Hello, Can you tell me whether there is any way to do any imaging studies for thoracic outlet while sitting up?
I fell last Aug on outstretched arms and something is now causing my jugular to bulge like it will burst whenever I pull back on the shoulder or try to raise my arm.
But I have a frozen shoulder so unable to do the MRI test where the arm is raised, to diagnose TOS.
The veins in my right arm are also swollen, but go down when I am cold, lay down, or raise the arm some.
Since the arm veins go down when laying down, an ultra sound shows no compression anywhere. I am at a loss as what to do next and so are conventional doctors. Physical Therapy is not helping much so I'm thinking of trying a chiropractor but don't know what more can be done.
I have a clunking when swallowing so I'm thinking that a muscle or something may be causing a problem in the neck as your image illustrates. But the muscles in the arm chest area are very tight, so the problem could be there too. Can you give me some direction as to whether there is anything that can be done please? This is getting progressively worse and I would like to find a solution before clots develop.
Thanks in advance!!
Obviously you have a difficult problem and I don't want to suggest there is any easy chiropractic solution. I doubt there is.
Firstly, the fact that the swelling goes down when you RAISE your arm confirms that this may be a thoracic outlet syndrome. But... the vein from the arm doesn't pass through the thoracic outlet usually.
In practice, I almost always find that a frozen shoulder is associated with a first rib fixation, also the cause of many thoracic outlet syndrome cases.
There are new fancy MRI studies that can be done standing or sitting. Shop around.
Have you ever heard, or has anyone done the Adson's test on you. Use the SiteSearch function at Chiropractic Help. It involves testing the pulse in your wrist whilst turning the head and looking up, and taking a deep breath. It's the basic test for a TOS. Hard to do, and quite subjective.
I have no easy answers. Working on the first rib, the scalene muscles, the frozen shoulder and that midthoracic pain is where I would start.
Other health issues? High blood pressure, obese, diabetes? Smoker?
I'm not sure this contributes, but good luck anyway.
Dr. Barrie Lewis