Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 18235
  Title The elusive (and painful) first rib
Journal JACA Online. 2005 Jul;42(5):Online access only p 14-15
Peer Review Yes
Publication Type Article
Abstract/Notes Dysfunction of the costotransverse joint can be one of the most aggravating subluxations for a patient and, occasionally, the doctor of chiropractic. A first-rib patient will present in your office with persistent, nagging pain. She will point to the area just in front of the trapezii and complain while shrugging her shoulder area, as if to “writhe out” the discomfort. Her complaints may vary from the shoulder to numbness or tingling in the fingers, arm, or shoulder, to difficulty sleeping and breathing because of the pain.

We need to rule out (or in) the costotransverse joint dysfunction when the patient has neck pain; headaches; carpal tunnel syndrome; chest pain; rhomboid pain; upper and middle thoracic pain; elbow, wrist, and hand pain; and clavicular pain.

This abstract is reproduced with permission of the publisher. Full text is available by subscription.

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