Anandkumar Sudarshan
National Sports Medicine Center , Mylapore, Chennai, Tamil Nadu , India.
Physiother Theory Pract. 2015 Feb;31(2):140-5. doi: 10.3109/09593985.2014.971922. Epub 2014 Oct 20.
This case report describes a 47-year-old female who presented with complaints of pain in the right elbow radiating down to the thumb. Physical examination revealed symptom reproduction with Spurling A test, upper limb neurodynamic testing-1 and right cervical rotation along with reduced symptoms with neck distraction. Clinical diagnosis of cervical radiculopathy (CR) was made based on a clinical prediction rule. This case report speculates a potentially first-time description of successful conservative management of CR in a patient utilizing simultaneous combination of sustained natural apophyseal glide and neurodynamic mobilization. Immediate improvements were seen in pain, cervical range of motion and functional abilities. The patient was discharged from physical therapy by the second week after four treatment sessions with complete pain resolution maintained at a four-month follow-up period.
本病例报告描述了一名47岁女性，她主诉右肘疼痛并向下放射至拇指。体格检查发现，斯珀林A试验、上肢神经动力试验-1以及右颈椎旋转可再现症状，而颈部牵引可减轻症状。根据临床预测规则做出了神经根型颈椎病（CR）的临床诊断。本病例报告推测，这可能是首次描述通过持续自然椎体关节突滑动和神经动力松动术联合应用成功保守治疗CR患者的情况。患者的疼痛、颈椎活动范围和功能能力立即得到改善。经过四次治疗后，患者在第二周出院，四个月随访期疼痛完全缓解。
