Rahulbhai Nayaka
32 Years Old | Male
Presenting Complaints
- Pain in the neck and lower back
- Tingling sensations radiating down to the knee
- Discomfort during daily activities and prolonged riding
Medical Diagnosis
- Cervical spondylosis with associated lumbar radiculopathy
Mechanism / Onset
- Repetitive postural strain and prolonged vibration exposure during two‑wheeler travel leading to cervical and lumbar spine degenerative changes with nerve root irritation.
Medical Management
- Conservative medical management as advised by the treating physician.
Assessment & Clinical Findings
Clinical Findings
- Pain: Neck and low back pain aggravated by prolonged sitting and riding
- Neurological Symptoms: Tingling sensation radiating to the knee
- Posture: Poor riding posture contributing to spinal strain
- Functional Limitation: Reduced tolerance for prolonged two-wheeler driving
Physiotherapy Intervention Plan
Static Exercises
- Cervical static exercises to improve neck stability
- Back static exercises for lumbar stabilization
- Scapular strengthening exercises to enhance postural support
Modalities
- Transcutaneous Electrical Nerve Stimulation (TENS) for pain relief
- Short wave diathermy for muscle relaxation
- Cervical traction to reduce cervical nerve root compression
Treatment Outcomes
Marked reduction in neck and low back pain with decreased tingling sensations
Improved functional endurance
Able to drive a two-wheeler for prolonged periods without significant discomfort
Clinical Conclusion
This case highlights the effectiveness of a comprehensive physiotherapy approach in managing cervical spondylosis with lumbar radiculopathy. The treatment plan successfully addressed the patient’s symptoms through a combination of therapeutic exercises, pain management techniques, and postural correction strategies. The significant improvement in pain levels and functional abilities demonstrates the value of targeted rehabilitation in managing work-related musculoskeletal disorders. The patient’s ability to return to prolonged two-wheeler driving without significant discomfort underscores the success of the intervention in restoring functional independence and quality of life.