I have a herniated thoracic disc 7-8 that is not disrupting spinal column now – I also have herniated cervical and lumbar–all due to an auto accident in 1994. I walk and move but wod like to know of any exercise that will strengthen muscles that support my spine. My doctor told me not to push, pull, lift, sit for long periods or bend over. I tried living that way a month and decided I’d have to move to sr housing to maintain it. I don’t want to be foolish yet I need to maintain independence. Any suggestions?? Thank you.
Diagnosis is confirmed by the typical symptoms, physical examination (to test clinical signs of artery and nerve compression) and some tests. Unfortunately there is no one special test that can accurately exclude the problem of . That is, a positive test can confirm it, however all the tests may be negative, but the patient may still have , and may suffer for a long time before the diagnosis has been made. Some patients may have had neck or shoulder surgery before TOS is diagnosed. In a lot of cases TOS may ultimately be diagnosed by the surgical decompression operation (“open up and see”).
The thoracic outlet space is created by the clavicle, first rib, subclavius muscle, costoclavicular ligament, and anterior scalene muscle. It most often affects subclavian artery, vein, and the lower trunk (C8 & T1) of the brachial plexus. The neurological exam may reveal sensory changes in the ring and little finger and intrinsic weakness. Radiographs here show cervical ribs, but could also show a Pancoast tumor or even be normal.
Leffert reviewed thoracic outlet syndrome and cautioned that surgery be reserved for intolerable symptoms as surgical complications can be significant.
Thompson provides a concise review stating that Thoracic outlet syndrome (TOS) represents a group of heterogeneous and potentially disabling upper-extremity disorders that are caused by extrinsic compression of neurovascular structures between the first rib and clavicle. There are 3 distinct types of TOS, which are classified according to the principal anatomic structures involved and the clinical syndromes that result: neurogenic TOS, venous
TOS, and arterial TOS.