Non-surgical relief of cervical radiculopathy through reduction of forward head posture and restoration of cervical lordosis: a case report

Bret M Wickstrom, Paul A Oakley, Deed E Harrison, Bret M Wickstrom, Paul A Oakley, Deed E Harrison

Abstract

[Purpose] To present a case demonstrating the relief of cervical radiculopathy following the dramatic reduction of forward head posture and restoration of the cervical lordosis by use of a multi-modal rehabilitation program incorporating cervical extension traction. [Subject and Methods] A 31-year-old male patient presented with severe cervical radiculopathy and muscle weakness as well as neck pain. The patient had limited neck range of motion, and multiple positive orthopedic tests. Radiography revealed excessive forward head posture with a cervical kyphosis. [Results] The patient received a multi-modal rehabilitation protocol including mirror image extension exercises, cervical extension traction, and spinal manipulative therapy. After forty treatments over 17 weeks, the patient reported a complete resolution of radiculopathy and significant improvement in neck pain level. Post radiography demonstrated correction of the spine and posture alignment. The patient remained well and maintained corrected posture with limited treatment one year later. [Conclusion] Our case demonstrates the relief of cervical radiculopathy resulting from the non-surgical correction of forward head posture and cervical kyphosis.

Keywords: Cervical kyphosis; Radiculopathy; Rehabilitation.

Figures

Fig. 1.
Fig. 1.
Lateral cervical radiographs Left: Initial taken on 9/29/15. Right: Follow-up taken on 2/4/16. Green line indicates normal alignment; Red line indicates patient
Fig. 2.
Fig. 2.
Cervical extension traction set-up

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Source: PubMed

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