What do you mean your scalenes are invading a space?

The idea is that if you didn't have this problem before, and you have it now, something must have happened to cause it. And if you undo the things that caused it (poor posture), weak back, neck, etc, you should be able to loosen up the compression and continue on with life. Yes some people have extra ribs, but still, did they not live life normally up to the point of TOS?

I'm not trying to over simplify TOS, I'm just simply saying it is a slow process that got us here. Mistreating our bodies through repetitive motions, poor posture, etc. If we can undo these habits we might be able to get back to a pain free state.

Doctors make $$ off surgery so it's always a good idea to get a second opinion, however like I've said before, if you are at risk for blood clots or have already had one.. surgery might actually be your best option..

Good luck. Meanwhile I'm gonna keep training and watching my symptoms reduce hopefully.