mspennyloafer,

I just got a pec minor block earlier this week as I threw myself into a major flare when I was knocked flat on my back the prior week. My doctor did this with the hopes that the anesthetic would break the flare. My physiatrist who did the block said he's getting a new appreciation for the pec minor and also said that he's probably the only one in my area that does the block. My physiatrist works directly with several local TOS surgeons.

My suggestion is follow the advice above about finding an experienced TOS surgeon who probably works with several physiatrists/pain mgmt doctors. These physiatrists/pain mgmt doctors will be more aware of TOS and treatment options.

You might have to travel a bit to find a good surgeon.

good luck!