Thank you all for your advice and support. What a nightmare this is. I see that it will only get resolved by seeing a TOS specialist. It's been over a year of testing and doctors. I am seeing a top neurologist at NYU hospital in NYC and although I am confident in his medical ability, I'm getting the feeling he's almost to that same point of being dumbfounded. That feeling I've gotten numerous times before, right before I'm referred to another "specialist". I'm going to take everyone's advice and push to see dr Thompson in Boston. Every step of this is a hassle do to workers comp needing to approve everything. It's hard to get approvals with no defined medical problem. It sounds crazy but maybe the muscle atrophy starting in my hand is a good thing. I finally have concrete proof that something is going on. Being a father of three small children is difficult when your living in pain daily. It takes a mental and physical toll on you. I am thankful that I found this site, because I think I would feel lost without others advice and stories. Knowing your not alone in this battle helps tremendously. Thank you all for the support and advice.