My TOS is vascular and neurogenic. I was having dizziness in physical therapy after doing stretches/exercises with my arms raised. I also started experiencing occipital neuralgia and TMJ pain. I later developed ear pain that I originally thought was simply ear infection (I used to have chronic sinus and ear infections). I insisted on antibiotics from my Dr. even though they saw no evidence of ear infection. Of course, the ear pain continued.

My clinical exam showed both neurogenic (left greater than right) and arterial (right greater than left) TOS. I had an MR Angiogram which showed narrowing of the subclavian veins in the hands-up position (left greater than right, complete blockage on the left).

The ear, TMJ, and occipital pain seems to have disappeared on the left side after I had rib resection surgery two weeks ago. I still feel the ear pressure on the right side. I will be having surgery on the right side in 3-4 weeks.

So yes, I believe TOS affects the blood supply to the head, which in turn might cause these symptoms.