Hi TOSers. I have been reading this section on and off for several years since I developed CRPSII in my left arm due to an ulnar nerve surgery. Anyway, I have been having trouble with my right arm and hand so I went to my pain management doctor and he ordered ultrasound test on both brachial plexis areas.

The report states: Right-sided thoracic outlet obstruction which appears to be dure to compression of the mid to distal right subclavian vein posterior to the clavicle. Severely elevated velocities up to 219 cm/sec are noted.
The left side is well within normal limits and there is no positional abnormality present.

Can anyone explain to me what this means and what should be my next step? The pain doc seemed to think I need to have a rib removed before I even have an MRI or anything. What is typically the next step and what type of doctor do you all see?

I am so scared, Elyse