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Post Workout Arm Pain. Possible Thoracic Outlet Syndrome?

Posted on 12/30/21 at 3:13 pm
Posted by Finch
Member since Jun 2015
3154 posts
Posted on 12/30/21 at 3:13 pm
After training very hard the next day when your arms would be sore it’s more of a dead feeling as if I pitched 100 innings.

The pain and dead feeling goes from my shoulders to my forearms and intensifies from day 2-4 even with rest. If I try to push through it and train 2-3 consecutive days the pain becomes unbearable.

I’ve had nerve conduction tests and they came back normal.

Has anyone experienced anything similar?
Posted by Blutarsky
112th Congress
Member since Jan 2004
9709 posts
Posted on 12/30/21 at 3:17 pm to
It could be TOC.

When you say a nerve conduction test, does this mean it ruled out a pinched nerve at C5C6 or C6C7?
Posted by Finch
Member since Jun 2015
3154 posts
Posted on 12/30/21 at 3:19 pm to
I have a herniated disc at C6/C7 but the fact that my pain is bilateral makes me question having surgery.

The nerve conduction test was after my MRI that revealed the disc problems

I’m trying to avoid surgery at all costs
This post was edited on 12/30/21 at 3:21 pm
Posted by Blutarsky
112th Congress
Member since Jan 2004
9709 posts
Posted on 12/30/21 at 3:23 pm to
I bought a Saunders Cervical Decompression Device to help alleviate nerve issues at C5C6.

It caused issues with each arm; separate flair ups about a year apart. First one cleared up in a few weeks but I didn’t know the problem the 2nd time in the right arm and it was fricked up for 6-8 weeks.
This post was edited on 12/30/21 at 3:24 pm
Posted by Finch
Member since Jun 2015
3154 posts
Posted on 12/30/21 at 3:37 pm to
Thank you for the tip. I’ll definitely check that out

Curious, did your flair ups consist of pain similar to what I described?
Posted by Blutarsky
112th Congress
Member since Jan 2004
9709 posts
Posted on 12/30/21 at 4:09 pm to
Each arm had a tingling, dead issue.

If I tried pressing movements, I would get pain down the length of the arm.
Posted by NOMT
Baton Rouge, LA
Member since Mar 2007
575 posts
Posted on 12/30/21 at 6:48 pm to
Intermittent symptoms are very unlikely to result in positive nerve conduction tests, and in my experience essentially never positive in thoracic outlet patients.

I would recommend at least having a vascular clinic that treats TOS do an ultrasound evaluation of your thoracic outlet.

It's a dynamic study and can potentially diagnose any structural sources of compression. In addition, can evaluate for vascular thoracic outlet syndrome which is far more serious.

If you live in Baton Rouge I highly recommend Vascular Clinic.
Posted by Finch
Member since Jun 2015
3154 posts
Posted on 12/30/21 at 9:46 pm to
I actually saw Dr Gwin and we ruled out vascular TOS but he said it could still be nerve related TOS.

It is very frustrating because nobody can give a definitive diagnosis or treatment plan
Posted by NOMT
Baton Rouge, LA
Member since Mar 2007
575 posts
Posted on 12/30/21 at 10:21 pm to
Gwin is one of the two I use there frequently. If he ruled it out (vascular) you can count on it.

Does anything specific bring on these symptoms? Anything during the workout or any specific motion etc that reproduces it? Did you increase your workload at the gym or is the same activity level as before symptoms were present?
Posted by Finch
Member since Jun 2015
3154 posts
Posted on 12/30/21 at 11:36 pm to
I do a bunch of BJJ so it is a bunch of static pulling and squeezing

Day one I feel like a million bucks before during and after

Day two there’s minor pain before and during and it intensifies after training

Day three it hurts somewhat before and I have to stop and ease back the intensity during or it will be extremely painful after

If I ever try to train twice in one day it will put me down for 3-5 days
Posted by littlebird92
Louisiana
Member since May 2018
147 posts
Posted on 12/31/21 at 12:25 am to
I have had TOS for nearly 9 years. I've had several surgeries throughout the years for it. Mine is nerve and with my symptoms they were a constant deep ache. The pain never went away. I never really had any numbness or tingling. My arm would get very tired and feel heavy when I was barely using it. I had my first rib removed earlier this year as well as a pec minor release. They most definitely helped with everything. A lot of times with the nerve conduction test results come back normal. It takes a lot of different tests to diagnose it usually. Sorry for the long response!
Posted by Finch
Member since Jun 2015
3154 posts
Posted on 1/1/22 at 9:59 pm to
I appreciate all the responses, as this is the most frustrating thing I’ve dealt with athletically.
Posted by littlebird92
Louisiana
Member since May 2018
147 posts
Posted on 1/1/22 at 11:43 pm to
It's an incredibly difficult thing to deal with. For sure try to get in with a vascular surgeon just to check everything out. You'll be in good hands. If you were to ever have to have surgery there's a top doc for this in Dallas. Dr. Gregory Pearl. I hope everything gets better for you!
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