Effectiveness of Physical Activity Combined with Medical Rehabilitation in Cervical HNP Patient Post Radiofrequency Ablation (RFA) Procedure: A Case Report
Keywords:
cervical disc herniation, medical rehabilitation, radiofrequency ablation, physical activityAbstract
Introduction : Cervical disc herniation most likely happens in people over 30-years-old-age with a job that need holding a posture that can make body alignment easily diverge. Case presentation : A 48-year-old male presented with radiate pain from the wrist going upward to the neck. He also felt numbness or tingling sensation on the right side of the arm. MRI showed protrusion of intervertebral disc C5-6 and C6-7 with narrowing of right and left neural foramen. The patient was diagnosed with C5-C6 cervical disc herniation, Radiofrequency Ablation (RFA) was performed twice. An Anterior Cervical Discectomy and Fusion (ACDF) procedure was suggested but the patient declined it and then he received 3 months of physical therapy, and he performed physical activity regularly. Eventually the patient reported resolution of all the symptoms after. Conclusions : This case report emphasizes the effectiveness of combining physical activity with medical rehabilitation in a patient with cervical herniated nucleus pulposus after RFA procedure. The combination of these approaches yielded positive results measured by NPRS and ROM examination, with the patient experiencing reduced pain, improved daily function, and return to their daily activities.
References
Abdullaiev, R., & Voronzhev, I. (2022). B-mode ultrasonography of herniated cervical discs in young people. ScienceRise: Medical Science, 2(47), 23–27. https://doi.org/10.15587/2519-4798.2022.255539
Anekar AA, Hendrix JM, & Cascella M. (2024). WHO Analgesic Ladder. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.
Da Silva, L. E. C. T., & De Almeida, L. E. P. C. A. (2021). Update on Cervical Hernia Treatment: Conservative Management and Indications of Different Surgical Techniques. Revista Brasileira de Ortopedia, 56(1), 18–23. https://doi.org/10.1055/s-0041-1724007
Wu, S. K., Chen, H. Y., You, J. Y., Bau, J. G., Lin, Y. C., & Kuo, L. C. (2022). Outcomes of active cervical therapeutic exercise on dynamic intervertebral foramen changes in neck pain patients with disc herniation. BMC Musculoskeletal Disorders, 23(1). https://doi.org/10.1186/s12891-022-05670-6
Sharrak S, & Al Khalili Y. (2023). Cervical Disc Herniation. StatPearls [Internet]. Treasure Island (FL): StatPearls.
Engle AM, Khanna R, & Abd-Elsayed A. (2024). A. Radiofrequency ablation for the cervical spine. Ann Palliat Med.
Yaşa, M. E., Ün Yıldırım, N., & Demir, P. (2021). The effects of a 6-Week balance training in addition to conventional physiotherapy on pain, postural control, and balance confidence in patients with cervical disc herniation: a randomized controlled trial. Somatosensory & Motor Research, 38(1), 60–67. https://doi.org/10.1080/08990220.2020.1845136
Johnson MI, Paley CA, & Jones G, et al. (2022). Efficacy and safety of transcutaneous electrical nerve stimulation (TENS) for acute and chronic pain in adults: a systematic review and meta-analysis of 381 studies (the meta-TENS study) . BMJ Open.
Wei, WB. , Dang, SJ. , & Wei, L. et al. (2021). Transforaminal epidural steroid injection combined with radio frequency for the treatment of lumbar disc herniation: a 2-year follow-up. BMC Musculoskelet Disord .
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Copyright (c) 2024 Nabila Luthfiyyah Zahra, Fikar Ramadhani (Author)
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