It is difficult to find MDs up to date on TOS, same for very good PTs.

I hope they didn't just do the standard PT protocol as that rarely works for TOS or TOS like injuries.. many do get worse with that "cookie cutter" PT style.

You need a very good well trained PT and possible even a expert chiropractor, since it was an accident that brought on these issues.

After 10 yrs there may be some serious internal scarring that will need to be addressed, I would suggest expert manual therapy first, before surgical interventions.

#1 - yes - the nerves can cause the muscles to act or feel - and like the chicken & the egg - the muscles can cramp or get trigger points that clamp down on nerves & blood flow..

#2 it can be one or both sides, just depends. one side can be worse, and one side less bother some..

check out our sticky threads above the main TOS thread list for tons of crash course info.


Try to seek out who the best PTs & chiros in your area, and get a full evaluation from them.. many MDs don't even do any hands on in depth testing...