"Parcell called the procedure "minor," though the majority of TOS cases throughout the majors come with notable recovery periods. There are two types of TOS, however: vascular and neurogenic. The latter is most common among pitchers and has a tougher recovery period, whereas the former is a more serious medical condition but also has a better success rate. For instance, right-hander Merrill Kelly underwent a vTOS procedure back in Sept. 2020 and was back on the mound at full strength the following season."
"McNeil, who'll turn 34 next April, is coming off a solid rebound campaign after a couple down seasons at the plate. He hit .243/.335/.411 (111 wRC+) with a dozen homers and nearly as many walks (10.6%) as strikeouts (11.9%) in 122 games and 462 plate appearances this season. His offensive contributions were far more robust through the end of August, though it seems the TOS symptoms crept up in the season's final month and dragged his numbers down."
Jeff McNeil underwent a thoracic outlet syndrome procedure following the season and is expected to fully participate in spring training. Thoracic outlet syndrome appears in two types: neurogenic, which is more common among pitchers and has a tougher recovery, and vascular, which is a more serious medical condition but generally has a higher success rate. Merrill Kelly underwent a vTOS procedure in September 2020 and returned to start 27 games the following season. McNeil, who will turn 34 next April, posted a .243/.335/.411 line (111 wRC+) with 12 homers in 462 plate appearances, then slumped late, with a .125/.211/.172 line over his final 71 plate appearances and a 4.5 mph drop in average exit velocity.
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