Hello:

Thank you for your reply. I have answered your questions below:

[QUOTE=Jo*mar;891748]Hello & welcome,

I have some questions so we can give better suggestions.

What is her avg pain level most days? It depends on what she is doing and for how long. Repetitive work esp. computer work seems to agravate her condition and pain is usually around a 6.
Any pain meds, over the counter, or rx'd? She takes naproxen and meloxocam when needed
Is it a constant pain? pain is intermitent and this has caused a lot of problems in getting a diagnoses.
What other symptoms does she have? She has cold hands esp. after working on the computer. Numbness in all fingers and tenderness in the wrist as well as burning sensations in the wrist and elbow.
How is her posture overall , esp her upper body? She has poor posture and sloped shoulders with a long neck. Her neurologist commented on this many times.
From the side is her head forward of her shoulders , are her shoulders hunched or rolled forward? Shoulders are rolled foward and unequal with the right lower than the left.

Has she had any expert TOS PT or expert chiropractic that also uses a multi focused approach with PT type modalities? She has tried ART, chriopractic and PT with some limited success, however symptoms also come back

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.