Does anyone know if a pension system can force you to have surgery for TOS. I just received word from my pension system that they delayed my case and want me re-evaluated by another one of their doctors. The last one knew I had no pulse in right wrist even before it got to shoulder height. He checked it three times, but did not write that in his evaluation. He just stated that I was taking the right steps in my therapy. He wrote in his report that I should be fine within a year. Well we will see what the next doc says. My surgeon suggested surgery for my right side, but wanted to wait till my left recovered more from the surgery. My surgeon had wrote a letter to pension stating that I was still experiencing symptoms and restricted my driving and lifting abilities, not to mention there is no way I want to wear my bulletproof vest yet. That would hurt me real bad still, since the straps for the vest ride right over the area that still hurts.