You should post where your located as certain areas have well known doctors and p.t. with much experience with tos, without the benefit of working with someone with a vast amount of hands on experience in reference to possible surgery or physical therapy as well as programs specifically designed for tos sufferers your chances of a good outcome are dramatically reduced. This is a progressive affliction and it is difficult to explain to someone recently afflicted just how severe this can become.Most cases are vascular or neurogenic and depending on which one you have, although there is usually some degree of overlap, is a gigantic factor as well,with neurogenic being much more difficult to successfully treat. Good Luck.