How is his overall posture and especially upper body posture?

Head/shoulders forward of mid line when viewed from the side?
rolled, hunched, rounded back?

Did he play lots of computer games or video games - extended sessions over the years of forward arm /head posture?

Is he having a lot of pain or other symptoms?
If you can list out some of his symptoms or painful areas we might have suggestions to help .

Be sure any surgeon is expert at this if you go that route.. usually a vascular surgeon.


If severe pain /symptoms are not an issue yet and no immediate reason for surgery.... seek out expert PTs , chiropractors, and/or bodyworkers to see if things can be improved that way before opting for surgery.