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Thoracic Outlet Syndrome

Why first rib resection works, and why so few surgeons offer it

3 min read
Anatomical illustration of the thoracic outlet, first rib and nerve bundle

Thoracic outlet syndrome causes pain, numbness, or swelling in the arm when the nerve, artery, or vein is compressed by the first rib. It often develops in athletes, in people who exercise regularly, or in anyone who uses the arm heavily at work.

The most effective treatment is removing the first rib. Few surgeons perform this procedure. Dr. Roberts has completed more than 250.

A robotic approach

Techniques have recently been developed to perform the operation robotically. The robotic view allows better division of adhesions, especially around the vein, where precision matters most.

Dr. Roberts performed one of the first robotic rib resections in Florida. This is a difficult problem, and we will take good care of you.

We're going to take good care of you.

Most patients are seen within a week. Bring your imaging and reports, and you will leave the first visit with a clear plan.