Before getting surgery, you should get, "ultrasound guided botox in the anterior and median scalenes and in the pec minor" in my opinion. There is a tread I wrote reading my experience: http://neurotalk.psychcentral.com/sh...ston+ten+years

I had surgery with Dr. Dean Donahue in Boston. I traveled from Nebraska for my surgery. http://www.massgeneral.org/surgery/d....aspx?id=16342