36-Years-Old Male with Cervical Disc Protrusion and Postural Deviations

Lakkadsha Tasneem, Ashish Bele, Singh Nivedita, Qureshi Mohd.Irshad, Kovela Rakesh Krishna

Department of Community Health Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Ins. of Med. Sciences, Wardha, Maharashtra, India

ABSTRACT

Structures around the cervical spine are a common source of neck pain and have numerous aetiologies. One of the aetiologies considered here is the sustained abnormal posture; this type of presentation can be seen in the population which works tirelessly in the same position for hours like the patient in our case who works as a technician. Patient’s main concerns were pain in right shoulder radiating till the elbow, the severity of the pain kept the patient awake for nights. Clinical findings include severely restricted extension of neck and reduced lateral flexion and rotation of the affected side; Spurling’s test positive for the affected side and distraction test positive. MRI revealed cervical intervertebral disc protrusion at multiple levels (C3-C4, C4-C5, C5-C6, and C6-C7). This case report concluded that poor cervical posture responsible for overloading on cervical spine leads to disc protrusion in people who work for long hours in abnormal posture.

Keywords:

Cervical Disc Protrusion, Radiculopathy, Forward Head Posture, Thoracic Kyphosis, Physiotherapy