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Dr.M.D.Mazumdar, MD
Dr.M.D.Mazumdar, MD, Doctor (MD)
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Experience:  Twenty years experience in active private practice
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what is hypoplastic cervical ribs?

Resolved Question:

had cervical spine xrays and this is named in report but wont see dr for a while and what Im reading via internet confusing, need to know what it is in lamans terms.
Submitted: 8 years ago.
Category: Health
Expert:  Dr.M.D.Mazumdar, MD replied 8 years ago.

Hello,

A Cervical rib (or a 'hypoplastic cervical rib') is an extra rib that can be present in about 1 in 200 persons. The rib may be present on one side only but sometimes on both sides of the body. The rib is present just behind the collar bone at the top of the chest wall near the neck and is diagnosed by Xrays. You can see a picture of the rib here:

- http://www.backpain-guide.com/Chapter_Fig_folders/Ch08_Congen_Folder/Ch08_Images/08-7_Vert_NumbAbn.jpg

Most people with a cervical rib may have no symptoms at all and the rib may be diagnosed only on Xrays for some other cause. But in some cases, the rib can decrease the space required for the passage of nerves and blood vessels from the chest ('thorax') to the arm on the same side. This will cause pressure and pinching of the nerves- there will be pain, tingling and numbness and weakness of the arm. The condition is called Thoracic Outlet Syndrome. You can read more about it here:

- http://www.ecentral.com/members/rsanders/

If the symptoms are severe enough, surgery may be need to cut away the extra rib. Otherwise, physiotherapy is usually enough to take care of the condition.

I hope this helps.

 

Customer: replied 8 years ago.
Reply toCustomer MD's Post: First I want to thank you for explaining it to me and here is a nother question it looks like I have this on both sides and only one side actually huirts hence why I had the tests what can they do other than surgery my left side of my neck and shoulder hurt sooo much and the numbness is severe Im only 32.... Sorry but curious and so you know I have had physical therapy and I exercise despite the condition I ckind of push past pain but lately its getting really difficult.
Expert:  Dr.M.D.Mazumdar, MD replied 8 years ago.

Hello,

If the symptoms are due to the presence of the cervical rib and physiotherapy has not helped, I am afraid there will be no option other than to cut away the rib by surgery. This is not a very major surgery , though, and should not be much trouble. You will feel much more comfortable later.

I hope this helps.

Dr.M.D.Mazumdar, MD, Doctor (MD)
Category: Health
Satisfied Customers: 8654
Experience: Twenty years experience in active private practice
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