I have been reading this thread with great interest. First thanks to you for sharing this information. I get the feeling that most people who get well leave these types of forums.

Did Pearl ever suggest Botox injections? What tests did he do to confirm TOS before surgery? Botox is supposed to be a 3 - 4 month relief option but also another confirmation of TOS. I had a scalene block that worked very well to confirm TOS but a botox injection that failed miserably. My local vascular surgeon does not know what to do. He was trained at John Hopkins for this so I thought he was a good choice. However I question his experience. I realize I need to see a national expert.