My PT was actually the one who found my TOS. To help with all of the muscle pain, tightness and spasms he is doing a soft tissue massage using different metal tools. I have a lot of tight muscles popping and crunching over my bones like they are sliding over a gear. This causes me to instantly get nauseous and woozy feeling.

I see him once (sometimes) twice a week where he uses a very hot heating pad on my back, and then focus on the trigger point areas with the metal tools. I've been doing this for a few months and he's able to get some of my worst areas to calm down for about 5-7 days, but if I miss a week all of my knots and spasms are back again. After the massage he has me do some pec and neck stretches, along with some weight training for my shoulders.

At home I lay and roll on a large, hard foam roller to loosen my shoulders in between visits. So far my scalene muscles feel about 50% better, but new problems areas come up once he gets rid of other knots. My problem shoulder is still a lot higher than my other. He suggested that I get deep tissue massages in combination with PT massages. Drink a lot of water after your massage, you may also feel 'out of it' the rest of the day depending on how deep they go.