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davo
04-02-2007, 08:49 AM
i've just been to see an osteopath who trained in the US. i went in desperation after many months of physio that only gave me temporary relief from pain that started in my neck and went down my arm especially when raising my arm over my head. I suspect the injury came from a so caled sports massage that I recived in sri lanka last year. i also have had a lot of tight muscles in my neck and shoulder. the osteopath diagnosed me with thoracic outlet syndrome and said that this was a controversial diagnosis in countries outside the US. has anyone else been diagnosed with this injury? if so what was the treatment and did it fix the condition? :confused:

pumbertot
04-02-2007, 11:27 AM
try the tests here to confirm if that is indeed what you have:
http://www.nismat.org/ptcor/thoracic_outlet/

davo
04-02-2007, 01:51 PM
thanks for the link. some good inormation there.

kjwilkin
04-02-2007, 02:49 PM
i've just been to see an osteopath who trained in the US. i went in desperation after many months of physio that only gave me temporary relief from pain that started in my neck and went down my arm especially when raising my arm over my head. I suspect the injury came from a so caled sports massage that I recived in sri lanka last year. i also have had a lot of tight muscles in my neck and shoulder. the osteopath diagnosed me with thoracic outlet syndrome and said that this was a controversial diagnosis in countries outside the US. has anyone else been diagnosed with this injury? if so what was the treatment and did it fix the condition? :confused:

Hi there,

If I was you I'd actually go and see a sports physician for an accurate diagnosis. They could refer you onto the appropriate people, ie. a physio that specialises in necks and shoulders. Check out www.acsp.org.au You should be able to find a sports physician in Auckland on that website. They could also order the appropriate scans that would be needed to accurately diagnose the problem.

Good luck and let us know how you go !!

davo
04-02-2007, 07:32 PM
i did go to a physician attached to my local gym on the recommendation of my trainer but i see he is not shown as a member of the ACSP. i note there is a member in Auckland, Chris Hanna, who lists shoulders amongst his interests. has anyone from Auckland had any experience or know about him? in any case i will go and see what he thinks and let you know the outcome. thanks for the suggestion.

Mischap123
04-02-2007, 08:07 PM
Davo,
The site mentioned above is quite good. Find your self a practitioner (chiro, another Osteo, Physio) that is familiar with this condition. MOST SHOULD. Many doctors will be unfamiliar with this condition from my experience (perhaps that's why TOS may be "controversial"). I don't know why this is a controversial diagnosis as a positive finding for TOS is often objective and therefore credible. With regard to trearment, it depends on the impinging structure/s. With anterior/posterior scalenes and pec syndromes, soft tissue therapy and stretching should help. With costoclavicular syndrome, the joints around the cervicothoracic junction need to be mobilised. If there is bony encroachment and conservative therapy fails, then surgery is required. Best of luck

davo
04-02-2007, 09:02 PM
You are right. My GP didn't know anything about TOS when I went to him last year immediately after I first started to experience problems. The physio at my gym was perplexed and after much scratching of his head and doing a lot of tests gave me some stretching exercises which provided only short term relief. Another physio who was recommended to me diagnosed the problem as being associated with my first rib and brachial plexus. He treated me with massage and manipulation of my neck which again only gave me temporary relief. Xrays and ultrasound scans provided nothing conclusive other than some suspected but unconfirmed small tears in muscle tissue but did rule out an extral rib. Next on my list was MRI and CT scans. I will probably have these done to see if they uncover anything more. Today I tried all of the stretches shown on the nismat site and have had some relief from them so it looks as though I am on the right track thanks to everyone who has generously helped by posting a reply. Once again thank you for your advice which I am only too pleased to follow. I will let you know the outcomes as I progress.