Cervical radiculopathies: conservative approaches to management

Exercise Only, Exercise With Mechanical Traction, or Exercise With Over-Door Traction for Patients With Cervical Radiculopathy, With or Without Consideration of Status on a Previously Described Subgrouping Rule: A Randomized Clinical Trial

“…39 The pathology underlying cervical radiculopathy is typically presumed to involve narrowing of the intervertebral foramen due to inflammation and/or degenerative changes. 45 Rates of surgical procedures for cervical radiculopathy and degenerative conditions have grown rapidly in the United States, 1,44 with the attendant costs and complication risks, 29 highlighting the need to identify the most effective nonop-T T STUDY DESIGN: Randomized clinical trial.…”

Use of a multimodal conservative management protocol for the treatment of a patient with cervical radiculopathy

“…16 A cervical pillow (Therapeutica Inc, Toronto, Ontario, Canada) was prescribed as a means of diminishing cervical mobility and relieving axial loads. 30,31 Assurance about the care and instruction on simple activity modifications to keep the head and neck in midline, to minimize stress on the cervical spine and thereby to relieve pain and to reduce root compression, were also provided.…”

“…14,15 Most patients make a full recovery or are only minimally symptomatic after conservative treatment. [16][17][18][19] This case report describes an approach consisting of multimodal conservative management for CR using high-velocity, low-amplitude chiropractic manipulation; electrotherapy; ice; and exercises. The Neck Disability Index (NDI) 20 was used as a primary outcome measure; and electromyography (EMG)/ nerve conduction studies (NCS), as a secondary outcome measure.…”

An integrative treatment approach of a patient with cervical radiculitis: A case report

“…3,4 Saal et al's longitudinal outcome study of conservative care versus surgically treated patients with cervical radiculitis revealed that 65% were successfully treated conservatively, whereas 35% underwent surgery. Long term comparison of these two groups showed that the conservatively managed group did better with respect to resolution of radiculitis, sensory disturbances, reflex abnormalities, motor weakness, return to occupation, and activities of daily living.…”

“…Long term comparison of these two groups showed that the conservatively managed group did better with respect to resolution of radiculitis, sensory disturbances, reflex abnormalities, motor weakness, return to occupation, and activities of daily living. [4][5][6] Surgery is absolutely indicated when there are progressive neurological findings such as myelopathy, progressive weakness, or unremitting pain despite conservative treatment. 2,5 The purpose of this report is to describe the integration of evidence-based treatments such as intermittent manual traction and spinal manipulation with the Activator Adjusting Instrument (AAI) were used in conjunction with interferential therapy in the treatment of a patient with cervical radiculitis.…”