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What is cervical rib syndrome?



Cervical rib syndrome is a condition that can cause pain, weakness and neurological symptoms in the lower arm and hand. It can also cause Thoracic Outlet Syndrome.


Soft tissue massage of the trapezius muscles by therapistAbove: Soft tissue massage of the trapezius muscles by therapist



What causes cervical rib syndrome?



Cervical rib syndrome is a congenital (present from birth) condition and is caused by an extra growth of bone (or ‘rib’) that is present in the lower cervical spine (neck). This can often be present without causing symptoms. However it can sometimes cause symptoms, either just by being present, or due to the individual having problems such as poor posture. The extra piece of bone puts pressure on nerves and blood vessels which can cause the symptoms.


What are the symptoms of cervical rib syndrome?



Cervical rib syndrome can cause the following effects:
  • Reduced range of movement of the neck
  • Pain on movement of the neck
  • Weakness in lower arm and hand
  • Pins and needles or numbness in lower arm and hand



Gentle mobilisations of the head and neck to relieve siffness and painAbove: Gentle mobilisations of the head and neck to relieve siffness and pain




Physiotherapy for cervical rib syndrome



Physiotherapy is used to reduce pain and symptoms but it is only used to manage the condition. Physiotherapy cannot ‘fix’ the problem. Treatment may include:
  • Heat therapy for pain relief
  • Exercises for arm and hand to improve circulation and strength
  • Posture correction exercises to decrease symptoms
  • Shoulder and neck exercises to improve posture and relieve symptoms



Experienced Physiotherapist conducting an assessment of the cervical spine, muscles and connective tissues in the neckAbove: Experienced Physiotherapist conducting an assessment of the cervical spine, muscles and connective tissues in the neck




Can cervical rib syndrome cause any long-term effects?



Physiotherapy can help you to manage the condition but in severe cases, or cases where physiotherapy has little effect, surgery can be used. This involves removal of the extra bone and relieving pressure on the nerves and blood vessels.




Mobilisations of the cervical vertebrea to reduce stiffness and any nerve impingementAbove: Mobilisations of the cervical vertebrea to reduce stiffness and any nerve impingement



To arrange an assessment with Physio.co.uk please contact us or call 0330 088 7800.


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