Update:

Had the injection on March 1 so it's been almost two months since the injection. Since I was told that it takes a couple weeks to take effect, I'm theoretically 1.5 months into a process that would run 2 months.

I'd say the results are somewhat of a mixed bag.

The good:

* The "bruit" that was present is gone. Previous to the injection, I'd guess that I could feel "turbulent blood flow" when I try to find my pulse in the thoracic outlet area. Now, can't feel it. I'd say this is a good sign. I'm curious if this comes back in a couple weeks when the botox injection should wear off. I'm monitoring this very closely. It's the only clear observation of change so far. If I start feeling the bruit again, that's going to tell me that yes, the scalene muscles may be a problem we have to deal with in the future.

The bad:

* Still get flare ups. Not too bad. Usually revolve around work stress and travel. Pain goes from 0 to maybe 3, but then within 24 hours of relaxation it's gone.
* Physical activity does not impact my condition at all. If anything, a workout helps. I've found that after a stressful work trip, a visit to the gym helps settle me down and get me back into a routine. Really strange. Wonder if the release of endorphins has something to do with this. This one finding has me questioning if I'm really in a true TOS situation since most everyone on this board has problems with any kind of strengthening.

Anyways, we'll see how we are in a couple weeks.

KY