Thoracic outlet syndrome (TOS) is compression of the nerves or blood vessels passing through the space between the collarbone and first rib, producing arm pain, numbness, and weakness. Same-day or next-week evaluations across eight LA-area offices.
Surgical and non-surgical options at LAOSS.
Thoracic outlet syndrome (TOS) is compression of the nerves or blood vessels passing through the space between the collarbone and first rib, producing arm pain, numbness, and weakness. Symptoms can develop gradually or after a specific injury, so early evaluation matters when function starts to decline.
Most patients with thoracic outlet syndrome improve with conservative care — targeted physical therapy, image-guided injections, bracing or supportive footwear when relevant, and activity modification. When conservative care isn't enough or imaging shows structural injury that won't heal on its own, our specialists offer the next-step procedures discussed below.
Below, we walk through the anatomy involved, the symptoms and causes we most often see, how we diagnose thoracic outlet syndrome, and the full range of treatment options — from the simplest to the most involved.
This is a label given to a group of disorders. In these disorders, nerves or blood vessels are compressed in the space between your collarbone and the underlying rib. This space is called the "thoracic outlet."
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The shoulder is the most mobile joint in the body, which makes it vulnerable to instability and impingement. The elbow is a hinge that lets you reach, lift, and rotate the forearm. Both rely on tendons and ligaments that can tear or fray over time.
You want answers, fast — and we're built to give them. Most patients leave their first LAOSS visit with a clear diagnosis and a written plan, not another referral chain.
Here's what your initial visit for thoracic outlet syndrome typically looks like:
Schedule your evaluation with a trusted Greater Los Angeles orthopedic expert today.
Once we've confirmed the diagnosis, the next step is matching the right treatment to your situation. We start with the least-invasive option that fits — and escalate only when it doesn't.
Non-surgical options designed to relieve pain, restore movement, and avoid the OR when possible.
Minimally invasive and reconstructive procedures performed by board-certified orthopedic surgeons.
Shoulder & elbow care is highly technique-dependent. Volume, training, and judgment together determine the outcome you actually feel six months later.
Our shoulder & elbow specialists move stepwise — start with the least-invasive option that fits your situation, escalate only when it doesn't.
If most of these match your situation, an evaluation with a shoulder & elbow specialist is the next step.
These signs typically point toward an in-person evaluation with a shoulder & elbow specialist.
Your first visit is built to give you an answer the same day, not just another referral.
Recovery is rarely a straight line — but a clear plan with measurable milestones makes the path predictable.
In the first two weeks we focus on protecting the shoulder & elbow, calming inflammation, and restoring basic motion.
Targeted physical therapy rebuilds strength, mobility, and confidence in the shoulder & elbow.
Once function is restored, the focus shifts to keeping you there — and catching any recurrence early.
We talk through the risks and benefits with every patient — informed consent is a conversation, not a form.
Every orthopedic intervention carries a small set of standard risks. We screen, prepare, and monitor for these on every patient.
Some risks are tied to the structures we're treating in the shoulder & elbow. We discuss these in detail at your visit so you can weigh them against the benefits.
At LAOSS, our shoulder & elbow specialists combine advanced surgical expertise with a patient-first approach. From minimally invasive arthroscopic techniques to joint replacement and arthritis management, our physicians bring decades of experience to every case. Trusted across Los Angeles, our team is dedicated to restoring mobility, relieving pain, and helping you return to the activities you love.
Don't let thoracic outlet syndrome be something you just power through. At LAOSS, expert care is close to home. With same- or next-day appointments at multiple Los Angeles locations, you'll never wait weeks or months for answers. Our team offers comprehensive treatment from diagnosis through recovery. Whether you need physical therapy, injections, or surgery, you'll receive coordinated, personalized care every step of the way.
Call or schedule online today to begin your recovery with a trusted shoulder & elbow specialist in Los Angeles. Relief, confidence, and renewed strength are within reach.
Got my PRP injection here for tennis elbow. Big difference within a couple weeks. The doctor was honest about what to expect and the team made the whole thing easy.
Book a visit with a shoulder & elbow specialist at any of our eight Los Angeles–area offices.
