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- Jason E Hale and Jianguo Cheng.
- From the Department of Pain Management, Anesthesiology Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
- A A Pract. 2020 Apr 1; 14 (6): e01194.
AbstractDespite conservative and surgical treatments, patients with neurogenic thoracic outlet syndrome can develop debilitating chronic pain of the shoulder and arm. Here we report a case of a patient who failed medical treatment, surgical resection of the first rib, and subsequent resection of rib regrowth with partial excision of a hypertrophied middle scalene muscle. Ultimately, this patient was successfully treated with spinal cord stimulation with dramatic pain relief and remarkable functional improvement for more than 3 years. This first report provides hope for those who suffer from this debilitating syndrome.
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