JoMar,

Thanks for the reply.

I think it's important to know that a) I'm a 42 year old male, and b) for the a year prior to my injury I was engaged in an intense bodybuilding program. We're talking about a great potential for repetitive / overuse activity. Especially for somebody at my age. We're talking all kinds of push and pull movements with LOTS of weight -- weighted pullups, weighted dips, vertical and horizontal pressing, you name it. And I did the same routine for months.

Previous injuries includes one: I herniated a lower lumbar disc about a decade ago.

As for job, I'm a marketing professional who is tied to a laptop. And I work at home quite a bit. And you guessed it...sit on a couch...on the phone...horrible work ergonomics. So this doesn't help.

The bottom line though is that this horrible journey started with that latpulldown injury. It started as a posterior, right shoulder discomfort and has just blown up into something that not only provides discomfort with certain movements (i.e. pressing, internal rotation), but also several nervy symptoms (i.e. burning scap/armpit/upper arm, muscle twitching, sharp elbow pain).

I've searched high and low for a diagnosis that fits and TOS seems to fit my comination of Injury origin + scap winging + burning / nervy symptoms + symptoms that mimic rotator cuff damage (and two orthos have told me "your shoulder is not causing your pain").

So here I am.

I'll read the stickies for sure.

Again, if this sounds familiar to anyone or have any feedback fire away.

I'd also like to know who is best at diagnosing this type of thing? Is it a neurologist or an orthopedic Dr? Or somebody else?

Thanks.

KY