Sea Pines - I will find out about the Sherman Oaks guy and Leslie, and then see if my WC will accept either. I am not even sure how many sessions I have left.

Stos - Unfortunately, I can't afford to pay out of pocket for Ando at this time.

jkl - I love Dr. Gelabert. He did both of my surgeries and I feel he is a very competent and knowledgable in TOS. I also like his personality - I find him rather funny. I think it would be great to have a SoCal based link. There is so much in this area and difficult to keep track of it.

20yrs - A recumbent bike is also a great option - many of them have arm rests. I can't do the elliptical (even with out arms) because I need the support.

I have not given up all hope. I will continue to do what I can to get better - trust me, I'd much rather live without pain! But I am also making decisions for my future based on having TOS. Even if I do improve, I want to make sure I am taking care of myself in a way that won't create another recurrence (if possible).