I had an extra 1st rib and bands. They removed the bands many many years ago and it seemed to help quite a bit until after I had a my sons. The neuro I saw much later said that pregnancy made everything worse and it went downhill from there. I was lucky to find a wonderful surgeon (Virgil Wood or Woods I think) at Loma Linda University. He did a 1st rib resection in 1996 and that took care of the problem for another 10 years or so. The sad part is that it's back. At least I think it is. I'm once again Adson's positive, but my doctor isn't sure it's not from the PsA. Who knows? I sure don't! Deb