HomeAnswersPhysiotherapycervical radiculopathyCan physical therapy alleviate cervical radiculopathy?

How to manage neck pain in cervical radiculpathy?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Mohammed Wajid

Medically reviewed by

iCliniq medical review team

Published At March 19, 2024
Reviewed AtMarch 19, 2024

Patient's Query

Hello doctor,

I have been struggling with persistent neck pain, and I suspect it might be due to strain or even cervical radiculopathy. I am considering physical therapy as an option. Could you provide insights into the effectiveness of physical therapy for neck pain, particularly in cases of cervical radiculopathy? I am eager to understand the potential benefits and what the recommended course of action might be. Kindly suggest.

Answered by Mohammed Wajid

Hello,

Welcome to icliniq.com.

First, you need to confirm its radiculopathy or spondylosis, after assessment, it can be decided what you are suffering from exactly. In physiotherapy there are exercises and electrotherapy will be used to reduce pain and strengthen the muscles. Most important is to maintain proper posture, here I will tell you the importance of posture and the benefits of exercise.

Neck posture refers to the position and alignment of the neck vertebrae and muscles concerning the rest of the body. Good neck posture involves maintaining a neutral position of the neck, with the ears aligned directly above the shoulders and the chin level with the ground. Practicing good neck posture can help prevent strain and injury, reduce neck pain and headaches, and improve overall posture and spinal alignment. It is recommended to be mindful of neck posture throughout the day and make adjustments as needed to promote optimal alignment and comfort.

What are the types of neck postures?

It is important to maintain proper neck posture to minimize strain and potential health issues. Good neck posture typically involves the following:

1. Head Position: The head should be aligned with the spine, and the chin should be parallel to the ground. Avoid jutting the head forward or tilting it excessively to one side.

2. Neutral Alignment: The natural curve of the neck, known as the cervical curve, should be maintained in a neutral position. This means that the head is balanced on top of the neck without leaning too far forward, backward, or to the side.

3. Movement and Stretching: Avoid prolonged static postures and take regular breaks to move and stretch the neck muscles. Gentle neck exercises and stretches can help improve flexibility and relieve tension.

4. Shoulders Relaxed: The shoulders should be relaxed and not hunched forward. Avoid rounded shoulders or slouching, as it can lead to strain on the neck and upper back muscles.

5. Proper Ergonomics: Maintain good neck posture while sitting or standing for extended periods. When sitting, use an ergonomic chair with proper back support and ensure that the computer monitor is at eye level to avoid excessive tilting or bending of the neck.

Proper neck posture is important for overall spine health. It also reduces the risk of neck pain, stiffness, and musculoskeletal imbalances.

How is poor neck posture treated with physiotherapy?

Poor neck posture, also known as forward head posture, can be treated with physiotherapy through a combination of exercises, manual therapy, and education.

1. Manual Therapy: The physiotherapist may use hands-on techniques such as massage, joint mobilization, and manipulation to help improve the range of motion and reduce pain.

2. Exercises: A physiotherapist will prescribe exercises to strengthen the neck muscles and improve flexibility. These may include chin tucks, neck stretches, and shoulder blade squeezes, among others.

3. Stretching and Strengthening Exercises: Physiotherapists prescribe specific exercises to stretch tight muscles and strengthen weak muscles that contribute to poor neck posture. These exercises target the neck, upper back, and shoulder muscles, helping to restore balance and improve posture.

4. Postural Retraining: This involves retraining the body to adopt and maintain proper neck posture throughout the day. Physiotherapists may use techniques such as taping, bracing, or use of posture cues to help individuals become more aware of their neck position and make necessary adjustments.

5. Ergonomic Assessment: A physiotherapist can assess the work or home environment to identify any ergonomic issues that may contribute to poor neck posture. They may suggest modifications to individuals' workstations or recommend ergonomic aids such as supportive pillows or chairs to improve their posture.

6. Education: A physiotherapist will educate the patient about proper posture and body mechanics. This includes teaching the patient how to maintain a neutral spine position, adjust their workstation or daily activities to reduce strain on the neck, and avoid repetitive movements that may exacerbate symptoms.

7. Pain Management Techniques: Physiotherapists may employ pain management techniques such as heat or cold therapy, electrical modalities like ultrasound, TENS (transcutaneous electrical nerve stimulation), or acupuncture to reduce pain and discomfort associated with poor neck posture.

Neck pain due to poor postures is typically managed by a combination of self-care strategies, lifestyle modifications, and medical interventions. In addition to these treatment options, a physiotherapist may also recommend modalities such as heat or ice therapy, electrical stimulation, or ultrasound to help manage pain and promote healing. Consult with a physiotherapist for an individualized treatment plan, as poor neck posture can be caused by a variety of factors and may require a different approach for each patient. I hope you will find the answer to the above-mentioned details regarding neck pain and its treatment through physiotherapy.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Mohammed Wajid
Mohammed Wajid

Physiotherapy

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