hi guys!!
i got a query regardin a case of cx Wikipedia reference-linkradiculopathy.pt 40 yr old female suffering from neck pain with tingling numbness in lt arm and hand,to be specific pt has tingling numbness in resting position this happens quite a lot thruout day,frequency of tinglin is 15 times/day approx.,no muscle weakness present,cx movts r free,x ray shows severe osteophytic changes at various level
treatment tried-
1)started with swd to neck with cx traction(mechanical)gradual progression
no significant improvemnt with above traditional protocol
2)manual traction gives temporary relief-pt does not have symtoms during traction -symtoms improves with manual traction -tried for 10 days but in vain
3)cx lateral glides with neural tissue mobilization-median and radial nerve biased are positive
pt had tremendous improvemnt on the following day , hardly had tingling in hand but did not last long-again the frequency is 12 to 14 times /day
4)now pt is only doing neural tissue mobilization-auto streching with thera band
5) tried with improving posture since pt has forwar head posture...strengthning deep neck flex with chin tuck also creates tingling in hand????????
i m bit confused how to go about the case????/
plez guide
reg.
bye

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