2014/10/20 by Sudarshan Anandkumar
Medicine · #Cervical and Thoracic Myelopathy #Spinal Fractures and Fixation Techniques #Spine and Intervertebral Disc Pathology
paper · doi:10.3109/09593985.2014.971922
openalex publication_date 2014/10/20 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/25
This case report describes a 47-year-old female who presented with complaints of pain in the right elbow radiating down to the thumb. Physical examination revealed symptom reproduction with Spurling A test, upper limb neurodynamic testing-1 and right cervical rotation along with reduced symptoms with neck distraction. Clinical diagnosis of cervical radiculopathy (CR) was made based on a clinical prediction rule. This case report speculates a potentially first-time description of successful conservative management of CR in a patient utilizing simultaneous combination of sustained natural apophyseal glide and neurodynamic mobilization. Immediate improvements were seen in pain, cervical range of motion and functional abilities. The patient was discharged from physical therapy by the second week after four treatment sessions with complete pain resolution maintained at a four-month follow-up period.