I have a consult for neck injections this week and I just wanted to see what would be recommended for TOS. The doctor does trigger point, epidural, nerve block, and botox injections. Anyone have any recommendations? Where exactly does the doctor know where to inject and which type of injection to choose. My traps and scalenes are both tender and contribute to non stop waking up at night so I'm trying to relax them so that I can actually sleep one day in my life. If the doctor recommends botox, I might want to only have this reserved for Dr. Donahue in a few months since I don't want to interfere with his strategies.