Physical therapy and rehabilitation is an important component of our care for patients with all types of TOS, both as primary treatment for most patients with neurogenic TOS and during the post-operative care of patients who have undergone surgery for all types of TOS. Over the past 10 years we have worked in close association with therapists at The Rehabilitation Institute of St. Louis (TRISL). Our therapists at TRISL have therefore developed vast experience and unusual expertise in the management of patients with TOS, and can offer some of the most comprehensive therapy-based treatments available for these conditions. As many of our patients come to St. Louis for care of TOS from other parts of the United States, our therapists have also acquired a great deal of experience in overseeing therapy conducted by other therapists closer to the patient’s home. The Rehabilitation Institute of St. Louis is an advanced, 80-bed rehabilitation hospital that was created in 2001 through an innovative partnership between BJC HealthCare and Encompass Health and an affiliation with Washington University School of Medicine. TRISL is the only freestanding acute rehabilitation hospital in the St. Louis area and a leader in rehabilitative care, research, education, and community service.