I am 33 years old am married and have two children (5 and 7) and have Been fighting what seems like TOS since July of 2009. I was working 15 hour days at a computer for a solid decade in a completely non ergonomic setup and symptoms progressed to the point where at my worst I could not even brush my own teeth or hair. I went the Workers Comp route and played the Dr shuffle game with a young neurologist mentioning I potentially had TOS and prescribed PT which helped moderately. WC than bounced me around to a local orthopedic hand surgeon, rheumatologist, and physiatrist after kicking me around for about six months with the local physiatrist they sent me to a month long pain rehab center which issued my Maximum Medical Improvement and permanent impairment rating which basically kicked me out of WC disability. I live on Lyrica 150 TID that and exercise make things tolerable at times. I have been back to work since spring of 2011 at a much slower pace than I used to usually 8 hours or less. Starting earlier this year My symptoms began to escalate and it feels like Déjà VU. I seem to be racing towards being unable to perform my job and disability again however with my MMI and PI I am pretty well excluded from WC. Even with the Lyrica at this point I am not able to drive more than short distances and all tasks seem to be difficult. I am looking to find a Dr familiar with TOS and similar conditions to examine me and recommend studies to identify the causation. If I am a candidate for surgery I am ready I have a lot of life ahead of me and 3 people that depend on me and if there is anything that can make this better I am willing to do it.