Topics related to medical, nursing, and paramedical subjects.
Cervical Rib Treatment
- May 9, 2017 at 12:54 #1162
Cervical rib is an anatomical anomaly, which is congenital and lead to thoracic outlet syndrome later in life.
What I wanna ask is that what are the options to treat a cervical rib? We know that thoracic outlet syndrome has many different treatment options, but I am just asking on cervical rib.
What I got till now is – surgical and physiotherapy. What are the surgical options available. What kind of physiotherapy is needed?
- May 25, 2017 at 17:16 #1262
- June 3, 2017 at 23:34 #1297
The medical therapy is done to reduce the patient symptom due to compression. When the condition doesn’t improve surgical removal of the rib is necessary.
This therapy is called resection of cervical rib.
- June 4, 2017 at 08:55 #1299
one thing we should remeber that cervical rib in most people remains asymptomatic throughout the life. So these people don’t need any treatment simply because they never sought for medical advise regarding this problem, or in most cases they don’t know they have a cervical rib.
So when to initiate the treatment for cervical rib? Easy, only when it becomes symptomatic.
Okay, when it becomes symptomatic? There may be many reasons – swimmers are affected due to repititive movement of their upper limb. Same reason applies to golf or javelin throwers. Sometimes injury to the neck or thorax, or an accident (car-accident commonly) may cause displacement of internal structures and subsequent triggering of symptoms. People who work with their hands held upwards (painting the ceiling), who recently have a peripheral arterial disease, or who chronically use a bad posture may suffer from this problem.
Now the treatment. Treatment would surely depend on the underlying cause –
in most cases physiotherapy reduces symptoms. Physiotherapy is also indicated in people who have dislocation of internal structures.
In case of peripheral arterial disease the disease is treated. Atherosclerosis or vasospasm may be such case. Similar in case of neurogenic problems.
If no specific cause is not detected (in most of the cases) the patient is given some symptomatic therapy and is followed up. These may include but not limited to NSAID, CCB etc. The indication in most cases in to reduce pain, tingling sensation, and prevent thrombus formation (anticoagulants).
If the person’s condition doesn’t improve there may be a need for decompression surgery. Though we need to remember that surgery is only indicated only if the symptoms doesn’t get reduced by other therapeutic options.
Surgery include resection of the cervical rib, as told by @Peter Parker, in his previous reply. Though there are many other surgeries to decompress the underlying structures. Sometimes a fibrous band extending form the first rib can be the source of these problems and surgical incision through the fiber band is required.
I think you got your answer @kohel, ask if you have any doubt in the topic.
- June 11, 2017 at 22:20 #1387
I got it sir, thank you so much.