Manipulation and Mobilization of the Cervical Spine

Hurwitz, Eric L.; Aker, Peter; Adams, Alan H.; Meeker, William C.; Shekelle, Paul G

doi:10.1097/00007632-199608010-00007

Cited by 418 publications

(212 citation statements)

References 74 publications

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“…49 As the ROM improved, the pain was also reduced. 50 Ice was used as a counterstimulation to help to relieve spasm and pain. 51 Galvanic current was used to reduce pain by inhibiting nociceptor activity and reducing edema.…”

Section: Discussionmentioning

confidence: 99%

Use of a multimodal conservative management protocol for the treatment of a patient with cervical radiculopathy

Radpasand

2011

Journal of Chiropractic Medicine

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Objective: The purpose of this study is to describe and discuss the treatment of a cervical disk herniation using a sequential multimodal conservative management approach. Clinical Features: A 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 Outcome: High-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.Conclusions: This case study demonstrated possible beneficial effects of the multimodal treatment approach in a patient with cervical radiculopathy.

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Section: Discussionmentioning

confidence: 99%

Use of a multimodal conservative management protocol for the treatment of a patient with cervical radiculopathy

Radpasand

2011

Journal of Chiropractic Medicine

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“…11,13 However, a comparison of estimated serious complication rates from the various treatment approaches suggests that CMT is a reasonable option. Although mild or transient symptoms after CMT is fairly common, 21 the risk of vertebral artery injury and potential for cerebrovascular insult has been estimated at between 1 in 500 000 to 1 in 1 million 22 and 1 in 5.85 million. 23 In contrast, Gabriel et al 24 estimated the risk of serious gastrointestinal complications related to nonsteroidal anti-inflammatory use to be as high as 8 in 100; and Graham 25 found the risk for serious neurologic complications from posterior approach cervical surgery to be as high as 5.65 per 100.…”

Section: Discussionmentioning

confidence: 99%

Resolution of cervical radiculopathy in a woman after chiropractic manipulation

Whalen¹

2008

Journal of Chiropractic Medicine

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Objective: To describe a case regarding a woman with 2-level cervical disk herniation with radicular symptoms conservatively treated with chiropractic care including high-velocity, lowamplitude (HVLA) manipulation with complete resolution of her symptoms. Clinical Features: A 40-year-old woman developed right finger paresthesia and neck pain. Results of electrodiagnostics were normal, but clinical examination revealed subtle findings of cervical radiculopathy. A subsequent magnetic resonance imaging revealed a large right posterolateral disk protrusion and spur impinging on the right hemicord with moderate to severe central canal and right neuroforaminal stenosis at C5-6 and C6-7. She was treated with HVLA manipulation to the cervical spine, as well as soft tissue techniques, traction, nonsteroidal anti-inflammatory drugs, and exercise. Intervention and Outcome: Her clinical findings and symptoms resolved within 90 days of initiating care and did not return in 1 year. There were no untoward effects, including transient ones. Conclusion: This case describes the clinical presentation and course of a patient with multilevel large herniated disks and associated radiculopathy who was treated with HVLA manipulation and other conservative approaches and appeared to have good outcomes.

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“…The pathogenesis of CNP is not yet fully understood [1,2]. Manual therapy is potentially a promising avenue for the management of CNP; yet, as several meta-analyses indicate, the efficacy of manual approaches has yet to be conclusively supported [2][3][4]. In a previous pilot trial, we showed that computerized mobilization of the cervical spine confined to the sagittal plane is a safe and potentially effective treatment of CNP.…”

Section: Introductionmentioning

confidence: 99%