Physical medicine and rehabilitation cervical radiculitis: Treatment and results in 82 patients

Honet, Joseph C.; Kasturi, P.

doi:10.1016/0304-3959(76)90024-5

Cited by 19 publications

(23 citation statements)

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“…4,5,36 Although patients with cervical radiculopathy may have complaints of neck pain, the most frequent reason for seeking medical assistance is arm pain. 5,10,18,43 Patients usually present with complaints of pain, numbness, tingling, and weakness in the upper extremity, which often result in significant functional limitations and disability. 35 Physical therapists often treat patients with cervical radiculop-athy.…”

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confidence: 99%

“…17 Research suggests patients treated conservatively experience superior outcomes to patients treated surgically. 18,35 A multitude of physical therapy interventions have been proposed to be effective in the management of cervical radiculopathy, including mechanical cervical traction, manipulation, therapeutic exercise, and modalities. However, outcome studies using consistent treatment approaches on well-defined samples of patients are lacking.…”

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confidence: 99%

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Manual Physical Therapy, Cervical Traction, and Strengthening Exercises in Patients With Cervical Radiculopathy: A Case Series

Cleland¹,

Whitman²,

Fritz³

et al. 2005

J Orthop Sports Phys Ther

107

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confidence: 99%

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confidence: 99%

Manual Physical Therapy, Cervical Traction, and Strengthening Exercises in Patients With Cervical Radiculopathy: A Case Series

Cleland¹,

Whitman²,

Fritz³

et al. 2005

J Orthop Sports Phys Ther

107

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“…Although 40%-80% of patients with radicular pain respond well to conservative treatment, 8,11,12,16 persistent radicular pain after conservative treatment and progressive or profound motor weakness indicate the need for surgery. The effectiveness of posterior foraminotomy for cervical radiculopathy is reported to be 82.1%-86.4%.…”

Section: Discussionmentioning

confidence: 99%

The characteristic clinical symptoms of C-4 radiculopathy caused by ossification of the posterior longitudinal ligament

Katsumi

Yamazaki

Watanabe

et al. 2014

SPI

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Cervical radiculopathy of the C2–4 spinal nerves is a rare condition and is poorly documented in terms of clinical symptoms, hindering its detection during initial patient screening based on imaging diagnostics. The authors describe in detail the clinical symptoms and successful surgical treatment of a patient diagnosed with isolated C-4 radiculopathy. This 41-year-old man suffered from sleep disturbance because of pain behind the right ear, along the right clavicle, and at the back of his neck on the right side. The Jackson and Spurling tests were positive, with pain radiating to the area behind the patient's ear. Unlike in cases of radiculopathy involving the C5–8 spinal nerves, no loss of upper-extremity motor function was seen. Magnetic resonance imaging showed foraminal stenosis at the C3–4 level on the right side, and multiplanar reconstruction CT revealed a beak-type ossification of the posterior longitudinal ligament in the foraminal region at the same level. In the absence of intracranial lesions or spinal cord compressive lesions, the positive Jackson and Spurling tests and the C3–4 foraminal stenosis were indicative of isolated C-4 radiculopathy. Microscopic foraminotomy was performed at the C3–4 vertebral level and the ossified lesion was resected. The patient's symptoms completely resolved immediately after surgery. To the authors' knowledge, this report is the first to describe the symptomatic features of isolated C-4 radiculopathy, in a case in which the diagnosis has been confirmed by both radiological findings and surgical outcome. Based on this case study, the authors conclude that the characteristic symptoms of C-4 radiculopathy are the presence of pain behind the ear and in the clavicular region in the absence of upper-limb involvement.

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“…These groups were created as broad categories to describe common clinical presentations of patients with neck pain by the rehabilitation department at Intermountain Healthcare in 2002 to evaluate clinical outcomes. Studies support that the clinical presentation of neck pain with arm pain, 24,25 neck pain with headache, 26 and neck pain from whiplash 27 differ in their clinical course compared to patients with acute, subacute, or chronic nonspecific neck pain (NSNP). 28 This strategy has been implemented at Intermountain Healthcare since 2002, and there is a 94.5% adherence rate in collecting these clinical data by physical therapists.…”

Section: Clinical Presentationmentioning

confidence: 99%

Description of Common Clinical Presentations and Associated Short-Term Physical Therapy Clinical Outcomes in Patients With Neck Pain

Horn

Brennan

George

et al. 2015

Archives of Physical Medicine and Rehabilitation

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Neck pain is the second most common musculoskeletal disorder in population surveys and is associated with high injury and disability claims. 1,2 It is generally accepted that neck pain has a favorable course of care, 3 but there is variation in short-term outcomes in patients with neck pain. 3,4 Certain factors are known to be prognostic for the course of neck pain, and several interventions, including those provided by physical therapists, are likely to produce a favorable outcome. [5][6][7][8][9] Approximately 35% of persons with neck pain reported being seen by a physical therapist, the most frequently visited provider, 10 and evidence suggests that physical therapy can be an effective secondary prevention strategy for neck pain. 11 In recent years, organized efforts have been made to improve clinical outcomes and standardize physical therapy treatment, including using classification system approaches. Fritz and Brennan 12 supported that subgrouping patients with neck pain and providing interventions matched to the patient classification improves shortterm outcomes of pain and disability from physical therapy, but this approach has not been validated nor have other classification systems published in the literature been validated. 13,14 Therefore in this study, rather than introduce a new classification system, we wished to pragmatically examine a large cohort of patients with common clinical presentations of neck pain. The purposes of this study were to describe the demographics and Disclosures: none.

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Physical medicine and rehabilitation cervical radiculitis: Treatment and results in 82 patients

Cited by 19 publications

References 0 publications

Manual Physical Therapy, Cervical Traction, and Strengthening Exercises in Patients With Cervical Radiculopathy: A Case Series

Manual Physical Therapy, Cervical Traction, and Strengthening Exercises in Patients With Cervical Radiculopathy: A Case Series

The characteristic clinical symptoms of C-4 radiculopathy caused by ossification of the posterior longitudinal ligament

Description of Common Clinical Presentations and Associated Short-Term Physical Therapy Clinical Outcomes in Patients With Neck Pain

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