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Demystifying the Cervical Rib: Symptoms, Diagnosis, and Treatment

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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