noname- here's the thing.

Medicine, surgery, PT, bodywork, home exercise, and sometimes psychological support are ALL important parts of a TOS'ers treatment.

None of them are mutually exclusive, and anyone who is being treated should evaluate what things they need and what they don't. (for example- keeping "surgery" in your treatment arsenal may only mean realizing that it is an option and making your own informed decision about whether you need it)

Meds and surgery are perfectly appropriate and reasonable even if you have not done "every possible thing" to avoid them. As long as you have made a reasonable attempt to understand where they fit in your situation.