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TOS Release

Renewing Arm Function Through TOS Release: A Precise Approach by Dr. Rohit Sane

Thoracic Outlet Syndrome impacts the narrow space between the collarbone and the first rib, compressing critical nerves and blood vessels. Symptoms may appear as shoulder pain, tingling in the fingers, weakness, or circulatory changes. For many individuals, basic tasks become painful and progress slows. While some cases improve through posture correction and physiotherapy, others demand surgical intervention to restore function.

Dr. Rohit Sane offers a structured surgical approach to releasing the thoracic outlet. This procedure removes anatomical constraints that limit blood flow or nerve signals. For patients with severe symptoms, this surgery marks a shift from coping to recovering.

Ideal Candidates for Surgical TOS Release

Surgical intervention is only considered after non-operative treatment fails to offer relief. Dr. Sane conducts a full evaluation to determine if the following apply:

  • Consistent numbness or weakness in the shoulder and hand during specific arm positions
  • Difficulty performing routine tasks without fatigue or discomfort
  • Diagnostic studies that show narrowing of the thoracic outlet space
  • Failure of a structured physiotherapy programme over several months
  • Confirmed compression of nerves or vessels between the collarbone and the first rib

A detailed clinical assessment is followed by imaging studies to confirm the compression pattern. Only after establishing a clear diagnosis is surgery planned.

Performing the Surgical Release

TOS Release is performed to create space in the thoracic outlet by removing the physical causes of compression. Dr. Sane selects the approach based on whether the compression is neurological or vascular in origin.

Removal of Scalene Muscles

Tight or fibrotic scalene muscles are detached to reduce pressure on the brachial plexus.

First Rib Resection

In cases where the rib obstructs the space, a controlled removal is performed to allow vessels and nerves to pass freely.

Excision of Constricting Bands

Fibrous bands or extra ligaments that contribute to narrowing are carefully taken out.

Each procedure is performed with full visibility and control over the surrounding nerves and vessels. Dr. Sane ensures bleeding is minimised and the exposed area is left free of tension.

Recovery That Builds Confidence

After surgery, patients begin a guided recovery programme. Dr. Sane works with trained physiotherapists who specialise in nerve mobility and muscle balance. The focus is not just to regain movement but to restore control, endurance, and daily ease.

Follow-up reviews are scheduled at regular intervals. Each plan is adjusted based on the patient’s profession and strength progression. The goal is not to return to function alone but to eliminate fear linked to movement. For those seeking answers to persistent arm pain and shoulder tightness, TOS Release can offer relief through precision. Dr. Rohit Sane provides that precision at every stage of care.

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