Thoracic Outlet Syndrome (TOS) is a group of disorders that occur when certain blood vessels or nerves are compressed. Compression of subclavian vessels and nerves of Brachial Plexus in the region of the thoracic inlet. Thoracic outlet syndrome affects the space between the collarbone and first rib (thoracic outlet). Common causes include trauma, repetitive injuries, pregnancy and anatomical defects, such as having an extra rib. Symptoms include pain in the shoulders and neck and numbness, weakness, and coldness in the fingers, secondary to neutral compromise. Physiotherapy is considered the first-line and most effective non-surgical treatment for TOS especially neurogenic TOS, Physiotherapists correct posture through ergonomic advice and postural exercises to reduce compression. Weakness in scapular stabilizers (like serratus anterior, rhomboids) worsens posture. Physiotherapy strengthens these muscles for better shoulder alignment and nerve decompression. At Physionautics, our team uses Advanced manual therapy postural reeducation neck rehabilitation Neuromuscular techniques we design personalized rehab plan for each patient based on severity, symptoms, and lifestyle.