Safe physiotherapy interventions in large cervical disc herniations.
AffiliationDepartment of Physiotherapy, St Patrick's Hospital, Co. Leitrim, Ireland. firstname.lastname@example.org
Intervertebral Disc Displacement
MetadataShow full item record
CitationSafe physiotherapy interventions in large cervical disc herniations. 2012, 2012: BMJ Case Rep
JournalBMJ case reports
AbstractA 34-year-old woman was seen in a physiotherapy department with signs and symptoms of cervical radiculopathy. Loss of cervical lordosis and a large paracentral to intraforaminal disc prolapse (8 mm) at C5-C6 level was reported on MRI. She was taking diclofenac sodium, tramadol HCl, diazepam and pregabalin for the preceding 2 months and no significant improvement, except temporary relief, was reported. She was referred to physiotherapy while awaiting a surgical opinion from a neurosurgeon. In physiotherapy she was treated with mobilisation of the upper thoracic spine from C7 to T6 level. A cervical extension exercise was performed with prior voluntary extension of the thoracic spine and elevated shoulders. She was advised to continue the same at home. General posture advice was given. Signs and symptoms resolved within the following four sessions of treatment over 3 weeks. Surgical intervention was subsequently deemed unnecessary.
- Cervical Intradural Disc Herniation Causing Progressive Quadriparesis After Spinal Manipulation Therapy: A Case Report and Literature Review.
- Authors: Yang HS, Oh YM, Eun JP
- Issue date: 2016 Feb
- Herniated disc with radiculopathy following cervical manipulation: nonsurgical management.
- Authors: Murphy DR
- Issue date: 2006 Jul-Aug
- Foraminal stenosis with radiculopathy from a cervical disc herniation in a 33-year-old man treated with flexion distraction decompression manipulation.
- Authors: Gudavalli S, Kruse RA
- Issue date: 2008 Jun
- Minimally invasive posterior cervical microforaminotomy in the lower cervical spine and C-T junction assisted by O-arm-based navigation.
- Authors: Del Curto D, Kim JS, Lee SH
- Issue date: 2013
- [Cervicogenic angina. Chest pain caused by unrecognized disc herniation at the segment c6-c7: a case report].
- Authors: Grgic V
- Issue date: 2008 Sep-Oct