Hello @denise1954, Welcome to Connect. I thought I would jump in and answer for @jenniferhunter who may be able to share some suggestions with you on treatment options.

Thoracic outlet syndrome (TOS) occurs when nerves or blood vessels are compressed by the rib, collarbone or neck muscles at the top of the outlet. The Mayo Clinic website has some home remedies and lifestyle changes that you may find helpful here - https://www.mayoclinic.org/diseases-conditions/thoracic-outlet-syndrome/diagnosis-treatment/drc-20353994

Did you discuss any alternative treatment suggestions when you met with the neurosurgeon?

@denise1954 Denise, thanks for asking the question. Thanks John for answering. The treatment for thoracic outlet syndrome is usually physical therapy with myofascial release which is what I do. You can have physical therapy even if you don't have a specific diagnosis of TOS, but you need to find a therapist trained in the John Barnes MFR techniques. See the link below to search for a therapist. You may want to read through our discussion on "MFR". bad posture with a forward head and shoulder position will aggravate it. I am not a fan of epidural injections and they carry some serious risks if done improperly. I had one that gave me a new electric shock pain that lasted for several weeks. Steroids are not FDA approved for injecting into the spine although a lot of doctors do that.

Here are some links that may be of interest.
https://mskneurology.com/how-truly-treat-thoracic-outlet-syndrome/
https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/
MFR Therapist search http://mfrtherapists.com/