Not all TOS cases are the same. Most of them, in fact, are quite different. So, what is the difference between the neurogenic TOS that Stephen Strasburg had and venous TOS that afflicted Merrill Kelly?
That’s what he hoped, at least. Then he spoke with a former teammate who mentioned thoracic outlet syndrome.
“I had a blood clot that needed to be addressed immediately,” Kelly, 34, said in June. “I couldn’t lift my arm to shower. That’s how heavy it was.” Since undergoing TOS surgery at the end of the 2020 season, Kelly made 27 starts in 2021 and 33 in 2022, and he is on pace for more than 30 this season. He has a 3.22 ERA in 95 innings for the Diamondbacks. He was in the all-star mix, though he’s currently on the 15-day injured list with a calf injury.— the same nerve issues he hoped TOS surgery would fix in the summer of 2021 — it’s common to ask if a pitcher can look like himself after a procedure that removes a rib.
. “It presents suddenly without any preexisting symptoms. These are players who are playing normally — no pain, numbness, tingling, no nerve-type symptoms. And they suddenly get arm swelling and there ends up being a clot in the subclavian vein.“Neurogenic TOS is kind of a contrast because those patients typically do have somewhat long-standing symptoms, involving at least numbness and tingling, and they may have overt pain or more of an ache or fatigue.
Those long-standing symptoms Thompson described — tingling, numbness, dead arm — led Strasburg to undergo carpal tunnel surgery in 2020, a procedure he believes was unnecessary and delayed his TOS operation. His recovery has been further complicated by past injuries and the wear on the right side of his body (which is
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