Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. My opinion- In the given situation-You seem to suffer from-TOS-N(Thorasic Outlet Syndrome).Past history of falls with spine problems needing shoulder surgery, confirms this possibility.You need to consult with Neurosurgeon, who would fix cause after physical and CT chest/ neck-evaluation.Early decompression of the subclavian anterior muscle or decompression of the reduced subclavian space, by clavicular resection would resolve this dying / bad pain.So don t be so nervous.Try this remedy to resolve this complex pain in hands. Further suggestions in this regard would need ore information /investigations after getting more details from You. This brief reply is given on facts submitted, which needs to be verified from your attending doctors, with whom you can check before starting further changes in the treatment. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS