Gary,

Can you explain a bit more where this tissue work would be done? I've been to many PTs and they're all horrible.

I can tell you that when I wake up in the morning the area just below the collarbone where my pecs are located are really tight. The right side of my neck is as well. Every morning I do the following and gradually loosen things up:

1. Right and left neck twists (light)
2. Posterior neck bend (light)
3. Anterior scalene stretch (more rigorous)
4. Middle scalene stretch (more rigorous)
5. Pec minor stretch
6. Shoulder rolls (back and forward)
7. Diaphramic breathing on foam roller, neck crunches

This usually gets me going in the right direction.

Would tissue work just above and below the collarbone be of help? Forget what this is called...costocavicular area maybe? Pec minor, subscapular work?

The trick is finding somebody good in the area who has experience with TOS issues. I feel like I'm just cattle sometimes with these PTs and they just do the same thing they'd do to others.

KY

I obtained a handout on postural exercises. It included "shoulder rolls" that went up and then back, but specifically advised against forward shoulder rolls saying:

"Do not roll forward. This causes impingement and unnecessary risk to the shoulder joint."

Of course, having TOS, words like impingement really catch my attention. Otherwise I think your routine looks great.

I also use a heat pack on my neck prior to stretching. I get a better stretch and it's more comfortable.

What about those neck crunches? You don't prefer to end on a stretch?