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

Abstract

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.

Simultaneous determination of nineteen major components in Qi She Pill by ultra-high-performance liquid chromatography–tandem mass spectrometry

“…Cervical spondylosis radiculopathy (CSR) is a chronic degenerative condition of the cervical spine that affects the vertebral bodies and intervertebral disks of the neck, as well as the components of the spinal canal. People with CSR may experience stiffness and pain or tingling in their necks, shoulders, or arms, leading to an impaired ability to work and a general decrease in their quality of life 1 , 2 , 3 , 4 . Currently, few drugs can effectively control CSR.…”

Predictors of Motor Weakness and Delayed Recovery in Cervical Disk Herniation

“…5 Cervical radiculopathy is often accompanied by paresthesia, hypoesthesia, or decreased reflexes and may be coupled with motor weakness secondary to compromise of the ventral roots. 6 Several studies show that only a small percentage of patients with cervical radiculopathy require surgery. 7,8 Most patients recover completely or are only minimally symptomatic after conservative treatment.…”