I've had the rib resection and scalenectomy done on both sides. My right side has 100% relief. My left side has been a lot of trouble. I now need a pec minor release on the left. I was a competitive swimmer for decades. My symptoms were exactly as described in this excellent video.
Thank you, Sir. I have viewed several of your videos, very helpful in identifying my condition. This one nailed it. I have been suffering for over 3.5 yrs. w/o treatment. In this past year, trying to get my NP, to direct my care effectively to no avail. Now if she will allow me the presence, and acknowledge this information I will present to her, I will be able to recover. Thank you again.
I was a good workout athlete for about ten years. Last autumn I started use technique of holotropic breath, because I was very inspired Wim Hof, Ice Man. Today I have a TOS for a both side... I can't forgive myself, the worst decision in my life..
I have suffered for so long. I am in pain management now and no one listens to the fact that I believe have Thoracic Outlet Syndrome. I have paralysis in my left hand and immense pain and weakness. They have given me numerous epidurals and medial branch blocks. All to no avail. Why won't these doctors understand that I have a pinch somewhere within my brachial plexus?? I am only 46 years old and this pain and weakness is maddening.
Pamela Alley---I need a DOCTOR !!! I am so feeling this, to the point of desperation...My word...this is unbelievable I Would love to find someone with something of what I have....I was actually BORN with Thoracic Outlet Syndrome.....BILATERAL...though it is extremely rare to have been born with this on one side it’s the more rare for it to be BOTH SIDES... as I was... as the textbooks states it, I was a twin and the other was not develop so they say you can acquire it in these situations and I did, I had extra cervical ribs on both sides and my nerves had been suppressed and damaged since birth....I cannot seem to get any help whatsoever... I had the surgeries years ago, first the left side in early 90’s then the right side in 2006::: I’m greatly declining and losing my ability to use my hands the severe nerve damage and atrophy. I was left handed and now can no longer do anything with the left just can barely write and then if it’s cold I cannot do that. It’s has seriously progressed over this last year and a half and continues to.
Pamela Alley -- I NEED A DOCTOR WILLING TO TAKE MY CASE ON. I am 46 yrs old as well. I am so feeling this, to the point of desperation...My word...this is unbelievable I Would love to find someone with something of what I have....I was actually BORN with Thoracic Outlet Syndrome.....BILATERAL...though it is extremely rare to have been born with this on one side it’s the more rare for it to be BOTH SIDES... as I was... as the textbooks states it, I was a twin and the other was not develop so they say you can acquire it in these situations and I did, I had extra cervical ribs on both sides and my nerves had been suppressed and damaged since birth....I cannot seem to get any help whatsoever... I had the surgeries years ago, first the left side in early 90’s then the right side in 2006::: I’m greatly declining and losing my ability to use my hands the severe nerve damage and atrophy. I was left handed and now can no longer do anything with the left just can barely write and then if it’s cold I cannot do that. It’s has seriously progressed over this last year and a half and continues to.
@@09211992ham it's 24hour pain. Never goes away. Have to take strong narcotics pai medicine. Know days they treat you like a criminal if u need pain medicine
I’m 47 and I can’t get dr to help . I started to notice this after a neck injury 10 years ago . So many MRIs and they tell me they see nothing . I can’t touch anything cold it’s unbearable. My arms are weak and I can’t lift them at all hardly . It started to affect my vision. All efforts to strengthen the shoulders cause migraine and symptoms to get worse
Hi thanks for making educational videos ...your videos is too informative can you please make a video on how to read nerve conduction study and electromyography
Last Monday I suffered the symptoms of the syndrome for the third time, on Wednesday I went to the osteopath ... every summer for these months the same thing happens to me, surely it happens when I relax after exams and get comfortable (maybe I take bad positions) ... now we are on Sunday, I am still recovering from the osteopathic session, which was more painful than the previous year, I hope to recover in the coming days, it is not pleasant.
