Abstract
Objective
The purpose of this report was to describe the use of Cox flexion distraction decompression
manipulation on a patient with radiculopathy from a C6/C7 disc herniation.
Clinical Features
A 33-year-old man complained of severe neck pain and spasms, pain radiating down his
left arm and upper back, and associated numbness in his fingers. Cervical spine plain
film radiographs showed mild C6/C7 osseous degenerative changes. Cervical magnetic
resonance imaging revealed a moderate-sized left posterolateral disc herniation at
C6/C7 causing severe foraminal stenosis.
Intervention and Outcome
Treatment consisted of Cox flexion distraction decompression manipulation and adjunctive
physiotherapy modalities. The patient was treated a total of 15 times over a period
of 10 weeks. Subjective findings using a pain scale and objective examination findings
supported a good clinical outcome. At 2-year follow-up, subjective and objective findings
remained stable.
Conclusion
This study reports Cox flexion distraction decompression manipulation and physiotherapy
modalities showed good subjective and objective clinical outcomes for this patient.
Key Indexing Terms
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Article info
Publication history
Accepted:
February 24,
2008
Received in revised form:
February 20,
2008
Received:
May 14,
2007
Identification
Copyright
© 2008 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.
