Hi,
Sometimes with TOS the intensive rehab stuff will make it worse..
Delayed pain, trigger points , spasmed muscles.. it's hard to find your threshold with activities that won't set off a flare.
And with NTOS it is even harder because the nerve itself is triggering a lot of the pain/sx too.

Can you choose the surgeon yourself or is that a limitation with mil?
For the best result with surgery, an expert TOS surgeon is a must..
NTOS can be a tricky thing, some recover to normal and some may have lingering sx.

Many pro athletes go to Dr Pearl in TX, Dr Donohue in Mass is very good, but there are others listed in our sticky thread..that might be available and closer for you.
Many will require their own testing & diagnosis - just to be sure of the severity...
But if your hand is showing atrophy that is pretty clear indication of something..

I'm guessing a bergen is gun or something LOL??

For long term health I'd suggest aiming for a career adjustment to get a less heavy/activity role...
Aches & pains only gets worse with age...


There is a small % of normal persons that do lose pulse when arms raised, but do not have or get TOS - so that alone is not proof of TOS, but when someone has many other sx then it points to it more..