Have you tried any of Sharon Butlers programs they really have helped me, plus a good chiro and expert PT guy.

here's our useful links with tons of info too-
http://neurotalk.psychcentral.com/showthread.php?t=84

How did you get Dx'd with Vascular?
Is it vascular only?
Did you have xrays and MRI to check for any extra cervical ribs or other structures?

Mine is mostly vascular now {pulse quits in arms quickly in the provocative positions} but I do have minor nerve symptoms also.

still = lack of fine coordination in fingers
TrPs or spasms will develop if moderate/heavy overuse of arms/positions
I still have some minor vertebral artery symptoms too.

I did have = some ulnar sx, much forearm sx, wrist sx

nice to meet you and welcome to NT.