Establishing a TOS-focused practice

Karl A. Illig, Robert W. Thompson, Julie Ann Freischlag, Dean M. Donahue, Hugh A. Gelabert, Ying Wei Lum

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

1 Scopus citations


Patients with thoracic outlet syndrome, especially neurologic, typically require many more resources than the typical vascular, thoracic, or neurologic patient. As such, a dedicated TOS clinic pays major dividends, in terms of time, resources, and patient and provider satisfaction. Such a clinic should include, at a minimum, a provider, physician extender, and physical or occupational therapist truly interested in the problem, along with logistical support for the documentation and paperwork required. If local resources permit, a neurodiagnostician with interest in modern, objective diagnostic and therapeutic block techniques is valuable, as are a psychologist or even a psychiatrist. Educational materials can be made available to patients ahead of time, streamlining the visit itself. Such a clinic does not need to be free-standing or full-time, but can exist "virtually" within a conventional clinic simply by designating a time when patients and providers can all assemble. Such a clinic vastly improves the care of patients with VTOS, and acts as a surprisingly effective marketing tool in most communities.

Original languageEnglish
Title of host publicationThoracic Outlet Syndrome
Subtitle of host publicationSecond Edition
PublisherSpringer International Publishing
Number of pages8
ISBN (Electronic)9783030550738
ISBN (Print)9783030550721
StatePublished - Jan 25 2021


  • Educational material
  • Exam room
  • Physician extender
  • Provider satisfaction
  • Thoracic outlet syndrome


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