Chronic Neck Pain Case Study

Mcclurg, the patient presents for his neck pain, described as dull and aching. Treatment to date includes activity modification, acupuncture, and 9 sessions of chiropractic care. Condition is improving. Current care has provided 70% pain relief. Of note, MRI of the cervical spine dated 3/25/2015 revealed C5-6 discogenic spondyloarthropathy with mild central canal stenosis and mild bilateral C4-5 facet arthrosis.

10/30/15 Medical Evaluation reported neck, low back, and left sacroiliac pain. Physical examination of the lumbar spine revealed decreased ROM on

We are grateful for the “Manual Therapy” reviewers thoughtful review and suggestions to improve our manuscript. Our author team has reviewed, considered, and responded to all comments and suggestions the reviewers proposed in accordance with “Manual Therapy” guidelines. Thus, we are submitting a revised manuscript “The Immediate Cardiovascular Response to Joint Mobilization of the Neck- A Randomized, Placebo-Controlled Trial in Pain-Free Adults” for follow-up consideration for publication in “Manual Therapy”. We are hopeful that our work will be deemed as valuable and disseminated for other manual therapists to consider.

This article tells us what the advantages of exercising are. “Physical activity is essential to optimizing both physical and mental health and can play a vital role in the management of arthritis” (Bartlett) This type of physical activity helps the joints move more easily and helps enlarge the muscles. Another main point is that doctors of arthritic patients can motivate them to start exercising their joints and muscles. These patients trust their doctors to give them the right information and listen to them and do what they tell them to do rather than listening to non-professionals. Moreover, arthritic patients should be mentally ready to do physical activity. They need to be ready to exercise and be confident. Exercising not only helps with

Compensatory Approach: Prevent further deformation of the ulnar drift with swan neck deformities to maintain client’s present ROM in B (UE).

Per the medical report dated 08/12/16 by Dr. Gunderson, the patient had neck pain, as well as headaches, dizziness and blurred vision. The neck pain radiated into both shoulders, but more so on the right, and occasionally she had tingling in her upper extremities. She described the neck pain as severe and intermittent, and not related to any specific activity, and relieved with massage. The pain in her lower back was in the beltline and radiated into both lower extremities, more so on the left. She described the pain as moderately severe and constant, and not related to any activity, and only relieved with nerve medicines. On examination, the patient had tenderness in the lower cervical region about C5 to C7. Range of motion of her neck was 75% of normal. Motor, sensory, and reflex examinations in the upper extremities were normal. On examination of the lumbar spine, the patient could dress and undress without difficulty. She had a bent forward posture and gait. She had reduced lumbar motion and with maximum forward flexion, her fingertips were 12 inches from the floor. Lateral flexion was 50% of normal, and she had no active extension in the lumbar spine. Motor, sensory, and reflex examinations in the lower extremities were normal. There was paravertebral tenderness about L4-5 bilaterally, as well as in both sacroiliac and sciatic notch regions. Straight leg caused hip and thigh pain at 50 degrees bilaterally. Of note, X-rays of the cervical spine demonstrated disc degeneration at C5-6. X-rays of the lumbar spine were normal. Patient sustained

On March 25, 2016 a 45 year old male patient came in to Mount St. Mary’s Hospital to have x-rays done of his cervical and lumbar spine, hip, shoulder, sacrum and coccyx. The patient indicated that 16 years ago he woke up with a stiff neck that never went away. Along with his stiff neck, the patient stated that he was experiencing lower back pain as well for the past 16 years. The patient also specified that recently he had started suffering from pain in his right hip and right shoulder. When asked, the patient stated that he had not had any injuries to cause the pain. The patient also indicated that he had never had any surgeries to his lower back or neck. For this case study we will only be looking at the images of his cervical and lumbar

When the muscles in your neck and shoulders hold tension, the pain can radiate up to your head. You have a headache, so you may not even know the problem originates elsewhere. Tension builds in your muscles for a variety of reasons. It could be due to stress and anxiety. It could also be due to poor posture or a spine that's been pulled out of alignment. Chiropractic treatments are very effective at realigning your spine in your neck and back. When your spine is brought back into alignment, pressure is relieved from the nerves and muscles in your neck and back. This in turn leads to relief from your headaches.

