Differential Diagnosis of Elevated 1st Rib

Ever treat a stubborn first rib?  I know I have over the years.  Seeing a patient that has an elevated first rib and thinking that I have to mobilize or manipulate it (mainly in the caudal direction) would get results… sometimes.  Now, admittedly there are a number of things that could cause someone’s first rib to be elevated.  However, in this video, I show you a quick, efficient, and effective way to determine if the patient in front of you with an elevated first rib has a true superior subluxation… or, a much more common dysfunction that often tricks clinicians into thinking the first rib is the main issue.  Check it out below, and let me know your thoughts!





7 Comments on “Differential Diagnosis of Elevated 1st Rib

  1. Nice video Matt, love how you demonstrate the clinical reasoning process. I’ve encouraged my staff to check out your blog. You have some really nice info.

    Liked by 1 person

  2. Thank you for doing informative interviews with such wise and experienced PTs. This is truly an education and archive. I’ve solidified some manual therapy ideas. You are a great interviewer and I like your humility.

    Liked by 1 person

    • Thank you Mark. I appreciate your kind words and am glad to hear you are enjoying the blog content! If you have any ideas or suggestions of things you’d like to see or hear, please let me know 🙂


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