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Prospective Case Study in Treatment of Cervical Rib at C4 Vertebra

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This case study demonstrates improved pain and function in a patient with cervical rib, suggesting physiotherapy is effective.

Pain scores significantly decreased from 8 to 2 on the numeric pain rating scale by Week 4.
Functional scores improved, with the Neck Disability Index reducing from 34 to 20 within 6 weeks of treatment.
A combination of neural mobilization, ultrasound therapy, and muscle energy techniques was used for treatment.
Results indicate the effectiveness of a non-surgical approach, although the single-subject design limits generalizability.

Biswas et al. (2024) studied this question.

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