Thoracic Outlet Syndrome (TOS) Surgery

Thoracic Outlet Syndrome (TOS) occurs when nerves or blood vessels are compressed in the space between the collarbone and first rib (the thoracic outlet). This compression can lead to pain, numbness, tingling, or weakness in the arms and hands.
TOS surgery is designed to relieve this compression, restoring normal blood flow and nerve function to improve comfort and mobility.

How TOS Surgery Works

  • The surgeon carefully decompresses the thoracic outlet, removing pressure from nerves and blood vessels.
  • Precise surgical techniques are used to protect surrounding structures while restoring proper circulation and nerve function.
  • The goal is to reduce symptoms, improve arm strength, and restore normal mobility.

Why TOS Surgery May Be Recommended

  • Persistent pain, numbness, or tingling in the arm or hand.
  • Weakness or loss of dexterity due to nerve compression.
  • Reduced blood flow to the affected limb, causing swelling or fatigue.
  • When non-surgical treatments such as physical therapy or medications have not provided sufficient relief.

Benefits of Thoracic Outlet Syndrome Surgery

  • Relieves pain and numbness in the neck, shoulder, and arm.
  • Improves circulation to the affected limb.
  • Enhances mobility, arm strength, and overall quality of life.
  • Reduces the risk of long-term nerve or vascular damage.

What to Expect During and After the Procedure

  • Performed under general anesthesia in a hospital or specialized surgical center.
  • Recovery may involve soreness, swelling, or mild bruising near the incision.
  • Physical therapy may be recommended to restore full strength and mobility.
  • Most patients gradually return to normal activities while following their doctor’s guidance.

Safety & Recovery Tips

  • Follow all post-surgery instructions from your healthcare team.
  • Keep the incision clean and dry to prevent infection.
  • Avoid heavy lifting, overhead movements, or strenuous activity until cleared.
  • Watch for increased pain, swelling, or unusual symptoms and contact your doctor if they occur.
  • Maintain healthy posture and stretching exercises as recommended to support long-term arm and shoulder health.

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We specialize in spine, pain management, vascular, and hand disorders, offering both surgical and non-surgical treatments.

In most cases, a referral is not required. However, some insurance plans may require one. Please check with your insurance provider or call our office to confirm.

Please bring:

  • A valid photo ID
  • Insurance card
  • Any imaging studies (MRI, X-rays, CT scans)
  • Previous medical records
  • A list of current medications

We are in-network with Horizon Blue Cross Blue Shield and Medicare.

If you have out-of-network benefits, we accept all commercial insurance plans and will work with you to maximize your coverage.

If surgery is recommended, our team will review all options, risks, benefits, and recovery expectations with you to help you make an informed decision.

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