PT actually thinks it is neurogenic and not necessarily arterial. Something about the sympathetic nervous system acting screwy. They are a very big PT center and have treated TOS patients before. I wouldn't necessarily say that I could confidently pinpoint them to TOS specialists… But they seem pretty knowledgeable.

The coldness doesn't necessarily bother me, it's more annoying than anything. I do notice that when I relax and try to slow down my breathing that it dissipates. It is something I could most likely learn to live with, but I would just want to be sure I'm not overlooking or discounting something that could be potentially life-threatening. With the thrombosis or whatever, being the concern.

So with arterial TOS, I'm wondering what some of the other concerns or symptoms might be just so I can be prudent and careful not to ignore something that could be very serious. How can one decipher between traditional TOS and the more dangerous variety?

I'm with you in that I'm all about conservative treatments and avoiding surgery where at all possible. I am not convinced that my situation would improve by going under the knife. And I am able to notice improvement by stretching and or lifestyle changes. I guess I would just like to rule out anything really bad.

*Not that TOS on its own isn't that enough…

Is it wise to have the Doppler test just to rule out anything? Is it very expensive?