Hello & welcome,

I have some questions so we can give better suggestions.

What is her avg pain level most days?
Any pain meds, over the counter, or rx'd?
Is it a constant pain?
What other symptoms does she have?
How is her posture overall , esp her upper body?
From the side is her head forward of her shoulders , are her shoulders hunched or rolled forward?

Has she had any expert TOS PT or expert chiropractic that also uses a multi focused approach with PT type modalities?

Most surgeons suggest a session or 2 of skilled focused TOS PT for most surgical candidates, unless there are urgent vascular issues (clots) or severe & extreme pain.

Our useful sticky threads
http://neurotalk.psychcentral.com/thread84.html
http://neurotalk.psychcentral.com/thread135.html
http://neurotalk.psychcentral.com/thread125577.html