Hello could you able to heal with osteopathy? I hope so, i have torasic both side i need surgeries :( but i'm so weak to be operated as 4 doctors said..sometimes i have crisis i cannot feel my legs and arms :( as a drawer i couldn't have worse sickness really
Thank you, Dr. Ebraheim for this very informative presentation. Could you please elaborate how an Aneurysm could result in the arch of the Ascending Aorta. Prior to injury, ""unremarkable aorta"" Injuries: Spleen enlargement 2.0 calcified lesion, multiple nodes in media sternum, C567 herniations, thoracic stenosis, lordosis, L345 4mm slipped disc, Left shoulder SLAP/labral tears/glenoid cyst, Right shoulder Supraspinatus partial tea/rotator cuff tear/glenoid cyst 3.6 .. ulner/media nerve involvement, Swelling pockets down arms into fingers pain, numbness, tingling, blurred vision, light sensitivity, headaches, body jolting temple popping, dizziness, S1 nerve, zingers. Year after injuries presents with 4.0 Ascending Aortic Aneurysm, fusiform. Less than three months later, 4.6. Radial artery mildly reduced flow on ultrasound. May I have your opinion, Doctor? Kindest regards...
i had a patienet of mine a barrister lawyer who at the first teraphy came back with dlowers to te mt attending and gave me a hug who nearly broke my ribs
No, if you dont have arterial compression there wont be pulse disapearence. Those tests show you may have an arterial compression. DONT FORGET; you may have both nerve AND arterial compression! Go get it checked !
Thank you! I have had limited ROM and. Pain onset 2012 after shoulder repair! I present w most of the symptoms. I must find help ASAP! Life is unbearable!! The thre surgies I've had did not help. Shoulder repair,revised shoulder repair and c5-6 w a fusion. Been to rehab,Acupunture, and a repair in of disc. I was a pt w North spine clinic to. I really appreciated my Dr and nurses there! Would love to consult w a Dr in Dallas. No test have been done for TOS. Also rehab rehab! I do have a MRI! CHEST X-ray, and othe X-ray. Just no Dx. HX L modified radical mastectomy w three tumors Lg! Ax dissection w 20 lymph nodes remove 11 pros for cancer! Several rounds of chemotherapy and radiation! Rib pain too. Two severe wrecks! Left ribs 3 fractured ,collar bone to. Dislocated left shoulder w fx head of humerus , concussion, whiplash. Ejected from truck! Tired of hurting,jbk
Left upper chest & clavical edema that gets huge by end the day (normal left hand) BUT right hand swells, goes numb, & turns red, blue, & purple several times a day. Face slim at night but full of fluid every morning. Thoughts anyone?
How about hearing loss with TOS? My friend has TOS but has been unable to obtain treatment it seems many arent trained on this problem. She has neck/arm swelling, all symptoms, and compression of vein/arteries which seem to affect her hearing. Shes had symptoms/much testing indicating TOS What is your response.
I have two cervical ribs which first started to give me problems two years ago since which time I've had two tia incidents is it possible that the two things are related?
May be related, there is something called subclavian steal syndrome. It may be that these cervical ribs may compress your subclavian artery on 1 side, or both sides, therefore blood is drawn (stolen) from vertebral artery (ies) into subclavian artery (ies). Vertebral arteries supply blood to brain, therefore you may have transient ischemic attacks if bloodflow is decreased, especially when you turn your head to side. I advise you to go get it checked immediately with an orthopedist/ thoracic surgeon/ vascular surgeon.. This is a serious condition and dont ignore it.
I had a thoracic outlet syndrome and 1st rib resection surgery in Jan 2018 and i was recovering just fine.. in October 2018 i had TIA.. i have no under line health issue do i need to worry?
Hope you can translate this its -Dutch- Hee! Ik heb elke dag pijn aan mijn linker schouder nou heb ik aan de rechte zijde nergens last van Zou het kunnen dat ik zn extra rib heb?
I think it is because when somen is diagnosed with Thoracic Outlet Syndrome it is the Ulnar nerve that is affected and Ulnar nerve inverted by muscles that control the ring and little fingers. Hope this information helps you out
![จบจนได้ ! | Black Myth: Wukong #007 [ตอนจบ?]](http://i.ytimg.com/vi/DSqvWndF0sw/mqdefault.jpg)
All your video with animations are really lively and make the watchers easy to understand. Continue your good work Sir. Keep us posting. Many thanks.
I've had the rib resection and scalenectomy done on both sides. My right side has 100% relief. My left side has been a lot of trouble. I now need a pec minor release on the left. I was a competitive swimmer for decades. My symptoms were exactly as described in this excellent video.
