Our Approach to Neurogenic Thoracic Outlet Syndrome (NTOS)
At Physio Services, we provide a personalised and evidence-informed approach to managing
Neurogenic Thoracic Outlet Syndrome (NTOS) and related nerve compression conditions.
Our treatment plans are designed to reduce symptoms, restore function, and help patients
return to their normal activities with confidence.

Following a comprehensive assessment, we develop an individual rehabilitation programme
tailored to your specific needs. Most patients respond well to conservative treatment, while
those with more complex or persistent symptoms may benefit from specialist surgical
consultation. Where surgery is required, structured post-operative rehabilitation plays a vital
role in achieving the best possible outcome.
Conservative Treatment May Include:
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Comprehensive clinical assessment and ongoing review
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Patient education and condition management strategies
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Postural correction and ergonomic advice
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Breathing and relaxation techniques
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Targeted physiotherapy and manual therapy
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Soft tissue mobilisation and therapeutic massage
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Guided self-management and home exercise programmes
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Symptom monitoring and progress tracking
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Advice regarding medication and specialist interventions where appropriate

Post-Surgical Rehabilitation

For patients who undergo surgery, our rehabilitation programme focuses on:
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Effective pain and symptom management
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Gradual restoration of strength and mobility
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Improving breathing mechanics and posture
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Minimising the risk of post-operative complications
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Supporting a safe return to work, daily activities, and sport
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Ongoing guidance, education, and reassurance throughout recovery
Thoracic Outlet Syndrome Expertise
In addition to Neurogenic Thoracic Outlet Syndrome (NTOS), Praveen Cherian has
experience assessing and managing patients with other forms of Thoracic Outlet Syndrome,
including:
• Neurogenic Thoracic Outlet Syndrome (NTOS)
• Venous Thoracic Outlet Syndrome (VTOS)
• Arterial Thoracic Outlet Syndrome (ATOS)
• Pectoralis Minor Syndrome (PMS)
• Complex upper limb nerve compression disorders
Praveen works closely with referring clinicians and specialist teams to ensure patients receive
comprehensive assessment, appropriate investigations, and evidence-based rehabilitation
tailored to their individual condition.
Patient-Focused Care
We understand that NTOS can significantly affect quality of life. Our goal is to provide clear
guidance, expert rehabilitation, and continuous support to help you achieve the best possible
recovery and long-term outcomes.
