i'm probably a horrible candidate for surgery but my first rib moves around too much

my complaints are pinching, 24/7 paresthesias, and fatigue in both arms, no more ..fireworks, shooting pains etc. i used to get them but not anymore. i would never consider surgery if i were that flared up because im terrified of CRPS. getting any type of surgery when you're nerves are on fire just seems like a bad idea and it sounds like a lot of people do. it's risky.

i'm curious, can you get tos surgery without clipping ANY muscles? my scalenes do NOT spasm. my pec minor is hypertrophied from holding my shoulders up but that's it. i'd never clip my pec minor because then my arm would fall off my body