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Anyone deal with carpal/cubital tunnel or thoracic outlet?

Posted on 10/28/22 at 7:07 am
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
34235 posts
Posted on 10/28/22 at 7:07 am
42 male. I play baseball from 5 to 18 and have left it and run five days a week since I was in high school.

Three years ago, I tested positive from a nerve test for carpal and cubital on my dominant right side

I’ve held off on surgery, but it has gotten really bad. My pinky and ring finger always hurt, my forearm is always in pain and is my elbow.

I’ve also read where thoracic outlet is common in pitchers and weight lifters and they say if it’s compressed at the shoulder or neck it could be disguised as carpel or cubital tunnel

The hand doctor wants to release the elbow and wrist but I’m wondering if that will help and if it’s thoracic outlet.

Anyone deal with this?
Posted by littlebird92
Louisiana
Member since May 2018
337 posts
Posted on 10/29/22 at 11:37 pm to
I've had two transpositions in the elbow with a release in the hand. They helped, but the real issue did indeed end up being thoracic outlet.
Posted by LSUfan20005
Member since Sep 2012
9227 posts
Posted on 10/30/22 at 8:31 am to
Do you use a mouse a lot? “Mouse shoulder” can be a real contributor due to the forward internal rotation.

You can 100% fix some of the potential causes, but it can be a lot of work.

For the forearm itself, I really like the product called the “Armaid” - I fixed a CT diagnosis with this.

The nerves running through the traps also can be a contributor, I used a softish mobility ball in a doorway to fix mine.

Some of Kelly Starrets early mobilityWOD videos had really good banded distractions for the front of the shoulder.

The book “The Frozen Shoulder Workbook” is an incredible resource.

If you’re interested I can try to find some videos of my favorite stuff.
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
34235 posts
Posted on 10/31/22 at 12:29 pm to
littlebird92

can you give me more detail?


What did they do in the elbow? Why did you have it redone? What did you do for the TOS and how did they diagnose it?

Posted by littlebird92
Louisiana
Member since May 2018
337 posts
Posted on 10/31/22 at 10:10 pm to
Absolutely!

So in my elbow they actually moved the nerve under some fascia. It gets it out of that small space it's naturally in. A couple of years after I had that done I had a dog jerk my arm really hard and it messed it up enough that they had to go back in and put the nerve under the muscle.

For the TOS it got diagnosed after a pt working on me suggested my symptoms could actually be from TOS. After that you have to go through all the motions of tests and such. You usually start with physical therapy. Mine had been going on so long and with previous rounds of surgeries and physical therapy they decided to do surgery. My surgery involved removing my first rib completely and then freeing up the brachial plexus and getting all the scarring off.

It was a really tough surgery and recovery, but it was finally the thing that relieved my symptoms. I have the pain come and go, but nothing compared to what I was living with for so many years.

Sorry for the super long response!
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
34235 posts
Posted on 11/2/22 at 12:31 pm to
thats exactly what i wanted to hear. i think my doctor just decompressed the ulnar nerve so now i need to move it. it hurts when i put it down to type or use a mouse.

who did your TOS surgery? ive seen Dr. Pearl in Dallas and hes one of the best who operates on MLB pitchers all the time.

I hope i dont need the major surgery but i have to decide if the arm and elbow pain are coming from higher up or not
Posted by littlebird92
Louisiana
Member since May 2018
337 posts
Posted on 11/2/22 at 1:28 pm to
So I saw a doctor in Salt Lake that did the surgery robotically. He's a professor at U of U that teaches how to do robot surgery in the cardio-thoracic region. If you've seen Dr. Pearl for the TOS though I wouldn't bother seeing anyone else. He is the best!

It's totally possible that you have all 3 areas being compressed like I did. I am hopeful for you that it isn't TOS and that you don't need the big surgery. If you do end up needing it the odds are really good that it will help relieve your symptoms though!
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
34235 posts
Posted on 11/2/22 at 3:23 pm to
ughh. thx. so what do you think if i get the hand and elbow release and its still compressed at the shoulder, would that offer any relief?

Also what were your pre surgery symptoms? Ever get pain on top of the hand?
This post was edited on 11/2/22 at 3:35 pm
Posted by STLDawg
The Lou
Member since Apr 2015
4562 posts
Posted on 11/2/22 at 4:13 pm to
If you’ve had good nerve conduction/EMG testing they should be able to tell the difference between cubital tunnel (an ulnar neuropathy) and neurogenic thoracic outlet which looks more like a nerve root problem.
Posted by littlebird92
Louisiana
Member since May 2018
337 posts
Posted on 11/2/22 at 11:07 pm to
I think you would get some relief, but if it's compressed at the neck and shoulder as well you're still going to have problems.

My biggest problem was the constant, deep pain from the neck all the way into my fingers. Excruciating honestly. I had lost a lot of strength and coordination with it as well. My hand was curling up. Like my ring and pinky fingers still curl up towards my palm.

The problem with NTOS is that with the nerve conduction tests it doesn't always show compression from that area. It's just so hard to definitively diagnose NTOS.
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
34235 posts
Posted on 11/3/22 at 6:43 am to
Yep that’s what I hear. My grip is low. Only 72

Constant forearm and elbow dull pain and pain in my middle, ring and pinky

I don’t get pain above the tricep.
Posted by littlebird92
Louisiana
Member since May 2018
337 posts
Posted on 11/3/22 at 11:10 am to
Yeah is it your dominant hand as well? The pain is what wore me down. You can only go so long with that pain before it takes over your life. At least that's how it was for me. So sorry you're having to deal with this.

I would probably do the surgery at the elbow and hand and give it some time to see how that goes. If it's only slightly helpful and you're still having issues I'd really push for checking on TOS and start things for that specifically.
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
34235 posts
Posted on 11/3/22 at 3:19 pm to
yes dominant hand, cant type or use mouse
Posted by littlebird92
Louisiana
Member since May 2018
337 posts
Posted on 11/3/22 at 10:40 pm to
Same here. Bad enough to have these symptoms and then it also be the hand you use for everything lol.
Posted by dallastiger55
Jennings, LA
Member since Jan 2010
34235 posts
Posted on 11/4/22 at 8:40 am to
So how did you differentiate between TOS and Carpal and Cubital tunnel?
Posted by littlebird92
Louisiana
Member since May 2018
337 posts
Posted on 11/4/22 at 11:39 am to
So from the time I first started having symptoms to being diagnosed with TOS was about 9 years. Everything presented as cubital tunnel throughout the years. It wasn't until after still having issues they did a nerve test and everything looked good from the previous surgeries but they tested above my elbow on the inside of my upper arm and it was showing funky things.

If we hadn't done that we'd still probably think it was cubital. I never actually had any symptoms of carpal.
Posted by h0ll@yaboy
Baton Rouge
Member since May 2013
191 posts
Posted on 11/6/22 at 1:19 pm to
Have they ruled out the neck as the source of your symptoms?
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