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alliedacademies
Allied J Med Res 2017
Volume 1 Issue 2 Herbal Medicine 2017
September 01-02, 2017 London, UK
3rd International Conference and Expo on
Herbal & Alternative Medicine
Notes:
Page 21
Biomechanical approach of cervical
radiculopathy: Recovery of Cervical
segmental function, cervical anterior
approach and coordination of glenohumeral
complex
Kang Soon Sik
Korea Pain Diagnosis Society, South Korea
C ervical radiculopathy is defined as a syndrome of
pain with sensorimotor deficits due to compression
of a cervical nerve root. The patients with cervical
radiculopathy show neck and arm discomfort of insidious
onset. The discomfort can range from a dull ache to
a severe burning pain. Typically, pain is referred to
the medial border of the scapula, and the patient’s
chief complaint is shoulder pain. As the radiculopathy
progresses, the pain radiates to the upper or lower arm
and into the hand, along the sensory distribution of the
nerve root that is involved. Before radiating pain, there
might be neck pain or a history of cervical spine arthritis.
These patients complain of increased pain with neck
positions that cause foraminal narrowing (e.g., extension,
lateral bending, or rotation toward the symptomatic side).
Cervical examination is necessary to diagnose the patient
with cervical radiculopathy. Provocative tests, for example
spurling test and neck distraction test, are performed to
provoke or worsen the symptoms in the affected arm.
And if spurling test is negative, neuro-dynamic test and
tinel test are practiced for differential diagnosis among
PNS (peripheral nerve sensitization), Carpal tunnel
syndrome and TOS (thoracic outlet syndrome). Many
patients report that they can reduce their radicular
symptoms by abducting their shoulder and placing their
hand behind their head. This maneuver is thought to
relieve symptoms by decreasing tension at the nerve root.
Although a definitive treatment progression for treating
cervical radiculopathy has not been developed, a general
consensus exists within the literature that using manual
therapy techniques are effective in regard to increasing
function, as well as range of movement. If the range of
motion is improved bio-mechanically in cervical segment
and glenohumeral complex, the radiculopathy pain can be
reduced within a short time. Therefore I suggest the bio-
mechanical approach for cervical radiculopathy except for
patients who is indicated with significant motor deficits,
debilitating pain. There are 4 parts where symptoms
appear. Recoveries of cervical segmental movement,
cognitive reset, coordinating movement of glenohumeral
joint and neural mobilization aremore efficient to relieve the
pain: 1. Cervical anterior approach; 2. Indirect treatment
of cervical segment for cognitive reset; 3. Recovery of
coordination movement about glenohumeral joint; 4.
Neural mobilization (if peripheral nerve sensitization is
diagnosed).
Biography
Kang Soon Sik, MD received his Diploma in Korean Medicine from Semyung
University, South Korea in 2015, graduating summa cum laude. He works
at public health center medical part. He will co-publish a book about bio-
mechanical approach of primary medical care.
Kang Soon Sik, Allied J Med Res 2017