree that more attention surrounding the misdiagnosis of TOS and alternatives to surgery is greatly needed. Doing it through social media is a way to reach a lot of people, and I want to make sure that anyone who lands on one of your pages is not mislead.
I agree with some of what you say. Surgery should always be considered as a last resort. I will give you the benefit of the doubt and assume someone else manages your facebook page, and perhaps you are not aware that my comments were in fact deleted, and I was blocked. Please understand, I was responding out of genuine concern for people with TOS and I speak from personal experience.
With regard to your response on success rates per surgeon, I am wondering, have you ever spoken to a surgeon about TOS surgery? I have spoken to several including 2 of the leading TOS surgeons in the country who see patients from around the world. I'm sorry but I would strongly disagree with your opinion that it's better to look at results from a group of patients who had different surgeons. The techniques the use differ for example, some remove only the portion of the rib causing the compression, and some remove it entirely. Some only work supraclavicular vs the transaxillary approach, and the surgeons experience makes a huge difference. I think you need to research that.
You are saying a surgeon could not give accurate success rates because they would be biased? There is a code of medical ethics that ALL doctors and surgeons have to meet and follow. I realize not all Doctors are perfect, in fact, there are some that are just not good. In this day in age, thanks to technology, you can find out more about your Dr than ever before. No good surgeon wants to do a rib recession because of the risk, and most patients don’t want it for the same reason and also because the recovery is brutal. Like personal trainers, and physical therapists, some surgeons are really good and some are not, but most have a specialty. It is important that a patient find one whose specialty is in line with their needs.You wouldn’t go to a TOS surgeon for knee surgery? They could perform the surgery, but probably wouldn’t have the same success as an Orthopedic surgeon who specializes in the knee. There is so much data out there that supports why the right surgeon matters. Back in 2001 -2005 I don’t believe surgeon specific performance was considered as relevant as it is today, nor did patients question it. Two surgeons (top vascular surgeons NOT TOS specialists, at two of the top medical centers in the southeast) I met with said there is only about a 35% chance of a successful TOS surgery without complication. That sounds terrible doesn't it. Two others that I met (2 of the top TOS surgeons in the country) would not give an exact percentage because there are so many factors including post of care that can alter the success. No 2 TOS cases are exactly the same. For my type of TOS I was given 80-90% chance of success, but NO guarantees. How can you know in the outdated studies you speak of how many patients followed proper post op protocol? How many Dr’s were TOS specialists? How are you measuring success? Someone with nerve pain for 20+ years will have a different perspective as someone who had it 2 or 3 years. They might consider being 80% better a big success. I would guess success rates are more likely skewed towards the negative. People who feel better will move on with their lives and don’t continue going back to the Dr. They don’t participate in the follow up studies.
Not sure if you know how hard it is for someone to get properly diagnosed with TOS? More often than not, people who suffer from real TOS, will suffer for many years? By the time an average person is properly diagnosed with TOS, they typically have already been misdiagnosed so many times AND received improper treatment, that they are physically, mentally, and financially drained. I am providing a link in hopes that you will find some of the missing pieces to your knowledge about TOS. We know for certain, that there is not enough information on the subject and honestly, many Dr’s out there could use some education as well. This is more current, accurate, and sourced.
www.jvascsurg.org/article/S0741-5214(16)30345-7/pdf
If you want to help people with TOS I think that’s wonderful because we need more awareness and help for people who need it. I’m sure we can agree that the last thing we want to see happen is for someone to have such a major surgery if there is another way to help them, but at the same time, we don’t want to see someone doing exercises that can hurt them. The risks of some of your exercises could cause permanent damage. I also hope Matt that when you do work with someone who has TOS symptoms, that you take it seriously and understand it’s more than just numb fingers and tingly hands. And, if you are unable to help them that you would guide them on the proper path which is only to a TOS specialist. If they are truly a specialist they will NOT suggest surgery until every other option for that patient has been exhausted. There are noninvasive treatments that can help alleviate symptoms as an alternative to surgery.
I do appreciate your willingness to do further research on the subject. You might want to also research whiplash and TOS. Cervical ribs and TOS, abnormalities of the 1st rib, abnormalities of the pec minor muscle and nerve and muscle scarring in the brachial plexus. It’s not always coming from the shoulder. Thank you for your response and consideration.
