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Thorastic outlet syndrome

Good Morning.

I am a 64 old woman with a long history of Fibromyalgia and Myofascal pain syndrome. I recently had a cervical and thorastic MRi done.

Findings:

*Straightening of the lordic curve
*disc desiccation and degeneration c5-6, c-6-7, c4-5 and c7-t1
*facet hyperthrophy c3-4, c4-5 with left formaninal narrowing and bulging
*c5-6 endplate spurring causing ventral impression upom the anterior portion of the cfs but not on the cord.
*same noted at c6-7
*c7-t-1 bulging disc with neural forminal narrowing.

Thrastic spine shows mild bulging at  arhtritis.

About 8 weeks ago, I started getting tingling that seems to originate from the upper part of the collar bone where it meets the shoulder, spreads across the shoulder into the neck and face. I get a lot of muscle tightening and pain in these areas. including the collar bone and very sore areas on my upper chest.

My Dr. has put me into Pt, saying I have nerve compression. the therapist I have is doing gentle massage, myofascal release, heat and ultra sound, but says I have TOS. along with the FM and MPS.

I have done a lot of reading on TOS and have found nothing about neck or facial tingling only arm and hand. I have got the arm and hand occasional and the pt does seem to be helping the tngling.

What are your thought about this mess.other than I have an old neck.

Thank you, Linda
3 Responses
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Avatar universal
A related discussion, Continued issue with left side under rib cage was started.
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Avatar universal
I would like to know how the PT diagosed TOS - it is a rare diagnosis that is difficult to make for even a neuromuscular neurologist
There are two forms, vascular, where there is compression of the artery, and neurogenic, due to compression of a nerve. The symptoms though occur in the hand and forearm. Tingling in the shoulder in more common in a compression of the nerve root at C5 (which is affected by arthritis per your MRI report)

I would question the diagnosis of TOS, if there is still a suspicion based on good evidence then perhaps seek a second opinion.

Good luck
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Avatar universal
Oops, forgot this tingling and pain is left sided except for the upper chest and collar bone. I also have TMJ.

linda
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