He is mainly treating the trigger points in the back of my neck and upper scapular, and then turns me over and does the clavicle area and front of shoulder. He does use the point in the hand which always gives a nice relaxing effect.

He also briefly and gently massages the trigger points in the scm. I've just remembered that he said for me to gently pinch up and down the scm so I will do that.

At this stage he is just working for pain relief and will begin to treat my whole system when the pain is under control. That is when he will I guess do the usual full chinese medicine thing and use the distal points.

Though I have had such a good result I do wonder if my case of TOS is much less severe than some others. For insance I don't have circulation issues in my arms or hands.