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通过手法矫正颈椎生理前凸反曲来缓解神经根型颈椎病:4年随访

Alleviating cervical radiculopathy by manipulative correction of reversed cervical lordosis: 4 years follow-up.

作者信息

Chu Eric Chun Pu

机构信息

New York Chiropractic and Physiotherapy Centre, New York Medical Group, Hong Kong SAR, China.

出版信息

J Family Med Prim Care. 2021 Nov;10(11):4303-4306. doi: 10.4103/jfmpc.jfmpc_648_21. Epub 2021 Nov 29.

Abstract

Cervical radiculopathy is a neurologic condition caused by nerve root compression in the cervical spine, resulting in pain, numbness, sensory or motor dysfunction in the upper extremities. We present the case of a 57-year-old woman working as an insurance agent who suffered from chronic neck pain and numbness in the left arm for six months. Cervical radiographs revealed a reverse in natural lordotic curve. The patient was diagnosed with left C6 radiculopathy due to cervical spondylosis. Since cervical traction, rehabilitative exercise, acupuncture, and pain medicines previously failed to provide a long-lasting relief of symptoms, the patient sought chiropractic care. She was treated with spinal manipulation in combination with intermittent motorized cervical traction for three months. As a result of care, the patient experienced complete relief of symptoms, full cervical mobility, and high WHO Quality of Life score. A restoration of cervical lordosis was demonstrated on the 4-year follow-up radiograph.

摘要

颈椎神经根病是一种由颈椎神经根受压引起的神经系统疾病,可导致上肢疼痛、麻木、感觉或运动功能障碍。我们报告一例57岁女性保险代理人的病例,她患有慢性颈部疼痛和左臂麻木六个月。颈椎X线片显示生理前凸曲线反向。该患者因颈椎病被诊断为左侧C6神经根病。由于之前颈椎牵引、康复锻炼、针灸和止痛药均未能长期缓解症状,该患者寻求脊椎按摩治疗。她接受了三个月的脊椎推拿联合间歇性电动颈椎牵引治疗。经过治疗,患者症状完全缓解,颈椎活动自如,世界卫生组织生活质量评分较高。4年随访X线片显示颈椎前凸恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8f2/8797131/92a83afa4523/JFMPC-10-4303-g001.jpg

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