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Surgery for thoracic outlet syndrome

Bones, Joints & Muscles | Last Active: 19 hours ago | Replies (28)

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@closer0043

Thanks for the CCI information. Another malady I will have to investigate as it does explain a lot of my symptoms. However, my TOS is unmistakable. I may have both issues going on though. My right arm is so bad though that I can’t even search my phone for more than 15 seconds on the phone holder in my car without having to rest my arm. I am most likely going to get the surgery for TOS. I have pretty good hope that it will help my arm regain strength to be able to return to baseball. If it helps the brain fog and dizziness (which is way less frequent since I stopped throwing) that would be an added bonus. If it doesn’t, I will look into CCI. Here is my worst area of my cervical MRI report:

C5-6: The disc is degenerated with loss of height and T2 weighted signal. There is diffuse posterior protrusion with narrowing of the thecal sac but no mass effect upon the cord. The posterior facets are degenerated with narrowing of the neural foramina.

I definitely have a bulging disc here, but every doctor says it’s not serious enough for surgery or to cause most of my neurological symptoms. So I’m hoping it’s the TOS causing them, and the rib removal will solve the issue.

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Replies to "Thanks for the CCI information. Another malady I will have to investigate as it does explain..."

@closer0043 It's very possible that your pathology at C5/C6 may be producing overlapping (similar) symptoms and weakness as the TOS. If one problem is operated on and theoretically resolved, you may still have the symptoms from the other problem. The diagnostic waters get very muddy when you have both cervical issues and TOS. I was evaluated for both at Mayo and the decision was that the cervical issue was the bigger problem. My TOS did get worse after cervical surgery because of the inflammation in the area from the surgery, but that was temporary. I do still do home stretches for the TOS as best I can.