About this event

  • Date and time Sat 4 Nov 2023 from 8:00am to 5:30pm
  • Location Online
  • Organised by Partner Symposium

Experience the cutting edge in understanding and managing thoracic outlet syndrome with our virtual masterclass. Join renowned experts from both the UK and USA as they unveil the latest breakthroughs in this field, offering essential updates and expert recommendations.

By attending this masterclass, you will gain a comprehensive understanding of the latest surgical and physiotherapy techniques and benefit from the collective wisdom and expertise of our speakers, who will provide you with practical insights and strategies for success.

Don't miss out on this invaluable opportunity to stay at the forefront of thoracic outlet syndrome knowledge and join a growing number of multidisciplinary clinicians with expertise in this field. Click here to meet our international panel of experts.  

By attending this masterclass, you will learn:

  • Pathophysiological Mechanisms: A clear understanding of the underlying physiological processes involved in TOS.
  • Etiological Factors: Recognise and identify the various factors that contribute to the development of TOS.
  • Diagnostic Evaluation: You will be equipped with a standardised diagnostic strategy for TOS, including physical examination and the use of imaging to aid in diagnosis. 
  • Management Approaches: Gain insights into both physiotherapy and surgical management techniques for TOS; this includes understanding the indications for each approach and their limitations.
  • Surgical Anatomy: You will acquire detailed knowledge of the surgical anatomy relevant to different surgical approaches in the treatment of TOS.
  • Physiotherapy & Lifestyle Management: Comprehensive information on the role of physiotherapy and lifestyle modifications in managing TOS.
  • Latest Developments: Stay up-to-date with the latest advancements and recording methods in the field.


Early Bird pricing available until 30 September 2023.


RSM Fellow RSM Associate RSM Trainee RSM Student
£105.00 £60.00 £60.00 £40.00

Non - Member

Consultant / GP / SAS Doctors Trainee AHP/ Physiotherapists Student
£135.00 £80.00 £80.00 £50.00


Programme Outline

Welcome and Introduction

Louis Shakinovsky, Chairman TOSCOE®

Surgeon’s personal journey of neurogenic thoracic outlet syndrome including prehabilitation

Miss Lisa Sacks, Consultant Plastic Surgeon

NTOS: A tricky diagnosis

Mr Rob Patterson, Consultant Orthopaedic Physiotherapist, Co-founder of TOSCOE®

Current understanding of peripheral & central mechanisms in entrapment syndromes

Professor Annina Schmid, Specialist Musculoskeletal Physiotherapist and Neuroscientist, Nuffield Department of Clinical Neurosciences, University of Oxford

Comfort break
Thoracic outlet syndrome in athletes

Hugh Gelabert MD, Professor of Vascular Surgery, UCLA

Physiotherapy management of NTOS

Mr Rob Patterson 

Why do we experience pain with NTOS?

Professor Annina Schmid

Radiology in the diagnosis of thoracic outlet syndrome including scalene blocks

Dr Ed Walton and Dr Matthew Jaring, Consultant Musculoskeletal Radiologists, Southmead Hospital, Bristol

Preparing the patient for thoracic outlet nerve surgery, peri and post-op care

Associate Professor Tom Quick, Peripheral Nerve Surgeon, Associate Professor in the Institute of Orthopaedic & Musculoskeletal Science

Live Q&A

Panel to be confirmed 

Lunch break
Rib Resection for thoracic outlet syndrome: Why and how?

Professor Hugh Gelabert

The supraclavicular approach to rib resection: The Wolverhampton experience

Mr Andrew Garnham, Consultant Vascular Surgeon, Vice President Vascular Society of Great Britain and Ireland  

The case against routine rib resection in NTOS

Associate Professor Tom Quick

Live Q&A

Panel to be confirmed 

Comfort break
Decompressing dorsal scapula, long thoracic & suprascapular nerves in thoracic outlet syndrome surgery

Associate Professor Tom Quick

Postoperative physiotherapy for thoracic outlet syndrome

Mr Rob Patterson 

National data collection on surgery for thoracic outlet syndrome

Mr Andrew Garnham 

Live Q&A

Panel to be confirmed 

Final remarks and close

Louis Shakinovsky




Registration for this event will close on 3 November 2023 at 1:00am (GMT). Late registrations will not be accepted. 

The agenda is subject to change at any time  

All views expressed at this event are of the speakers themselves and not of the Royal Society of Medicine, nor the speaker's organisations.