Shi-style Cervical Manipulations for Cervical Radiculopathy

Launched by SHANGHAI UNIVERSITY OF TRADITIONAL CHINESE MEDICINE · Dec 26, 2011

Keywords

ClinConnect Summary

Radiculopathy generally presents with pain, numbness, or weakness in a dermatomal distribution. Causative factors include an acute nucleus pulposus herniation, spondylitic changes around the foramen causing nerve compression, or a combination of these.

Cervical radiculopathy results from impingement on a nerve root by either spondylotic narrowing of the neural foramen or a lateral intervertebral disc herniation. Frequent complaints include painful neck movements, radicular pain, paraspinal muscle spasm, muscle weakness, and diminished deep tendon reflexes (Radhakrishnan K, 1994). Radiculop...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Informed consent and signed an informed consent;
• • aged 18 to 65 year-old male or female ;
• • appear cervical nerve root symptoms typical of 3 months to 5 years;
• • VAS pain greater than 30 mm.
• • positive for one of the following :Brachial plexus traction test, Foraminal compression test, Neck rotation test is less than 60 degrees, Foraminal separation test, Decreased muscle strength.
• Exclusion Criteria:
• • nerve root in the past received surgical treatment of cervical or neck trauma;
• • with obvious symptoms of vertigo, TCD examination there was abnormal;
• • signs and symptoms of spinal cord compression, MRI found that spinal cord oppressors\[e\];
• • pregnant women, lactating women;
• • can not attend follow-up (such as six months or less distance of immigrant relocation plan, no mobile phones and other communication tools, etc.), and no ability to participate in six months follow-up of patients;
• • currently participating in cervical spondylosis associated with other clinical trials;
• • hepatic, renal, hematopoietic system, endocrine system, cardiovascular, nervous system, primary and other serious diseases, tuberculosis, vertebral deformities, cancer and mental illness;
• • There are opioid analgesics, sedative hypnotics and alcohol abuse history;
• • those who can not read and write Chinese.
• • the past two weeks received RF, minimally invasive , ozone , a small knife , or other manual therapy and Closed injection treatment.
• • vertebral displacement, forward, backward or lateral horizontal displacement \> 3 mm, the angulation between adjacent intervertebral \> 11 °.