Hi Teresa,

If you are in the L.A. area, You are very lucky as Ando and Aston physical wellness therapy is in Anaheim Hills. Dr. Art Ando and Dr. James Sposa are very highly specialised and know TOS very well. I travel from Northern Cal just to see them. I highly recommend them unless you are seeing them already! They truly are masters at what they do. They will teach you how to be able to sit, maybe mobilise your ribs whatever is needed and help you with getting better, they can just see and feel whatever is not right in your posture, your musculature, any myofascial issues and have ways to fix it. It was the most thorough evaluation I have ever had. Their exercises are helping me a lot.
www.andoaston.com, Phone (714) 974 0330.

I also do Peter Edgelow's diaphragmatic breathing routine which I learnt here in Northern Cal along with the L.A. therapy exercises. Any Abdominal Breathing is so important to help you relax and feel more in control than out of control and there is so much more to it when you have TOS. It reduces the compression on the nerves and vessels.

I also believe in doing cardio almost everyday for 20 to 30 mins atleast to warm up those muscles, essentially breaking out in a sweat. Just walking or whatever form of cardio that does not aggravate symptoms. No incline,no swinging arms etc.

I have never benefited from any kind of shots, always got more injured, so please research and study it properly before you go ahead with them.

Qs. What kind of bilateral TOS do you have? Is it mainly neural? Who did the diagnosis?
Qs. Are you taking any nerve medication like Gabapentin/neurontin?