help help nerve damage

[milo]

it sounds like there may be some rib joint dysfunction. these joints can often refer pain into the sides and front of the chest. though this pain is often descibed as being quiet sharp and brought on by twisting, deep breathing.

A good physio should be able to perform a thourough spinal examination and determine whether your problem is musculoskeletal.

let us know how you get on.

[eboebo]

hi milo and canuck physio
thanks for your reply s
first of all i can fully expand my lungs from my abdomen but this dose produce pain under my arm on my left side as dose any movement.
how do i get to see a physio for a spinal examination do i have to go back to my doctors to get sent to one?.
i have seen a doctor a few weeks ago and he has sent a report to me in it he says he thinks due to the fall it pressed on hmy injured thoracic nerve through the lipomatous area and because that nerve was tetherd caused a tear which made the pain worse.
he says the main trigger point for the pain is at a critical point.it is at the lateral axillary line,the point where sensory nerves surface before spreading medially and laterally above the appropriate intercostal space.
also at the operation excision of the lipomata tore sensory branches to his lateral and anterior chest wall.in addition it produced an additional tear in the tethered index thoracic nerve in the intercostal space.the lipoma acted as a passive buffer to transmit pressure to the injured indexthoracic nerve in the fall of 5.11.05
the thoracic nerve was tetherd and further tearing produced a substantial increase in chest wall pain and it will last for his remaining life.
the sensory loss was in the T3?2 to T5 area. of course it is an organic distribution thear is numbness in this area which can be demonstrated clearly.
it is completely consistent with branches of these nerves being in relationship to the lipomatous area with an indefinite margin which was dissected out/torn out.
the tissue obtained for the specimen was the result of dissecting out/tearing out an indefinite lipomatous area.
the pathology in the lipomatous area removed dose not suggest any other pathology other than injury to the index thoracic nerve as the main cause of the thoracic pain he has.
i dont have a clue what all this means can you explain this in eniglish many thanks
ian.