Fabio Komlos, MD

Thoracic Outlet Syndrome (TOS) Treatment

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Thoracic Outlet Syndrome (TOS) is a condition where nerves or blood vessels are compressed between the collarbone and first rib, causing pain, numbness, or swelling in the arms and shoulders.

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What is a Pulmonary Embolism (PE)

Thoracic Outlet Syndrome (TOS) occurs when the blood vessels or nerves in the space between your collarbone and first rib (known as the thoracic outlet) become compressed. This compression can lead to a range of symptoms, including pain in the shoulders and neck, numbness or tingling in the fingers, and weakness in the arms. TOS can be caused by repetitive motion, trauma, poor posture, or anatomical abnormalities like an extra rib, and it often affects athletes or individuals with physically demanding jobs.

Dr. Fabio Komlos specializes in the diagnosis and minimally invasive treatment of TOS, using advanced imaging and targeted therapies to relieve pressure on the affected nerves or blood vessels. His approach focuses on restoring function, relieving pain, and helping patients return to their normal activities as quickly and safely as possible. Whether caused by vascular or neurogenic factors, Dr. Kolmos provides personalized care plans tailored to each patient’s symptoms and lifestyle.

How Does the Procedure Work?

Treatment for Thoracic Outlet Syndrome (TOS) depends on the type and severity of compression—whether it’s affecting nerves, arteries, or veins. In cases where conservative therapies like physical therapy or medication aren’t enough, minimally invasive procedures may be recommended. Using image-guided techniques, Dr. Fabio Kolmos can deliver targeted treatments to reduce inflammation, open narrowed vessels, or relieve pressure in the thoracic outlet.

For vascular TOS, procedures such as balloon angioplasty, catheter-directed thrombolysis (to dissolve clots), or stenting may be used to restore healthy blood flow. In more severe cases, surgical decompression may be necessary to remove the source of compression, such as a rib or tight muscle. These approaches are carefully selected based on each patient’s anatomy, symptoms, and goals—ensuring safe, effective relief and faster recovery.

Who Can Benefit from Thoracic Outlet Syndrome (TOS) Treatment?

ndividuals experiencing chronic neck, shoulder, or arm pain, especially when raising their arms or performing repetitive motions, may benefit from TOS treatment. Other signs include numbness, tingling, weakness, or swelling in the arm or hand, often caused by compression of nerves or blood vessels in the thoracic outlet.

Athletes, manual laborers, office workers, and people with poor posture or previous trauma to the neck or shoulder are often at higher risk. Patients who haven’t responded to physical therapy or medications may be ideal candidates for minimally invasive or image-guided procedures performed by Dr. Fabio Komlos to relieve pressure and restore proper circulation and nerve function.

What to Expect

Diagnosis – Dr. Fabio Komlos will perform a detailed evaluation, which may include ultrasound, CT, or MRI to pinpoint the source of compression.

Treatment Plan – Depending on the type of TOS (neurogenic, venous, or arterial), your care plan may include physical therapy, medication, or minimally invasive procedures to relieve symptoms.

During the Procedure – If a procedure is needed, it’s typically performed using image-guided techniques through a small incision, often under light sedation.

Recovery Time – Most patients experience relief within days to weeks, with minimal downtime and a return to normal activities shortly after treatment.

Follow-Up Care – Dr. Komlos will monitor your progress and may recommend continued therapy or posture training to maintain long-term results and prevent recurrence.

 

"With the right diagnosis and a targeted, minimally invasive approach, we can relieve the pressure causing Thoracic Outlet Syndrome and help patients get back to living pain-free."
— Dr. Fabio Komlos, Interventional Radiologist

Interventional Radiology

As an interventional radiologist, Dr. Fabio Komlos specializes in minimally invasive DVT treatments, using advanced imaging and targeted procedures to restore blood flow and prevent complications.

Image of Fabio Komlos, MD
1
The Expert
Dr. Fabio Kolmos and our expert team specialize in Thoracic Outlet Syndrome (TOS) treatment, using advanced, minimally invasive techniques to relieve nerve or vessel compression, restore function, and improve quality of life for our patients.
2
Non-Surgical, Maximum Relief
I use image-guided techniques to precisely treat Thoracic Outlet Syndrome (TOS), relieving compression on nerves or blood vessels without invasive surgery, promoting faster recovery and better long-term outcomes.
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Personalized Treatment Plans
Each patient receives a personalized Thoracic Outlet Syndrome (TOS) treatment plan tailored to their specific condition, ensuring the most effective approach to relieving compression, restoring function, and supporting a smooth recovery.

FAQs

Learn more about our minimally invasive treatment options with these frequently asked questions. If you don’t find what you’re looking for, feel free to reach out to us.

How is TOS diagnosed?
Diagnosis typically involves a physical exam and imaging tests such as ultrasound, CT angiography, MRI, or nerve conduction studies to pinpoint the type and location of compression.

Is surgery always required for TOS?
No, most patients improve with conservative treatments like physical therapy and lifestyle modifications. Surgery or image-guided interventions are only considered when symptoms don’t improve or when vascular compression is severe.


How long is recovery after treatment?
Recovery time varies, but minimally invasive procedures typically allow for a faster return to daily activities, often within days to weeks. Full recovery may include physical therapy for long-term results.






Can TOS come back after treatment?
While treatment is often effective, TOS can recur if the underlying causes like poor posture or repetitive strain aren’t addressed. Long-term success depends on ongoing prevention and follow-up care.



What happens if TOS is left untreated?
If left untreated, TOS can lead to chronic pain, permanent nerve damage, or blood clots, especially in vascular cases. Early diagnosis and treatment are key to avoiding long-term complications.

Why Choose Us?

Experience and Expertise
Minimally Invasive Specialist
Personalized Patient Care
Honesty and Integrity
Proven Treatment Success

Are you having health problems? Contact us today!

Location
701 E. El Camino Real
Mountain View, CA 94040
Contact With Us
Mail Us: info@fabiokomlosmd.com
Call Us: 1 (650) 404-8446
Office Hours
Monday - Friday: 8am - 5pm
Weekends: Closed
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Address: 701 E. El Camino Real Mountain View, CA 94040

Support mail: info@fabiokomlosmd.com

Opening Hours: Mon -Sat: 8am – 5pm

Call: 1 (650) 404-8445