Like many others in this group, I've struggled with pain and failed attempts for relief for three years. On my own, I recently saw a local thoracic outlet syndrome expert. He's a really good surgeon, but was perhaps too quick to diagnose me.

In order of severity, my symptoms are (all on the right side):
- Neck Pain (where the neck meets the back).
- Chest tightness/pressure
- Light Headed
- Armpit to elbow nerve pain
- Headaches
- Muscle spasms in my neck - mostly at night.
- Jaw Pain

Multiple attempts at physical therapy have failed. Chiropractic treatment hasn't worked and nor has massage therapy. All three detect a myriad of muscle knots and functional problems but have been unable to offer me any relief.

So my primary question is, have others out there had TOS without hand pain, hand numbness, or hand tingling? It seems that everyone has had one or all of these, which makes me question my diagnosis. It surely makes me hesitate to have my first rib removed.