Do you get facial tingling and numbness in the side of head and blurry vision, usually when raising arms
@@TankTopTed no, I have not had those symptoms
Give your whatsapp number i had a same problem
I am a massage therapist. Thank you for the very informative video.
"costoclavicular space syndrome" it can be cause of retraction and depression of scapula?
Very good explanation! Orthopedic doctor describes it best, thanks a million.
i m preparing for usmle step 1 and ur videos are helping me a lot...thanks a lot Dr.N
Same.
i had transaxillary scalenectomy and rib resection on wed very successful! just healing well now..
plz tell me, how old are you? i think my mother have the same symptoms
Thank you, Sir.
I have viewed several of your videos, very helpful in identifying my condition.
This one nailed it. I have been suffering for over 3.5 yrs. w/o treatment. In this past year, trying to get my NP, to direct my care effectively to no avail. Now if she will allow me the presence, and acknowledge this information I will present to her, I will be able to recover.
Thank you again.
Thank you, Dr. Nabil, I was able to understand this lesson well because I have an exam and I did not understand it.
@@graysenrex4871 bro i dont have a gf 😥
I was a good workout athlete for about ten years. Last autumn I started use technique of holotropic breath, because I was very inspired Wim Hof, Ice Man.
Today I have a TOS for a both side...
I can't forgive myself, the worst decision in my life..
جزاك الله خير وكتب اجركم بالعلم النافع
Great ⭐
Thank you I was having a hard time with this topic since forever and this video really helped me!
As always, thank you for your excellent lecture Professor!
It is explained clearly and perfectly
Lots of details on this subject. Thank you.
Thanks, for you video,I have several symptoms that are probably what is mentioned here that tests recommended should be done
How is it now
I have suffered for so long. I am in pain management now and no one listens to the fact that I believe have Thoracic Outlet Syndrome. I have paralysis in my left hand and immense pain and weakness. They have given me numerous epidurals and medial branch blocks. All to no avail. Why won't these doctors understand that I have a pinch somewhere within my brachial plexus?? I am only 46 years old and this pain and weakness is maddening.
Pamela Alley---I need a DOCTOR !!! I am so feeling this, to the point of desperation...My word...this is unbelievable I Would love to find someone with something of what I have....I was actually BORN with Thoracic Outlet Syndrome.....BILATERAL...though it is extremely rare to have been born with this on one side it’s the more rare for it to be BOTH SIDES... as I was... as the textbooks states it, I was a twin and the other was not develop so they say you can acquire it in these situations and I did, I had extra cervical ribs on both sides and my nerves had been suppressed and damaged since birth....I cannot seem to get any help whatsoever... I had the surgeries years ago, first the left side in early 90’s then the right side in 2006::: I’m greatly declining and losing my ability to use my hands the severe nerve damage and atrophy. I was left handed and now can no longer do anything with the left just can barely write and then if it’s cold I cannot do that. It’s has seriously progressed over this last year and a half and continues to.
Pamela Alley -- I NEED A DOCTOR WILLING TO TAKE MY CASE ON. I am 46 yrs old as well. I am so feeling this, to the point of desperation...My word...this is unbelievable I Would love to find someone with something of what I have....I was actually BORN with Thoracic Outlet Syndrome.....BILATERAL...though it is extremely rare to have been born with this on one side it’s the more rare for it to be BOTH SIDES... as I was... as the textbooks states it, I was a twin and the other was not develop so they say you can acquire it in these situations and I did, I had extra cervical ribs on both sides and my nerves had been suppressed and damaged since birth....I cannot seem to get any help whatsoever... I had the surgeries years ago, first the left side in early 90’s then the right side in 2006::: I’m greatly declining and losing my ability to use my hands the severe nerve damage and atrophy. I was left handed and now can no longer do anything with the left just can barely write and then if it’s cold I cannot do that. It’s has seriously progressed over this last year and a half and continues to.
same here I'm 25 ,it's a pain that no one understands,it's depressing
@@09211992ham it's 24hour pain. Never goes away. Have to take strong narcotics pai medicine. Know days they treat you like a criminal if u need pain medicine
I’m 47 and I can’t get dr to help . I started to notice this after a neck injury 10 years ago . So many MRIs and they tell me they see nothing . I can’t touch anything cold it’s unbearable. My arms are weak and I can’t lift them at all hardly . It started to affect my vision. All efforts to strengthen the shoulders cause migraine and symptoms to get worse
Thank You Sir.
