Is surgery effective for thoracic outlet syndrome ?

Which form of TOS?: Thoracic outlet syndrome (tos) comes in three general varieties: neurogenic (about 90-95% of all tos patients), venous, and arterial. Most surgeons who work on tos will agree that neurogenic tos (ntos) responds well to physical therapy and is often times more effective than surgery. Surgery is most effective for vtos and especially atos, however. Still for ntos there are big proponents of surgery.

Yes: Do the assessment, physical therapy, weight control, to be conservative! if not relived then surgery can be excellent.

Maybe: Before surgery, one should do everything they can to reconstitute the muscle and skeletal systems of the shoulder. My clinical findings implicate weakened muscles that hold up the shoulder and keep the collar bone from collapsing toward the first rib; thereby constricting the space between these two bones. Trapezius muscle strength is of utmost concern, and a good physical therapist can help.