Radiculopathy Essay

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TREATMENT:-

In Cervical Radiculopathy, the key concern is to take pressure off the nerve root and improve its blood flow and oxygenation.14
There is no single cause and cure for its widespread and persistent symptoms. A wide variety of interventions are used in management of CR.

1. Conservative therapy
2. Medical management:- muscle relaxant, anti- inflammatory and steroid injection.
3. Surgical management:- foraminotomy, discectomy and fusion, laminectomy

In conservative therapy, there is no single best treatment option. There are many treatments like neural mobilization technique, TENS, IFT, US, SWD, neck muscle strengthening exercise, traction, massage, hydrocollator packs, cervical mobilization etc…

Neurodynamic techniques are described extensively throughout the physiotherapy and biomedical literature. Neurodynamic or neural mobilization technique (NMT) mobilizes the nerve trunk longitudinally, it is deemed positive with the reproduction of symptoms and / or the presence of antagonistic muscle activity to prevent further nerve bed elongation.17

It is a set of techniques designed to restore plasticity of the nervous system, defined as the ability of the nerve surrounding structures to shift in relation to other structures. It is aimed at reconstruction of normal neuromechanics. (18)

Mobilization of the nervous system has a mechanical effect that affects the vascular dynamics, axonal transport systems and mechanical features of the nerve fibers and connective tissues.18

In addition, NMTs are widely used to normalize the CNR’s structure and function via the possible reduction of nerve adherence, facilitation of nerve gliding and decreased neural mechanosensitivity.19,20

This technique avoids pain and mobilizes nerve tis...

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...ensibility of connective tissue. (24)

Heat, in the form of hydrocollator packs, often is used for 15 to 30 minutes to decrease muscular tension and to allow improved tolerance of cervical traction.25
Visual Analogue Scale (VAS) is a simple and frequently used method for the assessment of variations in intensity of pain. In clinical practice the percentage of pain relief assessed by VAS, is often considered as a measure of the efficacy of treatment. 26

Neck Disability Index (NDI) is used to assess neck status of the patient.27
The NDI has shown to be reliable and valid for patients with neck pain. Because patients with cervical radiculopathy frequently presents with neck pain and as no other outcome tools has been shown to be superior to the NDI for use with patients with cervical radiculopathy, NDI has been included as one of the health outcome assessment tools.11
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