Dr. Robert Thompson and his team are pleased to see physician- and self-referred patients for the evaluation and treatment of all types of TOS at the Washington University Center for Thoracic Outlet Syndrome at Barnes-Jewish Hospital.

Patients seen for an initial visit can expect thorough evaluation in the office setting by Dr. Thompson and his staff, with ample time allowed for understanding their condition,  physician recommendations, and  questions. After this initial assessment, additional evaluation or testing procedures may be recommended, including physical therapy assessment and/or treatment, further diagnostic procedures (e.g., plain X-rays, CT or MRI imaging studies, arteriography, electrophysiologic testing, or scalene/pectoralis muscle blocks), and/or surgical treatment. We expect to continue follow-up with all of our patients in order to facilitate further steps in care and to help achieve the optimal treatment outcomes possible.

Clinical offices information

We see new and established patients in our principal office on most days of the week at:

Office location:                                 
Heart and Vascular Surgery Group
4921 Parkview Place, Suite A, 8th Floor
St. Louis, MO  63110

Physical therapy

Outpatient physical therapy evaluations and treatment are conducted with one of the selected physical therapists associated with our TOS Center at:

Office location:
4444 Forest Park Ave., Suite 1101
St. Louis, MO 63108-2212
Phone: (314) 286-1940

Pain management

Interventional pain management procedures, such as scalene/pectoralis muscle blocks, are conducted through our partners at the Barnes Jewish/ Washington University Pain Management Center.

Center for Advanced Medicine (CAM)
Pain Management Center
4921 Parkview Place, Suite C, 14th Floor
St. Louis, MO 63110
Phone: (314) 362-8820


Imaging procedures, such as CT and MRI scanning and angiography, are conducted through the Mallinckrodt Institute of Radiology (MIR). There are several locations available for imaging procedures, depending on the type of study needed, availability, and patient preference, including Barnes-Jewish Hospital South, the Center for Advanced Medicine at Barnes-Jewish Hospital North, and Barnes-Jewish West County Hospital.

Appointments may be scheduled by calling 314-362-7111.

Before surgery — preoperative assessment & planning

Patients scheduled for surgery should plan to have a preoperative visit in the Barnes-Jewish Hospital Center for Preoperative Assessment & Planning (C-PAP). C-PAP evaluation must be completed within 30 days of any scheduled operation.

4921 Parkview Place (1st Floor)
St. Louis, MO 63110
(314) 362-4275

TOS surgery

All surgery for patients with TOS is provided in the main operating rooms in the Southwest Tower of Barnes-Jewish Hospital South Campus.

Patients scheduled for surgery will be contacted by Karen Henderson RN with instruction’s regarding exact arrival time and location, and information on family waiting areas. For all surgery questions please contact Karen at 314-362-7391.