Dr. Ty understands TOS but does not treat it surgically. He did participate in some TOS surgeries during his training and gave me advice while choosing a vascular surgeon. The spine is his specialty. I think its important for you to rule out the spine before you spend a lot of time and resources fighting the TOS battle.

I use to fear the injections but I'm a pro now (I also have some lumbar disc issues that I live with). The injections can give you relief without the need for surgery.