I had my consultation with the Vascular surgeon today and I got a lot of answers and have even more questions LOL. he definately thinks that I have TOS, caused by the severe whiplash I recieved in the accident. His theory is that I tore the muscles that surround the thoracic outlet nerves- there is no sign of any arterial involvement- and that the scar tissue and consequent muscle spasms are causing the problems.
His suggestion is that I try a very specific course of physical therapy and have an injection of the muscle involved, which will tell him if it's really the problem. He's not terribly hopeful that the PT will do much because of the severity of the injury but said it's worth a try. If all else fails he talked about surgery to remove the muscles that surround the nerve bundle. Apparently these muscles aren't important for structure or movement, especially because I'm fused.
He, like my neurosurgeon, doesn't believe that this is the only problem that I'm facing and is not sure just how much relief I'll get even if the results are perfect because we simply don't know how much of this is coming from my spinal problems. Therein lies my dilemma- is it worth another surgery? It's just over a year since my first surgery and 7 months since my last one. I'm in more pain than I was to begin is with and am, with reason, a little gun shy about going under the knife again.
Any feedback? Has anyone had this surgery? HELP ME!!!