TS Hamrick i have Tos. With a rib anomaly over my first rib. Is There a way to get the posture better to help with Symptoms? Because i think this anomaly must be cut out. In germany they prefer axilar cut and remove first rib with this anomaly. The pain is Hard. Exercises didnt help. Money is drain by so many Things i tryed. Tos is really a hardcore Life changer
Games Stories Animals Hehe what Do you mean exaxtly?
@@Neboolah how are you know?
I appreciate this so much! I had both first ribs dissected. It has led to more surgeries and has been the most difficult thing to over come. Im so happy for you and that youre feeling better!
What complications did you have?
What complications?
@@alisonpetersen5462 I will be recovering the rest of my life from this. I have degenerative discs in my neck and arthritis from the surgery, praying for you!
@@morg1900 il sorry to hear that. This all happened after your second surgery?
Thank you for the information. Regarding your TOS, how many weeks were you able to achieve complete permanent relief from pain after doing the exercises? Do you still get episodes of pain and numbness?
Wayne Calumag You're doing a huge disservice to patients suffering from TOS. When compression is the problem, decompression is required. PT may be helpful for some. The research today shows that those who did not benefit from "decompression" surgery, such as FRRS, likely never had TOS.
It's likely you either don't have TOS or you have a very mild case of Neurogenic TOS.
Most thoracic surgeons are not "knife-happy" & the protocols for diagnosing the severity of TOS have improved greatly.
In my case of traumatic TOS ( with denervation of certain upper trunk muscle fibers) mortality rate would be less than 5 yrs without surgery. Nevermind the Pain and misery is Euthanasia warranting , Constant compression and ischemia of the plexus, (C5-T1 radiculopathy) with progressive neuro deficits. thrombus/ stenosis/ phlebitis of IJV at the SCV junction, causing multiple chronic cerebral venous thrombus. Resulting in blurred vision, stupor, pschycosis, vertigo, ataxia, headache. Chronic Horizontal confinement , resulting in decrease CV function, (pedal edema, petechia, exertional dyspnea) SCV compression causing reynuads / hand and arm ischemia. My Surgery was delayed way too long due to pitfalls of for profit medicine. So some nerve damage will be permanent. This video was not intended for the people in my predicament.
Just sharing an experience here. Hopefully this helps someone.
I went through TOS decompression surgery a year ago (vTOS & Paget Schroetter )
If you don't have clots in your SCV/SCA I would not do the surgery. Its a major surgery that changes your neck dynamics and strength permanently.
Its a high risk surgery and you might have complications that are life changing (nerve injuries, muscle group paralysis etc.)
The scars are ugly and going through your neck leaves permanent functional impairments. However, for vascular the supraclavicular approach has better success rate and visibility than transaxillary.
For me, I had 15cm clot in my subclavian vein, had immediate thrombolysis and went through decompression 3 months after diagnosis. 8 weeks after the surgery the vein opened back up and the swelling and other symptoms were gone even though it was completely blocked before surgery. The arm will not be 100% , it swells a little bit under exercise, but I can pretty much do normal things with it (lift 50lb dumbbells etc)
Neck pain resulting from the surgery is frequent and your neck will have permanent weakness regardless of physio.
I am happy that I got my arm function back and clot is gone but I paid a heavy price for it in terms of weaknesses and nerve damage.
Summary: For neurogenic TOS I would recommend avoiding surgery at all cost if possible, for vascular you have life threatening condition that needs intervention.
Thanks for this great explanation but what did you do to get rid of your thoracic outlet syndrome symptoms?
Hi Heather, it took literally years of experimentation with different exercises and varying "dosages." Eventually I found enough strategies that worked in conjunction to help me get my body in a better aligned position to finally feel safely out of the danger zone. I've worked with others as well who have similar issues, and similar exercise progressions worked for them as well. The Shoulder Fix is where I've condensed everything into a simple to follow program. It's at theshoulderfix.com
Please feel free to check it out and try it. If you find it doesn't work for you, please get in touch, as we are always looking to fine-tune to make it as effective as possible.
