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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Specific Treatments In Physiotherapy For Cervical Spondylitis

Hello my college as referred from Dr.Ahmed Othman im asking about steps recommended for physiotherapist to be done during sessions in my patient case which have c3-c4 cervical spondylitis and c6-c7 degeneration stenosis is found and dehydration , with left neck pain and stiffness and the patient case history T3,T4 hormonal disorder , Vit D deficiency and shoulder please send me the recommended steps for physiotherapy to be done during the session (ex: low level laser , traction , muscle ultrasound , TENS Machine etc .....)I appreciates your prompt reply Dr.Hosam Hamed Medical Product specialist Bahrain 0000
posted on Sat, 2 Apr 2016
Twitter Sat, 30 Apr 2016 Answered on
Twitter Mon, 2 May 2016 Last reviewed on
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Physical Therapist or Physiotherapist,  's  Response
Hi,

Thank you for providing the brief history of the patient.

A thorough Neuromuscular assessment is advised for the patient.

As, there is a disc degeneration and stenosis in the cervical spine the following method of approach should be implemented.

step 1
Thorough neuromuscular assessment perfomed

Step 2
Therapeutic Ultrasound Therapy & TENS therapy
Note : Avoid traction therapy due to stenosis, which may worsen the conditon

Step 3
Static neck exercises after 3 sessions of physiotherapy as the pain level will be reduced on VAS scale

Step 4
Continue Neck exercises after application of electrotherapy

Step 5
Myofascial release of the Trapezius muscle

Step 6
Continue Same therapy along with upper limb strengthening. Also, include breathing exercises for strengthening the accessory muscles of respiration.

Step 7
Recommend patient to follow the do's and don'ts

Regards
Jay Indravadan Patel
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Suggest Specific Treatments In Physiotherapy For Cervical Spondylitis

Hi, Thank you for providing the brief history of the patient. A thorough Neuromuscular assessment is advised for the patient. As, there is a disc degeneration and stenosis in the cervical spine the following method of approach should be implemented. step 1 Thorough neuromuscular assessment perfomed Step 2 Therapeutic Ultrasound Therapy & TENS therapy Note : Avoid traction therapy due to stenosis, which may worsen the conditon Step 3 Static neck exercises after 3 sessions of physiotherapy as the pain level will be reduced on VAS scale Step 4 Continue Neck exercises after application of electrotherapy Step 5 Myofascial release of the Trapezius muscle Step 6 Continue Same therapy along with upper limb strengthening. Also, include breathing exercises for strengthening the accessory muscles of respiration. Step 7 Recommend patient to follow the do s and don ts Regards Jay Indravadan Patel