White spots on the hand are a symptom of reduced circulation. In a healthy person, this occurs when they are cold and it is a natural bodily reaction to preserve body heat.

However, I have them all the time. 24/7. This is because I have poor circulation from TOS.

Another circulation sign is an "edema puff" on the front traps. I have those too.

The cramped circulation also contributes to fatigue.

I would love to be rid of both problems. I don't have a solution but you could try some things like:

-- Be aware of tension around your neck and shoulder on that side. Are you using more effort than you need to? Are you sitting too far from the mouse and you have to reach?

-- See if first rib mobilization helps. You can search the forums and/or the web.

-- Take a break and relax.

If you come up with any tips, please share!