@@Uprighthealth i had a look and seems your program would work for those who had it from posture or accidents like you had that caused your shoulder injury then tos..but this can be misleading for others who have it from extra ribs or fused ribs etc. I had to stop PT as was making eveything progress in a decline much faster and have found 1st and 2nd rib fusion which would explain issues un bracheial plexus etc and neck which is affecting nerves and autonomic system..
I've had this surgery twice, I had both sides done. One side is good other side still bad. I really believe surgery should be considered only after you have had a physical therapist try to release the scalenes and no success, if physical therapy works, along with massages. Then forget the surgery. I regret doing both sides.
What about ppl who have a 1st and 2nd fused rib though? Seems nothing works if these are stuck fused and hence continues to worsen no matter what program anyone does.
I was diagnosed with TOS about 4 weeks ago, I have been going to my Chiropractor for cold laser treatment and adjustment at slowly it is getting better, is there anybody else having that done by their Chiropractor?
Please iam aphysician and i have severe pain from Tos from 7 years and i don,t recommend surgery
Could you show me the lines of treatment you followed to overcome the condition
What's your symptoms like?
Left cervical rib with pain all over neck, edema of upper lift arm ,vague sensation and fainting attacks, blackout
Thanks for the information. as an aside, I prefer the tone of this video over the ones where you and your friend are goofing around. Just 1 guy's opinion
Thx for sharing. We do like to mix things up a bit. Different strokes for different folks! :-)
Get info. So what did you do to resolve your issues?
I think I need the surgery or at least have the first rib removed . My right arm is numb. Everytime I cough I feel pressure on my right collarbone. Everytime I sneeze, pressure on my right collarbone
Thank you for this video, I can’t even use the computer with out my arms and hands going numb.
I am glad I found this.
I have a posterior dislocation of my right clavicle at the SC. And a dislocation at the AC.
I have massive pain in my first rib, it's not right at the T1 facet and drops off at the rib.
I live in the UK and it caused a stroke. If you have any other li is please share them as I am desperate.
What about surgery along with pt exercise. I’ve had pain with neurological issues since 2014. It’s so bad I’m unable to do even daily living activities without pain.
Hi Matt, your video is interesting. but you don't actually say nothing about what you have done for the problem. You say you have TOS and you decided not to do the operation but you are well. So, what have you done? please share!
I have a venous TOS. And still ambiguous about having a surgery.
I had an unsuccessful TOS surgery 4 years ago. I don't know what happened, but now I have burning pain in my collar bone area 24 hours a day. The only thing that helps is a cold pack and sitting or laying down with my neck supported. My pain is so bad that just standing for over 10 minutes becomes unbearable. I have tried so many treatments, is there any hope for my situation?
Hi Deborah, so sorry to hear that :(
You can check out our Shoulder Fix program and see if it helps - www.uprighthealth.com/shoulder-fix
It comes with a money back guarantee so if it doesn't help, let us know and we'll issue a prompt refund.
Ameliyatı hangi yöntemle yaptınız. Şu an robotic cerrahi yöntem ile sorunsuz bir şekilde tedavi ediyorlar
Yes, call Dean Donahue, MD at Mass General in Boston and end this needless suffering.
@@Chauncey60 he making robotik First rib rezektion?
@@MustafaYldz-sg9ep Robitic? No. And he did both last summer and I feel great. No complications, but he’s the best guy in the country for this surgery. Mass General in Boston.
You didn’t mention what did you do to ur tos solution. Did you go for surgery? Pls tell me cuz I don’t to go for surgery. Tnx
What type of tos do you have? Is it Venous?
What Do you Do against a cervical rib? This Thing doesnt move. So the cervical rib and first rib Hits my artery and vain. In every Literature i read they wrote that cervical ribs Are a great OP indication. Is That true?
No response......
I had a vascular thoracic outlet decompression and it was a major fail!!! It has caused me more problems as time goes on. I’m 9 years out and I can barely use my arm that they operated on. The pain I have due to this idiotic surgery has debilitated me to the point of suicidal thoughts. The pain is indescribable and it never goes away! I have been extremely diligent with my physical therapy but I have more and more complications all of the time. I’ve developed arthritis and other conditions as a result of this surgery. I don’t recommend anyone to have this procedure done. Just stick with physical therapy!!!!
Sorry to hear of your pain. Who was your surgeon?
I am wondering who is surgeon?
