A case of nonspecific bilateral upper extremity pain with cervical ribs

Abstract

A physician and a physical therapist collaborated to analyze the pain in a 20s-year-old man who was diagnosed with thoracic outlet syndrome at another clinic because of his cervical ribs. The physician examined patient's muscles, nerves and vessels and concluded that it was non-specific pain. Exercise therapy and duloxetine were prescribed. After 123 days, the symptoms improved after 10 rehabilitations and oral administration of duloxetine. Multidisciplinary assessments were effective in minimizing invasive treatment for patients.