Hello,

At least with the cervical ribs being present, you have a pretty clear cause for your TOS.
Surgery by a highly skilled surgeon is always the best way to go, even if you may have to travel.
drs & PTs listings -
http://neurotalk.psychcentral.com/thread135.html

Usually the C rib removal has the best results.
Be cautious during recovery time, avoid fast grabs for things, bumps and rough car rides..

You can search the forum for specific posts mentioning cervical rib-
http://neurotalk.psychcentral.com/search.php