Reversing the curve: a case report on managing reversed cervical lordosis with physical therapy
摘要
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 presentationThe 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.
InterventionThe course of treatment included transcutaneous electrical nerve stimulation (TENS), ultrasound, manual massage, manual cervical traction, and exercises for home use.
ResultThe 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.
ConclusionThe 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.