August 18, 20251 yr Thrombolysis for shoulder-related blood clots primarily involves treating axillo-subclavian vein thrombosis, a condition where clots form in veins in the shoulder and upper arm area. This condition, sometimes called "effort thrombosis" or Paget-Schroetter syndrome, often affects young, active individuals. Thrombolysis, a minimally invasive procedure, uses medication to dissolve the clot, improving blood flow and reducing symptoms. Understanding the Condition:Axillo-Subclavian Vein Thrombosis:This is a type of deep vein thrombosis (DVT) specifically affecting the axillary (shoulder) and subclavian (below the collarbone) veins. Thoracic Outlet Syndrome (TOS):Axillo-subclavian vein thrombosis is often associated with thoracic outlet syndrome, where nerves or blood vessels in the space between the collarbone and first rib are compressed. Effort Thrombosis:Repetitive arm movements or exertion can cause the subclavian vein to be compressed, leading to clot formation, especially in young, active individuals. Thrombolysis Procedure:Catheter-directed thrombolysis:A thin catheter is inserted into a blood vessel (usually the groin or arm) and guided to the clot site. Medication Delivery:Clot-dissolving medication (thrombolytic agent) is delivered directly to the clot through the catheter. Imaging Guidance:X-rays or other imaging techniques are used to monitor the clot dissolution process. Duration:It can take up to 48 hours for the clot to fully dissolve, according to the Cleveland Clinic. Recovery:Monitoring:After the procedure, patients are monitored for several hours in a recovery area. Follow-up:Follow-up appointments are crucial to assess healing and the effectiveness of the treatment. Activity Restrictions:Patients may need to avoid strenuous activities and follow doctor's instructions regarding physical activity. Medications:Anticoagulants (blood thinners) may be prescribed to prevent new clots from forming. Surgical Decompression:In some cases, surgical decompression of the thoracic outlet may be necessary if symptoms persist or recur after thrombolysis. Other Important Considerations:Minimally Invasive:Thrombolysis is generally considered a minimally invasive procedure, reducing the risks associated with major surgery. Multidisciplinary Approach:Treatment often involves a multidisciplinary team, including vascular surgeons, radiologists, and other specialists. Functional Outcomes:Thrombolysis can significantly improve blood flow and reduce symptoms associated with axillo-subclavian vein thrombosis.
August 18, 20251 yr Thrombolysis and recovery for baseball pitchersThrombolysis, a medical procedure used to dissolve blood clots, can play a crucial role in the recovery of baseball pitchers who experience blood clot formation, particularly in the subclavian vein, a condition often associated with Paget-Schroetter Syndrome (PSS) or effort thrombosis in throwing athletes. Here's how thrombolysis and the subsequent recovery process typically unfold for a pitcher:1. Early diagnosis and treatmentPrompt Recognition: A high index of suspicion should be maintained in pitchers presenting with symptoms like a "heavy" or "dead" arm and upper extremity swelling, according to Sage Journals.Diagnostic Evaluation: Diagnosis is typically confirmed with contrast venography and serologic screening for hypercoagulable states.Thrombolysis: Once diagnosed, treatment often involves transluminal catheter-directed thrombolysis, which directly delivers clot-dissolving medication to the clot site. 2. Post-thrombolysis managementAnticoagulation: Systemic anticoagulation therapy follows thrombolysis to prevent new clot formation.Addressing the Cause: In cases related to PSS/effort thrombosis, further evaluation for an underlying cause, such as thoracic outlet syndrome (TOS), is crucial. This may involve:Thoracic Outlet Decompression Surgery: If TOS is identified, surgery to decompress the thoracic outlet (often involving first rib resection) may be recommended to prevent future clots.Follow-up Venography: Follow-up venography within 1 to 3 weeks of surgery is performed to check for residual stenosis.Balloon Angioplasty: If persistent stenosis is present, it may be treated with balloon angioplasty. 3. Rehabilitation and return to playEarly Rehabilitation: Early rehabilitation, starting with gentle exercises to regain range of motion, lower extremity, and core strength, can begin shortly after the initial treatment and as anticoagulation begins.Gradual Progression: A structured return-to-throwing program with progressive increases in intensity should be followed. According to Boston Shoulder Institute, athletes should be pain-free before re-engaging in a throwing program.Monitoring and Adjustment: The athlete should be monitored carefully throughout the process for any signs of recurrent symptoms or complications.Potential Timeline: Full return to competitive pitching can take several months to a year or more, depending on the individual case and whether surgery was required. 4. Successful recoveryFavorable Outcomes: With prompt clinical recognition, accurate diagnosis, and appropriate treatment, including thrombolysis, surgical intervention (if needed), and a dedicated rehabilitation program, the prognosis for an elite throwing athlete to return to their previous level of play after effort thrombosis is excellent, notes Sage Journals.Examples: Examples of pitchers like Matt Harvey and Chris Young who underwent TOS surgery (which often follows thrombolysis) and returned to play demonstrate the potential for a successful comeback. Important Considerations:Thrombolysis can have risks, including bleeding complications.Individual recovery timelines and rehabilitation protocols will vary depending on the specifics of the case, the pitcher's response to treatment, and the presence of any underlying conditions or complications.Close collaboration with a healthcare team specializing in sports medicine, vascular issues, and rehabilitation is essential throughout the recovery process.
August 18, 20251 yr Just now, e-a-g-l-e-s eagles! said:Wow turner’s first homer at CBP this yearTRASH
August 18, 20251 yr Well I would be happy with a 5 run lead but that went right out the window yesterday. No lead is safe with our pitching staff not named Duran
August 19, 20251 yr lol Romano what does it take for him to be DFA? Every damn time this guy gives up at least a run. He’s completely useless just go away
August 19, 20251 yr 1 minute ago, RoadToHell said:lol Romano what does it take for him to be DFA? Every damn time this guy gives up at least a run. He’s completely useless just go awayNo doubt... how many games has he blown or taken it from a very comfortable lead to a near loss? You can't tell me that there isn't some other pitcher in their system who can come in and do better than pitching to the tune of a 9+ ERA when put into games with a 6 or 7 run lead. If it weren't for him having a decent May, his ERA for the season would be over 9. What other teams out there are continuing to trot out a reliever with those kinds of numbers?I hate him even more than I hate Kepler...
August 19, 20251 yr 9 minutes ago, RoadToHell said:lol Romano what does it take for him to be DFA? Every damn time this guy gives up at least a run. He’s completely useless just go awayDombrowski swallowing his pride and admitting he sucks
August 19, 20251 yr Scored 23 runs in back to back games. That means we are surely getting shut out tomorrow right?
August 19, 20251 yr 38 minutes ago, e-a-g-l-e-s eagles! said:Jeff Hoffman>>> Nolan Hoffman.Jeff Hoffman>>>Dustin Hoffman >>>>> Nolan Hoffman
August 19, 20251 yr 41 minutes ago, e-a-g-l-e-s eagles! said:We are witnessing history everytime Romano pitches…Joe Table with a couple of appearances on that list...
August 19, 20251 yr 7 hours ago, Dave Moss said:Joe Table with a couple of appearances on that list...He was a special player
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