Background <p>Reversed cervical lordosis is a&#xa0;spinal deformity in which the normal inward curvature of the cervical spine is altered, straightened, or reversed. This can cause severe pain and functional impairment. While many treatments have been recommended, ranging from physical therapy modalities to alternative methods, very few studies have evaluated the effectiveness of these interventions.</p> Case presentation <p>The following is a&#xa0;case report of a&#xa0;63-year-old male with reversed cervical lordosis, disc bulges, and associated cervical pain treated with physical therapy. MRI findings showed multiple posterior disc bulges from C3/4 to C6/7 to be causing compression of the CSF space and spinal cord.</p> Intervention <p>The course of treatment included transcutaneous electrical nerve stimulation (TENS), ultrasound, manual massage, manual cervical traction, and exercises for home use.</p> Result <p>The patient reported significant pain relief (numerical pain scale reduction from 8/10 to 4/10) and improvement in range of motion after four treatment sessions.</p> Conclusion <p>The current case emphasizes the effectiveness of physical medicine and rehabilitation for treating reversed cervical lordosis with associated disc bulges. Further research is required to confirm the appropriateness of treatment with these therapeutic modalities in similar cases.</p>

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Reversing the curve: a case report on managing reversed cervical lordosis with physical therapy

  • Sameh Eldaly

摘要

Background

Reversed cervical lordosis is a spinal deformity in which the normal inward curvature of the cervical spine is altered, straightened, or reversed. This can cause severe pain and functional impairment. While many treatments have been recommended, ranging from physical therapy modalities to alternative methods, very few studies have evaluated the effectiveness of these interventions.

Case presentation

The following is a case report of a 63-year-old male with reversed cervical lordosis, disc bulges, and associated cervical pain treated with physical therapy. MRI findings showed multiple posterior disc bulges from C3/4 to C6/7 to be causing compression of the CSF space and spinal cord.

Intervention

The course of treatment included transcutaneous electrical nerve stimulation (TENS), ultrasound, manual massage, manual cervical traction, and exercises for home use.

Result

The patient reported significant pain relief (numerical pain scale reduction from 8/10 to 4/10) and improvement in range of motion after four treatment sessions.

Conclusion

The current case emphasizes the effectiveness of physical medicine and rehabilitation for treating reversed cervical lordosis with associated disc bulges. Further research is required to confirm the appropriateness of treatment with these therapeutic modalities in similar cases.