Yea my cervical spine has been ruled out. Only a minor bulging disc but it's not near my spinal cord. I just saw another neurosurgeon today. He is sending me for a brachial plexus MRI and a CT scan of the neck. He said he would only operate if something is shown through these tests. I discussed with him the possibility of impingement at the pec minor muscle. He said impingement doesn't happen here. Although my osteopath was able to reproduce my symptoms here! I understand why that he felt this way. Apparently this is a very rare condition to have an impingement here. Just do a google search for "pec minor tenotomy" or "pectoralis minor syndrome" and you will see very limited results.

After reading the limited amount of material on pec minor tenotomy, it appears like this is an ideal surgery. Quick recovery time and high success results for compression. TOS and pec minor syndrome seem to have overlapping symptoms. Right now I'm being offered surgery for TOS, yet I would rather go with the less invasive pen minor tenotomy surgery if I had a choice. Especially if this is the area if impingement.

Is my only option to travel to out of state to a see specialist who does pec minor tenotomy surgery? I live in New York and would probably have to travel far for this. Assuming this is exactly what I have...

I also checked the links Jo*mar. In the physicians list, how would I know who does pec minor tenotomy surgery near New York?