Continued Diagnosis Work
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Good morning all, I recent saw Dr Max Wohlauer who is not fully convinced I have just TOS or TOS at all. I wanted to post some symptoms here and maybe someone can relate. I already had improper Carpal tunnel surgery so I am scared of a misdiagnosis again.
Left side - 11 years ago I had deltoid pain for a month prompted by a shit in my arm. After this it really settled into deep nerve pain under my left scapula. This is still my primary pain. We suspect the dorsal scapula nerve is pinched. I have Trap and Rhomboid tightness and pain like crazy. This all is the majority and primary pain. My left scapula wings out often and causes so much discomfort and problems moving and using my left side and get comfortable. My scalenes are also rocks and I have headaches daily. I no longer have deltoid pain and rarely hand symptoms at all.
Right side - we believe this is probably aTOS, secondary condition from a decade of guarding. I also have tight rhomboid and traps but not as bad same with scalenes and headaches. My right side has been more tolerable but in the last two years was misdiagnosed with carpal tunnel on the right and had the release surgery. I still have carpal tunnel symptoms, pain, tingling, cramping, dropping. We were able to see blood being compressed on and MRI almost confirming TOS on the right.
What makes it worse -
Sitting without a back support flares my left scapula in seconds. Laying on my side without a pillow haunches me inwards and hurts my back. These are honestly the worst. Beyond that it's lifting things, repetitive arm movements, washing hair dishes etc etc etc.
With all this Max has me back in PT which I'm not thrilled about after 11 years of PT. But I am also significantly worried that surgery might make my left side infinitely worse and might not be the right dx. Thanks in advance for the longer read