I am a pastry chef and I work long hours rolling dough and decorating cakes. A few years ago my neck and shoulders began to ache all the time and my fingers and hands would go numb. I saw an orthopedic surgeon who took some x-rays and told me that I have small extra ribs in my neck (cervical ribs) and that I would need surgery to remove them to relieve my symptoms. Another health provider referred me to Dr. Fish. He agreed that I have cervical ribs but they were not the main problem. Dr. Fish said that the problem is mostly muscular and related to my work. All of the muscles in my neck, upper back, shoulders and arms had been overworked for a long time and now what I have what Dr. Fish called"Thoracic Outlet Syndrome". Basically the muscles in my neck and arms are so tight that they are affecting my nerves. Dr. Fish treated me with very deep (and sometimes painful) muscle work, ultra sound, electrode stimulation and dry needling. After a few months of weekly sessions my symptoms were gone. No surgery, and if I start to ache again Dr. Fish quickly treats and relieves the pain so I can do the job I love. read more