I have the same opinion as Heybro- I was given ROM exercises only, no PT. But I didn't need PT either, I was in great health, great physical shape, no muscle wasting, and I didn't have nerve involvement. Every patient is different, their surgery/complications/condition of TOS is also different. I had my left side rib resection and scalenectomy done in '11 and right side done this last aug. No PT before or after, and I'm doing wonderful.