He did mention botox in our first appointment but we didn't really talk about it on my last visit. After my scalene block, I'll go back to see Dr. Gelabert to decide a course of action.

Also I came across this, not sure if you or others have seen it.

http://www.pureperformancetraining.n...thoracicoutlet

I'm hoping some of us (unfortunately, not me) may be in a position to try all or some of these modalities. I tried the first rib mob with stick as demonstrated in the video and felt my rib drop. I've done the fourth exercise (standing by the wall with a ball) but I modified it using the stick with a ball so I was standing further from the wall. I was then able to press on the pec minor and subclavius using body weight. I could also gently move my arm while pressing on trigger points, similar to active release.