International Journal of Physiotherapy and Research



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Type of Article : Case Report

Year: 2015 | Volume 3 | Issue 6 | Page No. 1312-1317

Date of Publication: 11-12-2015

DOI: 10.16965/ijpr.2015.197

MULTIMODAL PHYSIOTHERAPEUTIC APPROACH IN TREATING A PATIENT WITH ACUTE CERVICAL DISC PROLAPSE: A CASE REPORT

Rathish Manickam.
 

Department of Physiotherapy, Medeor 24x7 Hospital, Abu Dhabi.

Corresponding author: Rathish Manickam, PT., Department of Physiotherapy, Medeor 24x7 Hospital - A Unit of VPS Health Care, PO Box 40330, Abu Dhabi - United Arab Emirates. Tel: +971 26900 600.
E-Mail:
rathish605@gmail.com, rathish.manickam@medeor24x7.com

Abstract:

Background and Purpose: Cervical disc prolapse is one of the leading cause of morbidity and affecting the patients routine work of their ADL. Due to severity of symptoms and patients feeling of insecurity, physiotherapeutic conservative approach is questionable and has become challengeable against surgery. The purpose of this case report is to explore the efficacy of multimodal physiotherapeutic approach in treating a patient with acute cervical disc prolapse.
Case Description: 33 year old male patient was diagnosed with acute cervical disc prolapse and the pain was radiating to the right upper limb associated with numbness. The patient was given initially physiotherapeutic modalities like cryotherapy, ultrasound and mechanical traction to reduce pain. Muscle Energy Technique was also implemented for initial days along with cryotherapy based on cryokinetics concept to enhance movements of cervical spine. Mckenzie exercises with  appropriate techniques was administered for 10 days along with retraction exercise, basic ROM and neck isometrics as a home program. The patient received treatment for a period of 12 days.
Outcome Measures: The outcome measures used were Numeric Pain Rating Scale, Neck Disability Index, Tampa Scale for Kinesiophobia, and Cervical ROM.
Conclusion: Multimodal physiotherapeutic approach along with Mckenzie technique played a significant role in alleviating pain, numbness and improvement of the patient functionally for return to his normal work.
KEY WORDS: Cervical disc prolapse, Physiotherapeutic modalities, Mckenzie approach,Neck Disability Index, Numerical Pain Rating Scale, Tampa Scale for Kinesiophobia, Cervical ROM.

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Rathish Manickam. MULTIMODAL PHYSIOTHERAPEUTIC APPROACH IN TREATING A PATIENT WITH ACUTE CERVICAL DISC PROLAPSE: A CASE REPORT. Int J Physiother Res 2015;3(6):1312-1317. DOI: 10.16965/ijpr.2015.197

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