کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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2620250 | 1135573 | 2011 | 11 صفحه PDF | دانلود رایگان |
ObjectiveThe purpose of this study is to describe and discuss the treatment of a cervical disk herniation using a sequential multimodal conservative management approach.Clinical FeaturesA 40-year-old man had complaints of headache and severe sharp neck pain radiating to his left shoulder down to his arm, forearm, and hand. Results of electromyography/nerve conduction studies were abnormal. Magnetic resonance imaging revealed a large disk protrusion at C5-C6 with indentation of the thecal sac and a spur at the posterior margin. Moderate left neural foraminal narrowing was present at C5-C6 with narrowed intervertebral disk space at C5-C6 and C6-C7.Intervention and OutcomeHigh-velocity, low-amplitude chiropractic manipulation; electrotherapy; ice; and exercise were used for treatment. The Neck Disability Index was used as a primary and electromyography/nerve conduction studies as a secondary outcome measurement. Based on the Neck Disability Index, there was an overall 89.65% symptoms improvement from the baseline.ConclusionsThis case study demonstrated possible beneficial effects of the multimodal treatment approach in a patient with cervical radiculopathy.
Journal: Journal of Chiropractic Medicine - Volume 10, Issue 1, March 2011, Pages 36–46