Thoracic outlet syndrome (TOS) causes arm pain, numbness, weakness and vascular symptoms from compression of nerves and blood vessels in the narrow space between the collarbone and first rib. I have recently introduced a robotic keyhole technique for TOS decompression — all patients treated to date have experienced significant relief of symptoms.
Thoracic outlet syndrome (TOS) is a group of conditions caused by compression of the nerves and/or blood vessels as they pass through the thoracic outlet — the narrow space between the collarbone and the first rib. Compression can involve the brachial plexus (neurogenic TOS), the subclavian artery (arterial TOS), or the subclavian vein (venous TOS).
Neurogenic TOS — affecting the nerves — is the most common form and typically causes pain, numbness, tingling, and weakness in the arm, hand, and neck. Symptoms are often worsened by overhead activities, carrying heavy loads, or sustained arm use.
Vascular TOS can cause arm swelling, discolouration, or coldness. Arterial TOS, the least common form, can in severe cases cause limb-threatening ischaemia and requires urgent assessment.
I have recently introduced a robotic keyhole surgical technique for thoracic outlet syndrome. Initial results have been excellent — all patients treated to date have experienced significant relief of their symptoms, with faster recovery compared to conventional open approaches. The procedure involves decompression of the thoracic outlet, typically including first rib resection.
TOS surgery is highly specialist and performed at only a small number of centres in the UK. It requires expertise in thoracic surgery. I offer robotic keyhole decompression at London Bridge Hospital, with excellent outcomes in patients treated to date.