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Conditions We Treat: Thoracic Outlet Syndrome

The thoracic outlet is the bony ring formed by the top ribs just below the collarbone. Thoracic outlet syndrome (TOS) occurs when nerves or blood vessels are compressed by the rib, collarbone or neck muscles at the top of the outlet.

Thoracic Outlet Syndrome: Why Choose Johns Hopkins

nerve anatomy in a male adult
  • The experts at Johns Hopkins treat the range of neurological problems from the common to the very rare, including all three forms of thoracic outlet syndrome. More expertise ensures accurate diagnosis and an appropriate treatment plan.

  • For treatment of thoracic outlet syndrome, you will benefit from our multidisciplinary approach, with insights from neurology, neurosurgery and orthopaedics, as well as physical medicine and rehabilitation.

  • Our holistic approach addresses the total well-being of the patient. You can rely on our experience, successful surgical outcome record and access to quality hospital care.

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Treatment for Thoracic Outlet Syndrome

Nonsurgical therapy for thoracic outlet syndrome can include several forms of treatment, including:

  • Physical therapy with careful nerve stretching movements performed by a qualified and experienced physical therapist with experience treating TOS.
  • Injections with nerve blocking agents to suppress pain and reduce swelling and compression.
  • Acupuncture, which has provided relief for some patients with TOS.

When physical therapy and other forms of non-surgical treatment fail, your doctor may recommend surgery to restore function and alleviate pain.

Allan Belzberg

Allan Belzberg, M.D.

Your Peripheral Nerve Surgery Team


Allan Belzberg, M.D.
Thomas M. Brushart, M.D.
Richard James Redett, III, M.D.
Jaimie Troyal Shores, M.D.

Advanced Practitioners

Leslie Morgan, N.P.
Bronwyn Slobogean, P.A.

Patient Resources

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Maryland Patients

To request an appointment or refer a patient, please contact the Johns Hopkins Peripheral Nerve Surgery Center at 410-614-9923.
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Adult Neurology: 410-955-9441
Pediatric Neurology: 410-955-4259
Adult Neurosurgery: 410-955-6406
Pediatric Neurosurgery: 410-955-7337


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Whether you're crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins.

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