Originally Posted by nospam

I had similar symptoms to you. The vascular surgeons are best equipped to deal with all forms of TOS, much better than neurosurgeons who generally do scalenectomies only and generally cannot perform rib resections which is sometimes necessary. Most neurosurgeons don't even treat TOS. Dean Donahue is the exception as he is a thoracic surgeon and quite capable of doing everything the vascular guys do.

Generally you will have some vascular symptoms even if it is mostly NTOS. It sounds to me like you are having arterial symptoms (cold, blue hands) in addition to NTOS.

Dr. Thompson has some great info on his website which you should read.