There are only two or three surgeons in the entire country who know what they’re doing when it comes to TOS. I would guarantee that none of them operated on you.
why would you not post videos on treatment for Thoracic outlet? This would get you hundreds of thousands of views and many new followers.
Had venous tos. Rib was removed. Been about a year now. 80-85% of symptoms gone I’d say. Of sleep on same side, usually more symptoms next day still etc. but overall I’m very satisfied. Northwestern hospital downtown Chicago performed the surgery. Had venogram done etc , I over did it working out.
Motherfuking Northwestern didn't bother to tell me s*** after I had a stroke and lost the use of my arm and screams to them there's something wrong with my shoulder blade and they didn't diagnose me with the Rasik outlet syndrome or connective tissue disorder then... I'm so f****** sick of getting dealt with medical racism
Do this TOS is genetic? if not, can it happen at any point of time in life & at any age? can a housewife who is doing all n every single household chores suffer from TOS? please reply
I have bilateral cervical rib with long in left causing severe pain and tight breathing with edema in left arm
Why do you think people get it back after the surgery tho, is it because they go back to there bad lifestyle where they have really bad posture and are doing the samethings that caused this in the first place.
I have cervical rib in left side of shoulder . I am taking medicine related to nerve and bone . But still I feel pain . Is it okay to have surgery or medicine will work ?
Ruth sajani Ghimire surgery !
Why won't anyone tell me about the lump on the vein under my arm and why won't anyone tell me in relationship to TOS additionally wind being electrocuted by my own body when I eat and when my hip flexor moves
I have herniated cervical discs and i have blood clots in my shoulders and arms and doctors constantly gaslight me and don't answer my f****** questions
My right scapula is out of place I've had a stroke in my right eye and I've lost the use of my arm twice
I have subclavian vein damage due to TOS and have no choice but to have the surgery, which will also include the rib resection. Thankfully, I have one of the best surgeons in the country doing it in Boston.
Dr Donahue! I’m supposed to have surgery with him as well, same thing venous.. did you get the surgery yet?
@@dandaley2644 I just had my second surgery with him last week. Had my left side done in August. He is without question the best surgeon in the country for this procedure. You could not be in better hands. Thank God for Mass General. Good luck!
@@Chauncey60
Hello I am suffering from TOS too.. Is Dr Donahue's full name is Dr dean Donahue in the Salem hospital? Was your surgery successful?
@@senslayer8709 Yes, Dean Donahue. He’s exclusively at Mass General in Boston and probably the best surgeon in the country for this. I had both left and right rib resections. First was in August and the second in October. I couldn’t be happier with the results. Complete success.
Ameliyatı hangi teknikle ve hangi bölgeden yaptınız? Çünkü şu anda robotic cerrahi tekniği ile karından küçük delikle girip doğrudan hasarsız bir şekilde 1. kaburga alınıyor
For me having surgery and doing something about is worth it if you do the surgery you lower the pain the chances of getting blood cloths if. Y life is gonna improve why not nothing is 100% sure no surgery so I did my surgery 3 weeks ago and sense that no headache no weakness and my hand or harm I can sleep I feel like a normal person again your recovery depends a lot on your Fisical therapy also plus this condition is so difficult to diagnose it took my one year and a half so much test but thank God I have the best DR . good luck for everyone
i just had my pecminor release & had my first rib removal in july 2020. still in a lot of pain!!
Ameliyatı hangi teknikle ve hangi bölgeden yaptınız? Çünkü şu anda robotic cerrahi tekniği ile karından küçük delikle girip doğrudan hasarsız bir şekilde 1. kaburga alınıyor
Any update on this?
How did you fix it?
Please see reply to Heather above...
"It took literally years of experimentation with different exercises and varying "dosages." Eventually I found enough strategies that worked in conjunction to help me get my body in a better aligned position to finally feel safely out of the danger zone. I've worked with others as well who have similar issues, and similar exercise progressions worked for them as well. The Shoulder Fix is where I've condensed everything into a simple to follow program. It's at theshoulderfix.com
Please feel free to check it out and try it. If you find it doesn't work for you, please get in touch, as we are always looking to fine-tune to make it as effective as possible."
Thanks for the question!
@@xpost92 how is your TOS like. I'm going to read the article?
