Cervical Rib

[kats003]

Ideally cervical traction is contraindicated in cervical rib.However, manual stretching of scaleni, trapezius, levator scapulae and other neck muscles along with classical treatment for upper crossed syndrome such as suboccipital release, pectorals stretching, retractor strengthening,depp neck flexors stretching, shoulder elevator strengthening and Jacobson’s relaxation technique or deep breathing techniques will help to minimizes muscle tension as well as psychological changes that accompany this condition.Appliances such as therpeutic pillow, cervical brace, breast support, heat in form of diathermy or infra red rays , ultrasound, TENS for minimising pain and inflammation at cervicobrachial region are considered as a good options including slef mobilisation of first rib. However, remember that once the stretching is started there is a chance of aggravation in initial few days and later it strats settling but ideally the prognosis depends on wheather it is neural, arterial, venous or combined type of TOS lesion and its been noted that Neurogenic thoracic outlet syndrome usually requires chronic pain management, vascular thoracic outlet may have better outcome with appropriate management and patients with profound intrinsic muscle atrophy do not regain their function. Appropriate surgery may arrest the progressive deterioration.Kindly refer Welcome to Thoracic Outlet Syndrome for further details or contact me personally Subhash khatri 09845857601 for further details [email protected]

[qurat ul ain]

hi,
i really want too know how can we treat the patient with cervical rib i see a patient having cervical rib she is having severe pain in neck,shoulder,and back she is using colllar now what stratgies should i doo too relieve her in acute stage she is also complaining of headache and vertigo plz reply me as soon as

[kats003]

Hi!
At present you can treat your patient with HF TENS for 20 min,and treatment for upper crossed syndrome that is suboccipital release,pectoral stretching,deep neck flexors strengthening and retractors of scapule strengthening for at least 6weeks. if you think that vetigo is due to VBI then avoid rotational exs or manual therapy.
regards
subhash khatri