I was one of Dr Donahues Botox pts in October for left TOS. A nurse Julie calls every week for pain scale, and subjective feedback to assess treatment success
I had initial relief with pain with the scalene injection and the pec minor, but after putting up screens and vacuuming windows (overhead activity), I triggered the worse headache, pulsing Tinnitis, arm pain, chest pain I'd had since the beginning. Everything eventually calmed down with three HTN meds, pain and sleep meds, but I knew I couldn't go thru that again. At about week 5, PT was making the pain worse and I couldn't wait for surgery....a left PM tenotomy last week.