TOS is from degranulation of mast cell that induce inflammation then fibrosis, we all know that now.

Palmitoylethanolamide stop degradulation of mast cells.

It is sell under the name "normast", in italia as a medical food.

Normast has been demonstrated to decrease pain in diabetic neuropathic pain, lumbosacral pain, carpal tunnel syndrome and nervus medianus compression pain.

http://www.molecularpain.com/content/7/1/3

Here some studies :

For carpal tunnel syndrome - same mecanism as TOS :
http://www.iocob.nl/english-articles...thanola-3.html
Mast cell, vasa nervorum and nervi nervorum in cts :
http://www.ncbi.nlm.nih.gov/pubmed/3630608
http://www.google.com/url?sa=t&sourc...Vk1WEt4WZAUEBM

For sciatic or back pain :

http://www.neuropathie.nu/patients-o...amide-nor.html
http://alphalipoicacid.us/ciap-and-p...e-normast-m4v/
http://leftpain.com/index.php/diabet...mast-m4v-7454/
http://www.ncbi.nlm.nih.gov/pubmed/20345619


I think normast = Pain free for Ntoser and minors side effects if any.

Stopping mast cell may allow a possible treatement for the fibrosis in combinaison of pentoxifylline and tocopherol.

But the problem is : It's only sold in italia

Not a problem....it can be purchased safely over the Internet, From a reputable company. Let us know how it works for you....looking forward to a good report back.

I personaly don't have this med in my country, but it would be intresesting to see at what point it block mast cells.

You can purchase it here:
http://www.ergomaxsupplements.com/no...00mg-tabletten

As far as mast cell degranulation; I tried a mast cell stabilizer a year ago in the hopes of inhibiting degranulation. Didn't do very much for me. The drug was tranilast.

Stresam works fairly well so far.

Any movement induce a reperfusion injury and give a chance to reactivate all the cascade (i think). Too bad they aren't real NO agonist, or muscle relaxant...