Maharaj Rohan G, Motilal Shastri, Khan Raveed, Rampersad Fidel
Paraclinical Sciences, The University of the West Indies, St. Augustine, TTO.
Department of Medicine, The University of the West Indies, St. Augustine, TTO.
Cureus. 2023 Aug 23;15(8):e43963. doi: 10.7759/cureus.43963. eCollection 2023 Aug.
Cervical radiculopathy secondary to spondylosis is common in the elderly. Systematic reviews suggest that no single treatment modality represents the standard of care. A no-cost, bedside, self-traction intervention can be a useful adjunct to current options. A 60-year-old South Asian male presented with severe cervical radiculopathic pain in April 2019, proven by magnetic resonance imaging to be secondary to spondylosis. Since late 2019, he has been doing a daily self-traction procedure in which he lies prone with the anterior chest and abdomen flat on a bed, shoulders just off the mattress edge, and arms to the side. The position is maintained for 60 seconds, where the weight of the head provides traction. Overhead cervical traction has not been needed for the past three years, and the pain has been bearable. His Neck Disability Index has decreased from 25 to 2. This no-cost, minute-long daily maneuver has provided relief from chronic cervical neuropathic pain due to cervical spondylosis.
颈椎病继发的神经根型颈椎病在老年人中很常见。系统评价表明,没有单一的治疗方式可作为标准治疗方案。一种免费的床边自我牵引干预措施可以成为当前治疗选择的有益辅助手段。一名60岁的南亚男性在2019年4月出现严重的神经根型颈椎病疼痛,磁共振成像证实这是由颈椎病继发的。自2019年末以来,他每天都进行自我牵引程序,即俯卧在床上,前胸和腹部平贴在床上,肩膀刚好离开床垫边缘,手臂放在身体两侧。该姿势保持60秒,利用头部的重量进行牵引。在过去三年里,他不再需要进行头顶颈椎牵引,疼痛也可以忍受。他的颈部功能障碍指数从25降至2。这种免费的、每天只需一分钟的操作缓解了因颈椎病引起的慢性颈部神经病理性疼痛。