well the problem is mostly that he didn't get to do much PT at all because of insurance. He had stretchy bands of different colors/resistance that he was using and going up each week. He hadn't really gotten to much of the strength part. this was pretty soon after surgery so a lot of it was just getting him to be able to lift the arm and move it around. some posturing exercises, i believe. They were in contact with the PT people from Barnes-Jewish Hospital that specialize in TOS and were doing whatever they told them to. The little bit of PT he had seemed to be going well. He was progressing well but then the insurance literally told us that "he should be better by now" because they had no idea what TOS even is. after just a few weeks they stopped it and after about 3 more weeks we finally got it approved again. So as you can imagine that 3 weeks without PT meant little to no progress. And that happened about 2 or 3 more times so after those intervals of no PT results were small.

Thanks for the home care ideas. I will pass this info on to him.