How do you lengthen the nerves then? Nerve glides?

Nerve specific stretches, gliding and flossing. I think it would be worth the drive for you to see Ando or Sposa at least once. They even give you a login to access all of the modalities online.

Chroma,I've been seeing Dr. Ando too and I drive from Venice-its 50 miles. Luckily the driving doest bother me too much unless I am sitting in Traffic. i think They have a good program. The Rib mobilizations and exercises are really good. The nerve glides are hard for me I have to modify them to not overstrech.After having seen Joyce for 12 visits I wasnt getting anywhere, so for me its worth it. I am only going to do 2-3 more weeks of 2x a week, then once a week.My insurance is finished so I am paying cash, and its $40 cheaper than Joyce .I see Ando and Char. He does things that no other pt does, it kind of hurts but it is harder on women,because the ribs are under our breasts! I actually did the eval and a hands on consultation at the same time, as I didnt want to rive that far for just the 15 min. eval.

This guy is a massage therapist and has a pretty interesting website. He seems to think outside the box. If you type in "Thoracic outlet syndrome" in the search box, he has some stories about people he's treated with TOS.http://saveyourself.ca/articles/mobilizing.php