My first post. I have read a lot here, and there are lots of knowledgable folks. hope you can all help me too

I have seen several docs, got lucky to find a few who recognize adn treat TOS. However, before surgery I want to know which of all these tests, and where/who they are done have the best chance of helping my docs decide.

In no particular order:
Dr. Filler's nurogram
Dr. Collins MRI-MRA-MRV in LA
EMG and nerve conduction

I think x-ray is not helpful, I don't think I have cervical ribs
I also heard ultrasound of the arteries and veins can be good.

I heard Dr. Filler's test can be done several places around the country.
I also read that scalen anterior block is used before surgery.

I apologize because much of this has been covered before, but I keep waiting for something new and exciting!

So for one with no cervical ribs, TOS on both sides, after overuse on computer, how does one decide before surgery?

Thanks

Dr. Jordan does an ultrasound procedure during his scalene block and combines it with some type of EMG. He looks at Brachial plaexus, ulnar nerve and carpal tunnel for impingemnet and blood flow. He says he sees everything that can be seen in the MRI/MRA but the procedure is faster and much less expensive. Course less expensive to you doens't always mean less expensive overall since it also depends on what your insurance will cover as Jordan is out of network for all except medicare.

I really like Dr Jordan, had two sets of botox with him, but I am looking at surgery right now bc botox doesn't seem to be the answer for me.

Johanna

Oh yeah, forgot to add that I am following up with Filler's neurogram (tomorrow or next week) bc i want to see exactly where the impingement is before anyone opens me up.