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Could it be some sort of repetitive motion , desk, computer use , posture related?
I suggest you explore our Thoracic outlet syndrome forum (TOS) for short. http://neurotalk.psychcentral.com/forum24.html helpful sticky threads- http://neurotalk.psychcentral.com/thread125577.html http://neurotalk.psychcentral.com/thread84.html Even if you don't feel you fit the symptoms fully , you could be pre TOS or a mild version..so the posture /self care ideas are a good thing to try. I'm assuming MRI and other tests showed no issues as a cause?
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