Hi,
What kind of work/hobbies do you do?
Could your problems stem from some sort of repetitive motion condition?
Any accidents or injuries that might have caused these pains?

You might want to visit our Thoracic Outlet Syndrome {TOS} forum for more info.
I'll post the useful sticky thread link for you.
http://neurotalk.psychcentral.com/thread84.html
post # 1 is a crash course of info - extra good for starters.
plus some various therapies are listed & linked even if you don't have TOS.