Abstract
Backgrounds: Recently, studies have shown that acupuncture combined with manual therapy is effective for the treatment of cervical spondylotic with radicular pain. Both acupuncture and exercise have been reported to have significant effects on reducing pain and improving quality of life among neck pain sufferers. Recent guideline recommends physical therapy (in the form of manipulative therapy and exercise) and acupuncture among other interventions for the management of cervical radiculopathy. Aim: The aim of this study is to present the use of manipulative therapy and exercise therapy alongside acupuncture, in a single case report of a patient with a C6/7 disc prolapse and radiculopathy. Methods: A case report following sessions of manipulative therapy and exercise therapy administered thrice weekly over 6 weeks, alongside manipulative therapy for the treatment of a single patient with cervical spondylotic with radicular pain. Outcome measures used was Neck pain and disability (NPAD) scale which measured pain intensity, impact of neck pain on functions, activities of daily living (ADL) and emotion. Results: The outcome of treatment showed that NPRS improved from 8/10 from the start of the treatment to 0/10 at the end of six weeks of treatment. Pain intensity and impacts of pain on functions improve by 100% while the impact of pain on ADL and emotion improve by more than 60% at the end of 6 weeks treatment. Patient was to be able to sleep comfortably at night and able to drive without neck pain. Conclusion: Combination of manual therapy and acupuncture treatment was beneficial in reducing pain, improving function, ADL in patient with cervical spondylotic with radicular pain in this case study. However, the long term and short term efficacy of using these treatment modalities either singly or in combination with a nonintervention control group is further warranted.
Highlights
IntroductionNon-specific back pain (NSBP), defined as pain without specific cause or pathology [1], is a common complaint among young people that has been related with low back pain in adults [2]
The results regarding the incidence of Non-specific back pain (NSBP) were not conclusive, nor was it possible to identify consistent and conclusive evidence in the associations between NSBP and the different analyzed factors
The results presented in this study indicate a relatively high prevalence of NSBP in young population
Summary
Non-specific back pain (NSBP), defined as pain without specific cause or pathology [1], is a common complaint among young people that has been related with low back pain in adults [2]. Several studies have reported that the first symptoms of NSBP took place during childhood and adolescence, and continue into adulthood [2,3], with established associations between back pain in children and adults [4,5,6]. In the last decade research studies indicated that the prevalence of NSBP in the early stages of life has increased significantly and is close to the percentage found in adulthood [4,7,8,9,10]. The most recent review of the incidence and prevalence of low back pain in the children and adolescents (aged 7-18 years) included 35 studies, and founded that the prevalence of pain varied between 7 and 62% [11]. The prevalence may be underestimated due to the absence of a specific diagnosis [13]
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