Cervical Rib TOS - Arizona

Hello, I am finally going to get my TOS diagnosed and more importantly finally made the decision to have the extra rib removed...let me step back a moment. I am 51, female and have had the extra confirmed early on in life and told very early on just live with it. Dr's did warn me it could become TOS if I kept up swimming and sports. I did.

However, as a child it would still cause me a lot of pain and neck spams in the brachial plexus area. Well, recently after two car accidents, it's gotten out of hand. I can't hardly do anything over my head, my arm and fingers tingle and my two friends who are physicians said "It's time to go make them take out that extra rib." I have found my surgeon in So Cal CA, but I won't be on the insurance that would cover him until Feb 2021. Plus I would rather skip having an elective surgery during covid if I can help it.

So my physician friend still suggested I go get it checked out the and test done get a work up done here in AZ, especially to rule out vein or artery issues (though I don't have any symptoms). I do have a weird pulse that is right over the extra rib, but I've had the for years. I have no idea if that is a sign of arterial or not. It mostly feels nerve related type issue.

I am in AZ and wonder if anyone knows a good surgeon here? I don't see many listed here with extensive experience. My primary care physician has set me up with a vascular surgeon who does TOS mainly only vein related, but he isn't one of the primary surgeons mentioned in the US. If anything turns out serious (and I just don't know it), I am hesitant to have any surgery without it being one of the top 4 TOS surgeons in the US.

Thoughts?

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