Fultz4thewin 2,464 Report post Posted April 22, 2019 4 hours ago, JJZFL said: There’s no evidence that is physical. Not entirely clear that this syndrome even exists. From Uptodate: Disputed TOS (also called nonspecific TOS) is the most controversial form [61,62,64,65]. Proponents of this entity believe that pathologic processes in the thoracic outlet, such as soft tissue anomalies that can only be appreciated at time of surgery, are the cause of a myriad of symptoms affecting the neck, shoulder, and arm, including involvement of upper trunk nerves [64]. Other experts consider disputed TOS to be a cervicoscapular pain syndrome because it lacks a clear anatomic abnormality, an established pathogenesis, consistent clinical manifestations, and a reliable method of diagnostic testing [61,62]. The same thought process was used to define hypothyroidism as psychological until reliable objective testing was developed. The current treatment is physical so I think we have to consider the injury to be physical until presented with evidence to the contrary. Share this post Link to post Share on other sites
JJZFL 610 Report post Posted April 22, 2019 9 hours ago, ?4thewin said: The same thought process was used to define hypothyroidism as psychological until reliable objective testing was developed. The current treatment is physical so I think we have to consider the injury to be physical until presented with evidence to the contrary. Unlike 80 years ago or whenever it was that hypothyroidism couldn’t be diagnosed, we have very reliable diagnostic tests now. What you’re proposing is similar to diagnosing someone with hypothyroidism when their thyroid tests are normal just because you’re also giving them physical therapy. Treatment is generally not how you make a diagnosis. Share this post Link to post Share on other sites
Fultz4thewin 2,464 Report post Posted April 22, 2019 18 minutes ago, JJZFL said: Unlike 80 years ago or whenever it was that hypothyroidism couldn’t be diagnosed, we have very reliable diagnostic tests now. What you’re proposing is similar to diagnosing someone with hypothyroidism when their thyroid tests are normal just because you’re also giving them physical therapy. Treatment is generally not how you make a diagnosis. Just because there's not an objective medical test today doesn't mean there won't be one in the future and doesn't mean it's definitely psychological. A lack of consensus in the medical community doesn't mean that it's definitely psychological. You can't use a lack of evidence to prove something. Share this post Link to post Share on other sites