Hi thanks for making educational videos ...your videos is too informative can you please make a video on how to read nerve conduction study and electromyography
Last Monday I suffered the symptoms of the syndrome for the third time, on Wednesday I went to the osteopath ... every summer for these months the same thing happens to me, surely it happens when I relax after exams and get comfortable (maybe I take bad positions) ... now we are on Sunday, I am still recovering from the osteopathic session, which was more painful than the previous year, I hope to recover in the coming days, it is not pleasant.
Hello could you able to heal with osteopathy? I hope so, i have torasic both side i need surgeries :( but i'm so weak to be operated as 4 doctors said..sometimes i have crisis i cannot feel my legs and arms :( as a drawer i couldn't have worse sickness really
Stop masturbating and try to sleep on your back,not on sides.
Great presentation!
Thank you
Plz make a video on cervical rib
Thank you for the good education
Muito obrigado pelo vídeo altamente explicativo.
I got this over a year ago, from doing poor form tricep dips. It really sucks.
My forearm and shoulder get sore and tire out very quickly.
Has it gone away? And tips for recovery?
@@JamesG_3 No good news sorry. My condition hasnt really improved but Im going to see my specialist again soon.
@@cyric2010 it’s the worst thing. Makes it impossible to lift heavy. I’ve tried dry needling and I will say that I do relief from that.
Great lecture!
Sir Excellent explanation hats of
Thanks Sir,
from Egypt
Thank you, very helpful.
Thanks for that explanation.
Excellent video Sir !!
awesome study
Nice detailed explanation
Excellent sir. Very helpful
الله يعطيك العافية يا دكتور نبيل
Thank you, Dr. Ebraheim for this very informative presentation. Could you please elaborate how an Aneurysm could result in the arch of the Ascending Aorta. Prior to injury, ""unremarkable aorta"" Injuries: Spleen enlargement 2.0 calcified lesion, multiple nodes in media sternum, C567 herniations, thoracic stenosis, lordosis, L345 4mm slipped disc, Left shoulder SLAP/labral tears/glenoid cyst, Right shoulder Supraspinatus partial tea/rotator cuff tear/glenoid cyst 3.6 .. ulner/media nerve involvement, Swelling pockets down arms into fingers pain, numbness, tingling, blurred vision, light sensitivity, headaches, body jolting temple popping, dizziness, S1 nerve, zingers. Year after injuries presents with 4.0 Ascending Aortic Aneurysm, fusiform. Less than three months later, 4.6. Radial artery mildly reduced flow on ultrasound. May I have your opinion, Doctor? Kindest regards...
excellent video
Very helpful
Thanks
Very usefull video thank you sir
i had a patienet of mine a barrister lawyer who at the first teraphy came back with dlowers to te mt attending and gave me a hug who nearly broke my ribs
Is it possible that a upper spine injury can cause the same symptoms found in thoracic outlet syndrome?
thank you dr.
Good, thanks
you are the best of all bests...i wish u were in my country...
Very helpful
Does hypermobility or Ehlers Danlos Syndrome contribute to TOS?
Irene Irene Art i was asking the same thing
Yes‚ I got that syndrome and it affects on both of my shoulders espically my weaker arm.
Very good video. But, is it necessarly a must have pulse to disappear or just reduced when doing the tests?
No, if you dont have arterial compression there wont be pulse disapearence. Those tests show you may have an arterial compression. DONT FORGET; you may have both nerve AND arterial compression! Go get it checked !
