Background: Thoracic outlet syndrome is a group of disorders that occurs when blood vessels or nerves in the space between clavicle and first rib are compressed. This causes pain in shoulders and neck and numbness in fingers. Purpose behind this case report is to bring it to the notice of therapists, the need to be wary of thoracic outlet syndrome which might get unnoticed since the symptoms of thoracic outlet syndrome & other cervical pathologies mostly appear similar. Thoracic outlet syndrome patients usually get the conventional treatment for cervical spondylosis and continue getting it for long without getting much relief from the symptoms. Thoracic outlet syndrome gets missed since number of cases of cervical pathology is far more as compared to thoracic outlet syndrome.