Have you told them about ISNVD? This is the area Dr. Zamboni complained about the McMaster study missing out.
There may be overlap between TOS, CCSVI, and MS, IIH, and Lyme's in causation as well as symptoms. At the very least, if the TOS research is successful it may provide codes to charge the PTA to. Call it by any of its maybe names, jugular venous insufficiency must be treated, or most sufferers will have deficits.
Doctors, scientists, insurance, drug companies, politicians, rely too heavily on the human capacity for vein angiogenesis. We now know that in "MS", or TOS, or IIH,or Lyme's, or CCSVI, a jugular stenosis results in large numbers of additional collateral veins. We know that in supine position, when jugulars would otherwise be used, the collaterals become the alternate pathway. They have no valves, and may not be sufficient. We also know that in the case of "MS", there is reduced perfusion, reduced flow, and loss of capillaries, where vessels are smallest, increasing their individual resistance to flow, and thus their vulnerability to hypoxia and hypoglycemia. We think there is venous hypertension when these stenoses occur.
The azygus is part of the thoracic outlet system. It must be treated too. I do not advocate the use of stents, but I know they can sometimes be necessary and effective. Sometimes other surgical interventions must be used, such as muscle resection, rib removal, etc. Maybe even a shunt-type device is required. In the next few years I expect the world to wake up to a lot of these syndromes, diseases, conditions, and/or medical problems, and insurance companies to bite the bullet, and start recognizing them. When they won't, people who have medical insurance start paying with or without the ability to claim. If they get better, something is very wrong. Individuals and their prospective employers may benefit, but the claims are being avoided without any legitimate justification.
Insurance companies have their cake and eat it too, when people go back to work without their claims being honoured.
"Try - Just A Little Bit Harder" - Janis Joplin
CCSVI procedure Albany Aug 2010
'MS' is over - if you want it
Patients sans/without patience