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The McKenzie method is a technique primarily used in physical therapy.It was developed in the late 1950s by New Zealand physiotherapist Robin McKenzie. [1] [2] [3] In 1981 he launched the concept which he called "Mechanical Diagnosis and Therapy (MDT)" – a system encompassing assessment, diagnosis and treatment for the spine and extremities.
When mechanical traction is combined with other physical therapy modalities such as passive mobilization, massage, stretching and active exercises, it is an effective treatment for pain reduction in cervical or lumbar spine disorders. [5]
Foam rollers are commonly used in exercises such as yoga and pilates, but they can also help relieve neck pain, according to Crevilli. To address the cervical spine, Crevilli recommends using a 36 ...
Spinal manipulative therapy and physiotherapy exercises have been used in those with uncomplicated neck-tongue syndrome, resulting in improvements in symptoms. [11] [12] [13] Other methods of symptom management have included: non-steroidal anti-inflammatory drugs, gabapentin, steroid injections and cervical collars.
Exercise plus joint manipulation has been found to be beneficial in both acute and chronic mechanical neck disorders. [14] In particular, specific strengthening exercise may improve function and pain. [15] Motor control using cranio-cervical flexion exercises has been shown to be effective for non-specific chronic neck pain. [16]
In acute injury resulting in lumbosacral radiculopathy, conservative treatment such as acetaminophen and NSAIDs should be the first line of therapy. [1] Therapeutic exercises are frequently used in combination with many of the previously mentioned modalities and with great results. A variety of exercise regimens are available in patient treatment.
There is no evidence that chiropractic spinal adjustments are effective for any medical condition, with the possible exception of treatment for lower back pain. [2] The safety of manipulation, particularly on the cervical spine has been debated. [3] Adverse results, including strokes and deaths, are rare. [4] [5]
There are associated risks that come with cervical manipulation including spinal disc herniation, stroke and vertebral artery dissection.Chances of stroke may be increased due to possible tears in neck arteries, known as cervical dissection, and is among the most common causes of stroke for young and middle-aged adults. [5]
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