jrdnpoole,
Can you, or have you had any expert/advanced PT or expert chiro evaluations?

Drs & surgeons don't really focus on that unless it is something very very obvious.
MDs or surgeons haven't mentioned anything about possible adhesions or scar tissue??
* Some people produce excessive amounts and it can cause just as many sx as before surgery.
A few in the past, have had to have another surgery mainly to remove the scar tissue.

They did remove the whole top rib and not leave any stump correct? Sometimes leaving a portion can cause issues to develop.
It should say in surgery report, or ask Dr /office if still in contact.