Do I need TOS surgery?

Should I get TOS surgery?

Surgery is usually recommended for venous TOS. This may involve removing both the scalene and subclavius muscles and first rib. The vein itself must also be treated. Blood clots often form around the damaged inner surface of the compressed vein.

Is thoracic outlet syndrome surgery worth it?

Surgical outcomes are generally positive for well-selected patients. With judicious patient selection and proper patient adherence to physical therapy and movement restrictions until pain is resolved, surgical treatment of TOS can lead to improvement in about 80 percent of patients.

Can thoracic outlet syndrome be fixed without surgery?

The vast majority of cases of Thoracic Outlet Syndrome (TOS) can be treated with a non-surgical approach.

Is TOS surgery painful?

After leaving the hospital, patients can return to their normal daily routine but should not lift anything heavier than 10 pounds for four weeks. Some patients may have some occasional discomfort, but the pain from the surgery can be controlled with over-the-counter pain pills.

How long does TOS surgery take?

This surgery takes about two hours to complete and requires a one- to three-day stay in the hospital. Recovery can take several weeks, during which your doctor may recommend restricting activities.

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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.

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.

How risky is thoracic outlet syndrome surgery?

Complications of TOS surgery include the recurrence of symptoms, brachial plexus, phrenic nerve, long thoracic nerve, complete or transient paralysis, subclavian artery and vein injuries, axillary artery thrombosis, hemothorax, pneumothorax, chylothorax, permanent damage to the brachial plexus, severe sequelae such as …

How long does it take to recover from thoracic outlet 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.

Which fingers are affected by thoracic outlet syndrome?

What are the symptoms of thoracic outlet syndrome? When the brachial plexus nerves are compressed, you may experience numbness and tingling on the inner arm, pinky finger, or pinky side of your ring finger. If left untreated, the compression can create weakness or paralysis of the muscles moving the thumb and fingers.

Can an MRI detect thoracic outlet syndrome?

Background: Thoracic outlet syndrome (TOS) is challenging to diagnose, as the physical findings and investigations lack sensitivity and/or specificity. Magnetic resonance imaging (MRI) with dynamic manoeuvres can rule out a tumour and detect anatomical abnormalities potentially responsible for compression.

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