The symptoms commonly found in the so-called scalenus syndrome, with cervical ribs, may be caused by remote factors as well as local ones. These symptoms are frequently due to trauma, either from a definite strain or from the chronic strains which come in the use of the whole body, and especially of the chest and cervical spine, for a long period of time faulty mechanics, combined with general relaxation and fatigue. In authors' experience, the correction of the extension deformity of the cervical spine, combined with the correction of the faulty use of the body as a whole, will bring relief of the neurological as well as of the vascular symptoms, in the majority of cases, without the necessity of operative procedures.