Welcome to Thoracic Outlet Syndrome Centre of Excellence


At The Cherington Practice we are proud to hold the UK’s first Thoracic Outlet Syndrome Centre of Excellence (TOSCOE®).

TOSCOE® was founded in 2014 with the aim of raising awareness of this largely neglected condition and to provide world class diagnostic and treatment services for thoracic outlet syndrome sufferers.

Rob Patterson co-founded TOSCOE® in response to the growing realisation that many people with this disabling arm condition were going undiagnosed and untreated.

Could you have neurogenic thoracic outlet syndrome?

If you think you may have thoracic outlet syndrome (TOS) and would like to be evaluated please contact us.
To read more about thoracic outlet syndrome click here.

The long awaited extensively revised second edition of the multi-author textbook Thoracic Outlet Syndrome is now available. Rob contributed Chapter 50 entitled ‘Neurogenic TOS in the United Kingdom: A Consultant Orthopaedic Physiotherapist’s View’.Thoracic-Outlet-Syndrome-Textbook-3

“In the hands of many medical professionals the diagnosis of patients with neurogenic TOS is often rejected. It remains Rob’s mission to help the patients by changing this mindset…He has literally led the way in the diagnosis and treatment of this condition…and has been a champion with regard to changing the mindset among medical professionals. He has helped numerous patients achieve great results, both with his own care and interventions along with referral for surgery, when appropriate, despite strong headwinds. His goal is to help patients, and through his efforts we are beginning to see a steady improvement in knowledge and care in this area.”

Karl A. Illig, MD
Professor of Surgery, Director, Division of Vascular Surgery
Associate Chair, Faculty Development and Mentoring
University of South Florida Morsani College of Medicine
(Editor of the only multi-author textbook on thoracic outlet syndrome)
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