I agree with Alison,
If a doc did that to you...makes me angry.
An IME did that to me recently and my husband almost took his head off as I agonized in pain. He later went on to say on his report I was exaggerating all my chronic pain sx and did NOT have TOS.

This doc has no clue, no education on TOS, the chronic pain it brings and treatment.

Get yourself to a KNOWLEDGABLE TOS expert like Dr. Togut or...so many others here on the east coast will get you there.