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dc.contributor.authorKeramat, Keramat Ullah
dc.contributor.authorGaughran, Aisling
dc.date.accessioned2014-08-18T11:46:50Z
dc.date.available2014-08-18T11:46:50Z
dc.date.issued2012
dc.identifier.citationSafe physiotherapy interventions in large cervical disc herniations. 2012, 2012: BMJ Case Repen_GB
dc.identifier.issn1757-790X
dc.identifier.pmid22907861
dc.identifier.doi10.1136/bcr-2012-006864
dc.identifier.urihttp://hdl.handle.net/10147/324928
dc.description.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.
dc.language.isoenen
dc.relation.urlhttp://casereports.bmj.com/content/2012/bcr-2012-006864.longen_GB
dc.rightsArchived with thanks to BMJ case reportsen_GB
dc.subjectPHYSIOTHERAPYen_GB
dc.subject.meshAdult
dc.subject.meshCervical Vertebrae
dc.subject.meshExercise Therapy
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshIntervertebral Disc Displacement
dc.subject.meshManipulation, Spinal
dc.subject.meshPosture
dc.subject.meshRadiculopathy
dc.titleSafe physiotherapy interventions in large cervical disc herniations.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Physiotherapy, St Patrick's Hospital, Co. Leitrim, Ireland. karamatjee@yahoo.comen_GB
dc.identifier.journalBMJ case reportsen_GB
html.description.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.


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