Hello, I was diagnosed with TOS 16 months ago after experiencing pain for 6 years. I am from England and after reading this site it seems that doctors over here are not as knowledgable about TOS. I have had botox injections today into my right scalene muscle and I am feeling a bit dispondant as I am typing this with cold/numb fingers. Perhaps its early days? I have been seeing a vascular surgeon who is very conservative in his treatment and he is no expert in TOS. Help! I have had to give up work - I used to work in a bank - and I am now going to nightschool learning floristry. I want to go back to work but sometimes you feel everythings against you. Most of my problems have been the time it takes to get to see a consultant and then arrange treatment ( that is after been misdiagnosed a few times!) Oh dear this all sounds very depressing but you all probably know what its like! This site has some very good advice and information from those peaple who know exactly what you're going through and I look forward to chatting some more.