I am seeing Dr. Thompson next week and since PT has failed, I believe he will recommend surgery. My symptoms definitely involve the pec minor though the scalenes are probably involved too. I am thinking of asking him to just try a pec minor tenotomy first. From what I've read, it's a simple outpatient procedure that doesn't have many risks, and I want to see if that alone will improve my symptoms before I do a major surgery.

Do any of you think that is reasonable? Any of you have any experience recovering from this procedure? I'm a nurse on a hospital floor so there is no such thing as light duty. If I had the full TOS surgery with brachial plexus decompression, scalenectomy, cervical and first rib removal, etc, I know I'm looking at a while before I go back to work. Any idea how long it would take me to go back to work if I just did the pec minor tenotomy? Thanks.