Our treatment of neurogenic thoracic outlet syndrome

Based on extensive research and insights gained from treating patients with neurogenic thoracic outlet syndrome (NTOS) and neurogenic pectoralis minor syndrome (NPMS) over many years, Rob Patterson has developed a unique protocol.

The Patterson Method has two arms; the majority proceed with non-surgical care, but for the minority whose condition is either too advanced or whose symptoms persist a referral is made to a surgeon skilled in the treatment of NTOS. Surgery is then followed by our modified protocol.

With the Patterson Method you may be treated with some or all of the following:

  • Education
  • Ergonomics and relaxation
  • Medication
  • Muscle block injections
  • Hands-on body work (by one of our skilled treatment specialists)
  • Training in self-treatment
  • Detailed evaluation and outcome measures
  • Review and monitoring as necessary

Modified regime for post-surgery care includes:

  • Guidance on pain management (control of symptoms)
  • Restoration of function
  • Restoration of normal breathing patterns
  • Specific attention to the avoidance of post-operative complications
  • Guidance on return to occupation and/or sport
  • Support through explanation and reassurance

“Having seen numerous other arm and hand pain specialists, I have never been treated by someone with so much depth of expertise and compassion as I have experienced with Rob and his team at the Cherington Practice. Through Rob’s treatment plan I have recovered hand and arm function that other experts had previously told me I had permanently lost, which has transformed my life.”

Mr Matt Cross
Aerospace Design Engineer
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