I didn't have any luck with the ortho I saw for my symptoms, and he was highly rated.
He did do a great job on my knee bursa surgery though.
My daughter & I have found a Osteopath and he has nurse practitioners that are very good too.
I haven't had to see them for any TOS problems yet.
But my daughter has had some spasms and knots in her back

so she had tx by the NP & then the in office PT.
I was impressed as I talked with both of them and the tx they did for my daughter.