Botulinum Chemodenervation – Botox for TOS Patients

Tuesday 9/8/09
Wide awake after a day at the surgical center for Botulinum Chemodenervation all in my right side. For my cervicle/occipital pain, jaw, ears, pectoral minor & majors, subscapularis & tapeziods & trapezious.
(insurance wont acknowledge the bilateral even though we have 2 Dr Collins MRA’s showing bilateral TOS). This is my 4th procedure & I can say it helps with the burning pain, headaches & facial pains. I do recieve lidocaine & steroids in the injections with the Botox to calm down the spasming. Love the day I go to get a few hours of absolute complete relief.

Below is a few articles I found by the physician who is my Primary Neurologist/Pain Management physician.
http://www.docguide.com/news/content.nsf/news/852571020057CCF685257123004E433A
http://www.painphysicianjournal.com/2007/may/2007%3B10%3B441-452.pdf

Selective Botulinum Chemodenervation of the Scalene Muscles for Treatment of Neurogenic Thoracic Outlet Syndrome
http://www.springerlink.com/content/c71mh6papprcjgvg/

Diagnosis of Thoracic Outlet Syndrome Using Electrophysiologically Guided Anterior Scalene Blocks
http://www.springerlink.com/content/vehnmd6daxenj8tq/

2009 reference journal exerpts from the following:
Fugate, Mark W. (2009) Current management of thoracic outlet syndrome. Current Treatment Options in Cardiovascular Medicine
http://www.springerlink.com/content/w5n76840g3828x25/

Sonographically guided anesthetic injection of anterior scalene muscle for investigation of neurogenic thoracic outlet syndrome. Skeletal Radiology
http://www.springerlink.com/content/b22m942233456h21/

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