What is the treatment for cervical rib?

What is the treatment for cervical rib?

Botulinum toxin injections are sometimes effective when physical therapy doesn’t completely relieve symptoms. If symptoms persist after physical therapy and injections, surgery may be recommended. Surgery can involve cutting small muscles of the neck (anterior and middle scalene) and removing the cervical or first rib.

How do I know if I have a cervical rib?

A chest X-ray and X-ray of your neck can show if you have a cervical rib. Other tests including an MRI scan or CT scan of your neck and upper chest area may help to rule out other causes for your symptoms. For example, arthritis in your neck may be causing compression of the nerves in your neck.

How do you sleep with cervical ribs?

It is important to avoid sleeping positions that increase the pressure on the outlet. Generally, we recommend sleeping on your back or with two pillows on the affected side to prevent compression of the outlet.

Can cervical ribs be removed?

Cervical ribs causing clinical symptoms are large and frequently fused to the first rib, and can result in aneurysm formation or thrombosis. In our experience, both the cervical rib and the first rib must be removed to relieve arterial compression and can usually be done through a transaxillary approach.

How rare is a cervical rib?

A cervical rib, also known as a “neck rib” or “supernumerary rib in the cervical region,” is a congenital overdevelopment of the transverse process of a cervical spine vertebra. Cervical ribs tend to occur in approximately 0.5 to 1% of the population. They are commonly attached to the seventh cervical vertebra.

Can cervical ribs cause problems?

A cervical rib is an abnormality that’s present from birth. It’s not usually a problem, but if it presses on nearby nerves and blood vessels, it can cause neck pain, numbness in the arm and other symptoms. This is known as thoracic outlet syndrome.

Is TOS a major surgery?

TOS: An uncommon but important specialty focus While TOS is a fairly unusual specialty area within vascular surgery, it’s an important one — and one in which several Cleveland Clinic vascular surgeons have extensive experience.

Is TOS a disability?

Because TOS is an unlisted disability, you may need the help of a Pittsburgh disability attorney to obtain your benefits.

Will a cervical spine MRI show thoracic outlet syndrome?

An MRI may reveal congenital anomalies, such as a fibrous band connecting your spine to your rib or a cervical rib, which may be the cause of your symptoms. It may be used while your doctor places your head, shoulders and neck in different positions for a better view of the blood vessels in your arm.

What exercises are good for cervical radiculopathy?

Neck tilts are a great exercise for cervical radiculopathy caused by arthritis or stenosis. To perform the exercise, sit in a chair and slowly tilt your neck forward as far as possible. Hold the position for three seconds, and then return to the neutral position. Repeat 10 times.

Is TOS surgery risky?

Complications of TOS surgery include the recurrence of symptoms, brachial plexus, phrenic nerve, long thoracic nerve, complete or transient paralysis, subclavian artery and vein injuries, axillary artery thrombosis, hemothorax, pneumothorax, chylothorax, permanent damage to the brachial plexus, severe sequelae such as …