According to the existing literature, one of the most effective tools physical therapist can utilize to restore FKE is joint mobilization techniques (JMT). According to Hunt et al.12, a clinician can achieve an increase of 2° of knee extension in a single treatment with the anterior tibia-femoral joint glides post ACLR. In addition, JMT has been proven to be efficient and effective in treating hypomobilities and reducing pain in knee OA, ACL rehabilitation, total knee arthroplasty, and total knee replacements. Furthermore, implementing JMT in knee OA has demonstrated to provide short-term relief in pain and improve joint mobility.13 JMT with exercise is a useful adjunct

The patient presents with chronic neck and low back pain status post MVA in 2008. He was ran off the rode while on his motorcycle fracturing his neck and lower back. Mr. Buchanan denies having radiating symptoms down either lower extremity. His pain is constant throughout the day making it very difficult to perform his daily activities. The patient has not had injection therapy or surgeries for his neck and back pain. The patient was told after his last MRI that he has arthritis in both his neck and lower back.

Based on the medical report dated 12/16/15, the patient follows up from completion of PT. She has had a left sacroiliac (SI) joint and piriformis trigger point injections which have provided some relief. She states that PT did help somewhat but there is increase of pain with doing the exercises. She states she also

I have no personal experience from receiving care from physical therapy. I have played taekwondo my entire life, therefore being active and learning about the

Functional status was measured by COPM scores and HAQ while the level of coping was measured by AIMS2. HAQ and COPM results indicated EG (mean ∆HAQ= -0.27, SD=0.49) had significantly greater improvement in functional status than CG (mean ∆HAQ=-0.17, SD=0.51), when compared to their own baseline, p= 0.04. In COPM, results showed EG (mean ∆COPM satisfaction= 4.08, SD=2.41; mean ∆COPM performance= 3.10, SD= 2.01) had significantly greater satisfaction (p=0.001) and functional level (p=0.001) in occupational performance than CG (mean ∆COPM satisfaction= 0.25, SD=2.16; mean ∆COPM performance= -0.28, SD= 1.44) when compared to baseline. AIMS2 pain subscale score showed EG (mean ∆AIMS2 pain= -2.31, SD=1.74) also had significantly better pain coping skills (p=0.03) than CG (mean ∆HAQ=--0.27, SD=0.49). In conclusion, this study showed a joint protection program led by occupational therapy improved the RA patients’ occupational function and participation. It showed the importance of including both individual and group sessions since individualized goal-setting ensured OT’s client-centered practice while group sessions provided social interaction to RA

As per office notes dated 8/26/16 the patient complains of dull and aching pain of the neck. She rates it as 7 without the medications and at 5/10 with medications. Pain is aggravate with activities and relieved with rest and medications. Neck pain us associated with headaches and radiating pain, tingling, and numbness to bilateral upper extremities. Patient is complaining of having acid reflex ad acute exacerbation of muscle spasm. Lumbar back pain is dull and aching rated at 6 without medications and 4 with medications. Pain is aggravated with activates such as forward back bending, lifting, prolonged sitting, standing, walking, and it is relieved with rest and medications. Lower back pain is associated with radiating pain, tingling, and

SOAP note dated 06/23/2017 stated that the claimant complained of cervical, thoracis and lumbar spine pain. The claimant also had swelling related to neuropathy. The claimant's blood pressure was 141/105. The physical examination revealed significant muscle spasm with moderately reduced and painful range of motion in the cervical spine, as well asn neck pain. There was positive cervical dystonia and positive facet loading as well. Examination of the back revealed significant muscle spasm and moderate pain with range of motion, positive bilateral hip and sacroiliac joint tenderness. There was decreased mobility, decreased lumbar spine extension and positive facet loading test. There was positive bilateral L5 radiculopathy. There was numbness in the lower extremities and non-pitting edema in the bilateral legs. The claimant was diagnosed with cervical spine pain, chronic lower back pain, chronic pain syndrome, lumbar spine radiculopathy and radiculitis nad cervical sponsylosis without myelopathy. The treatment plan included continuing with chiropractic care, physical therapy, LSO, and medication management.