Ah brain fog I forgot the most intersting part. The physiatrist said that the swollen and impinged suprascp nerve at the shoulder notch causes the trap muscle to spasm and.....pulls the 1st rib out of place, ie subluxes it and rolls the shoulder forward...ie the TOS connection to the first rib.

I am doing 6 weeks of PT for it and then it the nerve is still an issue they go in arthroscopically and snip a piece of tendon or muscle that is over the notch to release the nerve.

Think of the nerve stuck at the notch with as a V with a small piece of muscle laying over the top of the V. The nerve runs through the V so if swollen you can see how it can get stuck and not slide through the notch like it is supposed to be.

I will keep you all posted on progress.