Pectoralis minor tenotomy

Division of the pectoralis minor tendon is a simple procedure to relieve compression in the pectoralis minor space. This can be done on its own or in combination with other approaches.



This is division of the sympathetic nerve trunk. It can be involved in the compression syndrome or contribute to chronic regional pain syndrome. It can be performed through the chest cavity (endoscopic thoracic sympathectomy, ETS) or through the supraclavicular wound during TOS decompression. Sometimes, injecting the sympathetic trunk can provide a similar outcome.


Peripheral nerve surgery

This may occasionally be required if other peripheral nerves are affected (e.g. long thoracic nerve)


“Double-crush” syndrome

This is the situation in which the nerves are compressed at two or more points in its course. The threshold for triggering symptoms is lower for the second compression, e.g. TOS & carpal tunnel syndrome co-existing.

Contacting Us


The Small Print

Mr Colin Chan
Consultant Vascular Surgeon
Wirral University Teaching Hospital
Wirral CH49 5PE

Mrs Louise Rule
Wirral University Teaching Hospital
Wirral CH49 5PE

(+44 151 604 7530)


Spire Wirral Hospital
Holmwood Drive
Wirral CH61 1AU

(+44 151 929 5181)

Spire Manchester Hospital
170 Barlow Moor Road
Manchester M20 2AF

(+44 161 447 6600)