Thanks
شكرا جزيلا لحضرتك د ابراهيم
Thank you! I have had limited ROM and. Pain onset 2012 after shoulder repair! I present w most of the symptoms. I must find help ASAP! Life is unbearable!! The thre surgies I've had did not help. Shoulder repair,revised shoulder repair and c5-6 w a fusion. Been to rehab,Acupunture, and a repair in of disc. I was a pt w North spine clinic to. I really appreciated my Dr and nurses there! Would love to consult w a Dr in Dallas. No test have been done for TOS. Also rehab rehab! I do have a MRI! CHEST X-ray, and othe X-ray. Just no Dx. HX L modified radical mastectomy w three tumors Lg! Ax dissection w 20 lymph nodes remove 11 pros for cancer! Several rounds of chemotherapy and radiation! Rib pain too. Two severe wrecks! Left ribs 3 fractured ,collar bone to. Dislocated left shoulder w fx head of humerus , concussion, whiplash. Ejected from truck!
Tired of hurting,jbk
Have you had the surgery done? How are you doing today?
Left upper chest & clavical edema that gets huge by end the day (normal left hand) BUT right hand swells, goes numb, & turns red, blue, & purple several times a day. Face slim at night but full of fluid every morning. Thoughts anyone?
YOu may have venous compression type of TOS, get it checked immedately!
I'm just wondering if there is any atrophy associated with this condition
Thanks dr nabil u r the best
I think what causes this for me is my left clavicle, it's rotated a bit
Hows yours now? My clavicle is not aligned?
Thankyou very much for the vedio !:)
Thanks Our doctor :)
I diagnosed a crvical rib on left side what should I do.
thanks a lot
thanks for this ...
Thank you!
Ruti Abrahamsbn.
nnnnkl
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mkkq22wwwppppà
nice video
Dr sultan saudagar h
How about hearing loss with TOS? My friend has TOS but has been unable to obtain treatment it seems many arent trained on this problem. She has neck/arm swelling, all symptoms, and compression of vein/arteries which seem to affect her hearing. Shes had symptoms/much testing indicating TOS What is your response.
What about AS.
Why this video dont say something about Omohyoid Thoracic outlet syndrome?
This is the 4th type.
@nabil ebraheim What is your opinion on thoracoscopic first rib resection?
I have two cervical ribs which first started to give me problems two years ago since which time I've had two tia incidents is it possible that the two things are related?
May be related, there is something called subclavian steal syndrome. It may be that these cervical ribs may compress your subclavian artery on 1 side, or both sides, therefore blood is drawn (stolen) from vertebral artery (ies) into subclavian artery (ies). Vertebral arteries supply blood to brain, therefore you may have transient ischemic attacks if bloodflow is decreased, especially when you turn your head to side.
I advise you to go get it checked immediately with an orthopedist/ thoracic surgeon/ vascular surgeon.. This is a serious condition and dont ignore it.
I had a thoracic outlet syndrome and 1st rib resection surgery in Jan 2018 and i was recovering just fine.. in October 2018 i had TIA.. i have no under line health issue do i need to worry?
perfect
Hope you can translate this its -Dutch-
Hee!
Ik heb elke dag pijn aan mijn linker schouder nou heb ik aan de rechte zijde nergens last van
Zou het kunnen dat ik zn extra rib heb?
who else came because of markell fultz
me
why loss of sensations over liitle and ring finger only?
I think it is because when somen is diagnosed with Thoracic Outlet Syndrome it is the Ulnar nerve that is affected and Ulnar nerve inverted by muscles that control the ring and little fingers. Hope this information helps you out
You didn't say bad posture as one of the causes
is emg cns normal for ntos?
So thoracic out let syndrome Could be other possibility,
My plm help me😭
Causes: Hypermobility (Extreme positions)
Can TOS cause sibo due to ischemia?
no. c8, t1 nerves go into the arm, no relation to gi tract.
markelle fultz
❤❤❤
Why more in women? Tight bras with wrong shoulder bands could be one contributing factor.
MyChilepepper I’m confused? Isn’t this just something your born with
Try Atlasprofilax treatment.
여수송죽아파트김효정
방석집 아이..심포동영업해요
식당도아니고 심포동 이예요
남편회사보낸후.딴남자랑.돌변
sir are you Pakistani?
Don’t do the surgery!!!! It ruined my life!!!!
Why is that
Please tell me how???Because i am going for surgery tomorrow.....
Wtf else am I supposed to do I can't use my arm and I've done everything else
Listening to this guy is absolute torture. Can you imagine having him for a professor and having to listen to this garbled mess for two hours a week?
Sorry to say but "horrible voice" 🗣🙉
This is exactly what I have
Thank you