Hi Flippn'
I wish other's would add their 2 cents worth but that is up to them.

I did edit my first response to you due to my own confusion on the matter so you might want to have a reread.

I have had sympathectomies post TOS surgery and I have had several to many blocks subsequent to them, so I am not sure why you think there is a problem with having both procedures unless it has something to do with workmans comp.

Having said that I think discussing all this with your doctor is the best way to go.You have alot on your plate and having a soundind board that you trust to go over all of this with is a very good idea.
Physios are great at what they do but they are not diagnosticians and should not be confusing their role( and you) in your recovery.

Take that journal (so glad you are keeping one)to the docs and everything will work out just fine

Good Luck
Much peace
GnP