Hello,
Have you looked thru our Drs & PTs sticky thread to see if a closer surgeon is listed there?
I really think someone as qualified & skilled should be closer to you....
http://neurotalk.psychcentral.com/thread135.html

And I would suggest a second opinion from another surgeon always.

Not sure about the schooling/classes a hematologist takes or has, but IF there is a complete compression all the time and expert PT, chiro and such hasn't helped much at all.
then surgery might be in your future....

But do read what others here are trying for self care maybe something new that hasn't been suggested for you...
AND -
How is your upper body posture???
Head forward - shoulder rolled or hunched forward these will close off the spaces and cause big problems, so if this applies and PT/DC haven't said anything about it or addressed it at all - find better treatment providers...

there are simple things you can do daily to open the area - I just posted to another new member here this morning and the info & pictures are in that thread. http://neurotalk.psychcentral.com/thread159504.html