Have you been able to get to any of the TOS specialists that are listed in our Drs & PTs sticky thread, or those mentioned recently in members posts?

Have any drs mentioned the type of TOS, nerve, vascular etc?
MRI c spine - what was shown do you have the MRI report?
Some w/TOS also have c spine issues..complicates things..

I don't know if bruise inducing therapy is needed or beneficial.....do you feel the therapist is fully knowledgeable in TOS , posture, myofascial conditions?

Chiro or PT - do they do any trigger point work, top rib mobilization, posture work/awareness?

do you have forward head/shoulders? that can happen with lots of studying/desk work..

If you decide to go into law def get some good ins and LTD, and save for a rainy day, as I think you will need it..sorry but being honest for your own good.

Can you work part time at this job???

Another option is seeing some TOS specialists and getting an opinion about surgery. It seems you are pretty deep into therapies & self care already , unless some more advanced therapists would be more helpful, sometimes you have to more on to get the best for yourself....

Please explore the other threads and the stickys for for info..much more than I can remember or type it all out..