Introduction to the Cervical Rib
A cervical rib is an extra rib that forms above the first rib near the neck.
It can vary in size and shape, from a full bony rib to a small piece of tissue.
Often discovered accidentally during medical scans, it may not cause any symptoms.
Structure and Types
Consists of a head, neck, and tubercle.
Attaches to the first rib via a fibrous band.
There are four types based on its formation and attachment.
Associated Conditions and Symptoms
Some cervical ribs can lead to thoracic outlet syndrome.
Symptoms may include a tender lump in the neck, tingling in the hands, and cold fingers.
Motor symptoms like weakness and loss of grip strength can also occur.
Diagnosis
Detected through X-rays or CT scans.
Special tests like Adson's test and
help in diagnosis.
Often differentiated from other conditions like cervical disc herniation.
Management Options
Medical management: includes anti-inflammatory drugs and pain relievers.
Surgery may be needed to remove the rib if it causes severe symptoms.
Physiotherapy can help with pain relief and improve muscle strength.
Physiotherapy Management:
On the basis of symptoms, the regime is planned.
Pain relief: Short wave diathermy is used but it is contraindicated in case of sensory impairments.
To improve distal circulation: Gripping exercise.
Strengthening exercises of whole arm to improve tone, power and endurance.
Posture Correction.
Specific exercises like Self resisted scapular elevation and adduction.
Endurance training.
Progressive resistance exercises for shoulder girdle muscles
Conclusion
Early detection and proper management are essential.
Consult a healthcare provider for accurate diagnosis and treatment options.
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