I would not do surgery unless there was clear proof that it is the only option..
Use our search tool- for scalene , surgery and more-
https://www.neurotalk.org/search.php

And our sticky threads are full of info..
https://www.neurotalk.org/thoracic-o...les-polls.html
Trigger point information {TrPs} for short
DOCTORS & PTs List and saved PT info threads