Thank you to everyone who posted here. The information is very helpful although I'm sad to see others suffering with this.

In 2008 a surgeon incorrectly diagnosed a blood clot in my chest and arm as TOS and did a 1st rib resection and scaleneotomy. It turned out I had lupus and continued to clot in other areas of my body after the surgery. I have suffered with horrible pain and skin burning in my shoulder, neck and arm ever since the surgery. I am treated with opiates which make the pain bearable.

Lately the pain in my shoulder blade is unbearable, like it's pulling apart. I found the information on posture very helpful and will try what others have suggested. I just found a new chiropractor who tried cold laser and ice on my neck and shoulder in my first treatment - not sure it helped much but I'm going to go back.

Thanks again to everyone for the help. I feel like I'm losing myself to this pain.