Symptomatic Ayurveda Management of a case having Cervical Rib: A Single Case Report Jini Varghese P Final year MS (Ayu) Scholar, Department of Shalyatantra, P.N.N.M. Ayurveda Medical College and Hospital, Cheruthuruthy, Kerala, India Smitha Mohan P. V. Professor, Department of Shalyatantra, P.N.N.M. Ayurveda Medical College and Hospital, Cheruthuruthy, Kerala, India Shaji K. Associate Professor, Department of Shalyatantra, P.N.N.M. Ayurveda Medical College and Hospital, Cheruthuruthy, Kerala, India Najma Mansoor A.P. Assistant Professor, Department of Shalyatantra, P.N.N.M. Ayurveda Medical College and Hospital, Cheruthuruthy, Kerala, India DOI: https://doi.org/10.70805/ija-care.v9i4.807 Keywords: Cervical rib, Cervical vertebra, Transverse process, Manyastamba, Thoracic outlet syndrome Abstract A cervical rib also known as neck rib is a supernumerary rib in the cervical region. In many cases cervical ribs go unnoticed throughout life. However, in some cases they cause localized pain and compress surrounding structures. Anatomically it is a congenital overdevelopment of transverse process of cervical vertebra. It usually results in thoracic outlet syndrome. The current management is anti-inflammatory medicines and advanced cases are advised for surgery. While surgery is generally effective there are some potential complications for this procedure. The symptoms of cervical rib simulate Manyastamba roga in ayurveda. Hence the treatment protocol of Manyastamba is an adoptable protocol for the management of a cervical rib. Here is a case of cervical rib which was miss diagnosed initially and later diagnosed as an extra rib on cervical region. which was managed effectively by ayurveda managements and further possibilities for the management of the same. Therefore, practitioners should consider this possibility when treating patients with neck and shoulder pain accompanied by numbness. pdf Published 2025-12-14 Issue Vol 9 No 4 (2025): October-December 2025 Section Case Reports This work is licensed under a Creative Commons Attribution 4.0 International License.