Sometimes people take forever to get to the point.
What do you do when a year of PT goes by and things keep getting worse. Dizzy vomiting. Headaches
I do not agree with this. I had TOS surgery and I am almost 100% with no pain. I had the surgery in 2017 and it is now 2024
I also saw your replies to some of the questions. I wish I had years. I’m literally going to be homeless in about 6 months if it doesn’t start getting better. Hopefully a combination of treatments will help but I can’t rule out surgery right now.
What's your symptoms like?
Please if you consider surgery, research your doctor. I went with a highly qualified vascular surgeon for mine. I had actually swapped doctors to him from the one I was originally referred to because the original doctor seemed very disorganized and wanted to do both at the same time.
In PT I learned that TOS can also be related to problems with T4 which my MRIs show damage.
@@erinray3038 I placed a couple of generic comments about the surgery. I totally agree. While my doc doesn’t perform a high volume I felt very comfortable with him, and he gave me two other referral options. There are very few surgeons that are truly qualified. I live in Kansas City. We have one. St.Louis has one, and the next closest is Mayo Clinic.
I dont have much numbness but I get Chronic pain under the collar bone right where the artery and nerve pass into the arm through the first Rib under the collar bone . It can last 24hrs for me sometimes I wonder if it is even worth living ? and tightness of muscles Traps shoulder
What's your main symptoms like?
@@silverfullbuster9177 the left shoulder keeps going side ways (rounded) and I have no control over it no matter what stretches I do.
And dull pain
@@shubkale376 have you noticed any change in colour of hands,poor circulation?
@@silverfullbuster9177 nope
Nice analysis.. there are so many hidden lies sitting in medical and dietary studies these days.. you can never trust a headline or an abstract anymore.
You guys are heroic medical mythbusters.. i wish there were more people out there like you.
Headlines and abstracts can be extraordinarily misleading! It's frankly shocking!
See tossurgerynightmare.com and other you tube videos by kardste. Please remember most doctors will not document or treat your surgical complications. And you can lose everything-your career, and much functional life.
Why are people attacking this guy for having a different opinion? If TOS surgery works out for you, that's great but it's not for everybody. Maybe some people don't want to deal with all the problems surgery can cause. You don't need a medical degree to have an opinion, especially if it concerns your own health. Don't just trust a doctor whose #1 priority may not be your health but revenue for his hospital. Anybody can learn to become an expert at something if they are determined enough. There are so much free info out there online but people are so quick to seek out experts help and spend money. Human body is build to be exercised and all the muscles used properly for proper alignment. I doubt routine exercise can cause blood clots or be risky like any surgery. Exercise is natural. Common reason for blood clot is venous stasis when there's no exercise. When you use your muscles to move your arms and legs, you're helping to circulate blood in your veins. Blood clots are common in people who travel or drive for long hours because they are not getting any exercise and have venous stasis. Blood clots can also be caused by injury to the blood vessel and by surgery including TOS surgery.
People simply express their opinions that don’t agree with the opinion presented in the video, as long as they remain polite and have some arguments to back up their opinions I think it’s ok. In the video the general message, in my perception, is that surgery won’t solve the problem, that it is not worthy of trying. TOS can cause many even life threatening problems and sometimes it is necessary, even if it doesn’t solve the pain issue; it protects the compressed structures from further damage and therefore saves functions of the arm, stops thrombosis etc. You are right that physical activity/ therapy can be beneficial- but only to some of the patients. What about cervical ribs, collar bone fractures, 1st rib anomalies? No physical therapy will get rid of these structures nor create enough room in the narrow thoracic outlet. Some patients have no choice but to undergo surgery, I think this is the main point of disagreement with this video.
stop saying bullshit. No body can heal tos without surgery,
Google Dr.Lider Chan(DPT) , he saved my life. I couldn't brush my hair and now I am back to overhead lifting, swimming, running, etc. I had bilateral TOS and 8 months of rigorous PT cured me.
Shadie Ghaffari what did you do? I have bilateral tos too but I don’t want to go for surgery pls tell me tnx
Just want to post to say that what you are saying is completely bullshit
I suffer from TOS, and i made phelbitis various time and surgery is my only exit door.
If i dont make surgery i am gonna die
TMS