Hi im 24 year old male and i have been diagnosed with bilateral TOS both Neuronic and Vascular. The Doctors have said mine is only a mild case, but i am still getting painful symptoms.After analysing x -rays We have discovered that i have elongated transverse processes of c7 ( left side being longer) and the doctor says that seems to be the underlying cause.

The Neuroligist also told me that the cure for this would be surgery, he said that in my case removal of the first rib would not be necessary as it wasnt the first rib causing the problem. He said it would be a procedure where they get in there and shorten and the elongated transverse processes to make more room in there, also possibly a particial scalenectomy.

I have not yet seen the vascular surgeon yet so i am waiting on hes opinion.
I ahve done 2 months of chiro and pyscial therapy and i am showing improvements however symtpoms keep returning.

my question is the fact that i have bony abnormality, does that make me a better candidate for surgery? and does that mean i will have a better outcome of surgery?

i seem to read alot of people dont have a good outcome with the first rib removal so i am happy that has not been suggested.

has anyony had a similar kind of surgery where its just scalenectomy and shortening of the transverse processes?

your opinions would be appriciated ,

thanks