19 Harley St, London, W1G 9QJ, UK

Resolution of whiplash-associated allodynia following cervicothoracic thrust and non-thrust manipulation

Whiplash injuries of the cervical spine comprise 30% of injuries reported following motor vehicle accident (MVA) and often progress to chronic painful conditions. The purpose of this case report is to describe the management of a 37-year-old female referred to physical therapy with neck and shoulder pain after whiplash injury. The patient demonstrated limited cervical and shoulder active range of motion as well as quantitative sensory testing (QST) results consistent with central nervous system sensitization. She was treated for 11 visits over a 6-week period with manual therapy and specific exercise directed to the cervicothoracic spine. Her pain decreased from 9/10 to 2/10 by the end of treatment and remained improved at 1/10 at the 6-month follow-up. Her Copenhagen Neck Functional Disability Scale decreased from 23/30 to 4/30 by the 11th visit. In addition, she demonstrated clinically significant increases in cervical active range of motion and normal somatosensation. Manual therapy of the cervicothoracic spine may be a beneficial adjunct to the standard care of patients with signs and symptoms of central sensitization after whiplash-associated disorder and primary report of neck and shoulder pain

Keywords : Accidents,Traffic,Adult,Atlanto-Axial Joint,Atlanto-Occipital Joint,Central Nervous System,Cervical Vertebrae,diagnosis,Disability Evaluation,Exercise,Female,Humans,Hyperalgesia,injuries,Motion,Musculoskeletal Manipulations,Neck,Neck Pain,Nervous System,Pain,Pain Measurement,Patients,physiopathology,Range of Motion,Articular,Recovery of Function,rehabilitation,Severity of Illness Index,Shoulder,Shoulder Joint,Shoulder Pain,Spine,therapy,Thoracic Vertebrae,Time Factors,Treatment Outcome,Whiplash Injuries,, Whiplashassociated,Allodynia,Following,Cervicothoracic, hip arthritis cortisone injection

Date of Publication : 2011 Aug

Authors : Lowry CD;O’Hearn MA;Courtney CA;

Organisation : St. John Medical Center, Tulsa, OK, USA. carina.lowry@hotmail.com

Journal of Publication : Physiother Theory Pract

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/20977379

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Resolution of whiplash-associated allodynia following cervicothoracic thrust and non-thrust manipulation | Back operation / disc replacement? | Cyclechat cycling forum

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810