Mr Thomas, a 67 year old retired Quantity Surveyor, presented to the clinic with a six month history of pain in his neck. This was accompanied with stiffness and restriction. There was no history of any injury or event. His symptoms started gradually becoming more intense 4 weeks before presenting at the clinic. In addition he noticed that he was having difficulty looking over his shoulder. Particularly on staggered junctions or reversing the car. He found that lying down eased his symptoms.
Three months after his symptoms began he went to see his GP. Initially he was prescribed a course of Non-steroidal anti-inflammatory drugs (NSAIDs) which helped to relieve some of his pain. Only after two further visits was he referred for an X-ray. This X-ray confirmed that he had cervical spondylosis from C4-C7 vertebrae. He had been advised that he would be placed on a waiting list for physiotherapy. He decided to seek independent treatment when he learned there would be a 12 to 14 weeks wait for physio.
The findings from the clinical assessment supported the X-ray diagnosis of Cervical Spondylosis. A neurological examination was unremarkable. There was a marked decrease in the global range of motion (ROM) in the neck, particularly side-bending. Mr. Thomas presented with a poor posture, a rounding upper back and a forward head posture. Consequently the musculature immediate to the neck and shoulders were tight and painful to palpation.
Initially Mr. Thomas had four treatments over consecutive weeks, gradually showing marked improvement. This treatment involved soft tissue techniques, stretches and gentle mobilizations. He was provided with advice regarding hydrotherapy, exercises and overall management. After the fourth treatment he had considerably less pain. He also demonstrated an improved range of motion in his neck movement. He was keen to build on this improvement and enrolled on a beginners Pilates class which he quite enjoyed. His symptoms were well controlled through a combination of classes and two monthly maintenance treatments at the clinic.
Spondylosis Case Study 13.