Authors :
Aanchal Sandeep Daga; Dr. Vaishali Kale
Volume/Issue :
Volume 10 - 2025, Issue 9 - September
Google Scholar :
https://tinyurl.com/2sb9u6ju
Scribd :
https://tinyurl.com/22a27fuu
DOI :
https://doi.org/10.38124/ijisrt/25sep036
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Abstract :
Introduction.
Cervical radiculopathy is a medical condition that results form nerve root compression or inflammation leading to
pain, numbness, and weakness extending from neck into upper limbs depending upon which nerve is being affected.
Conservative management approaches often include physiotherapy techniques aimed at reducing neural tension and
restoring functional mobility. Nerve flossing, also known as neural gliding, is a neurodynamic technique designed to mobilize
peripheral nerves and reduce adhesions, potentially alleviating symptoms. However, evidence on its specific effectiveness in
cervical radiculopathy remains limited.
Methodology
Thirty people between the ages of 30 and 60 with active neck pain with tingling and numbness in their arms were
subjected to pre-post experimental research. The NPRS (Numerical Pain Rating Scale) assessed functional impairment and
pain both before and after three weeks of treatment.
Results
The average NPRS score dropped significantly from 6.83 to 2.63 (t = 17.381, p <0.01), indicating a noteworthy
improvement in pain and neck function post-intervention.
Conclusion
Nerve flossing produced statistically significant pain relief and functional improvement in patients with cervical
radiculopathy.
Keywords :
Cervical Radiculopathy, Nerve Flossing, Nerve Compression, Tingling, Numbness.
References :
- Lyer S, Kim HJ. Cervical radiculopathy. Curr Rev Musculoskeletal Med. 2016 Sep;9(3):272-80. doi: 10.1007/ s12178-016-9349-4. PMID: 27250042; PMCID: PMC4958381.
- Bono CM, Ghiselli G, Gilbert TJ, Kreiner DS, Reitman C, Summers JT, Baisden JL, Easa J, Fernand R, Lamer T, Matz PG, Mazanec DJ, Resnick DK, Shaffer WO, Sharma AK, Timmons RB, Toton JF; North American Spine Society. An evidence-based clinical guideline for the diagnosis and treatment of cervical radiculopathy from degenerative disorders. Spine J. 2011 Jan;11(1):64-72. doi: 10.1016/j.spinee.2010.10.023. PMID: 21168100.
- Zanwar R, Wani S. Reliability and validity of modified upper limb neurodynamic tests in patients with cervical rad 15. PMID: 30510155; PMSID: PC 10949183:4412): 137-146. doi: 10.1142151013702524500112. Epub 2023
- Hamed SA, Zoheiry IM, Waked NM, Saad El-Din Mahmoud L. Effect of Neurodynamics Nerve Flossing on Femoral Neuropathy in Haemophilic Patients: A randomized controlled study. J Musculoskelet Neuronal Interact. 2021 Sep 1;21 (3):379-386. PMID: 34465677; PMCID: PMC8426650.
- Thoomes E, Ellis R, Dilley A, Falla D, Thoomes-de Graaf M. Excursion of the median nerve during a contra-lateral cervical lateral glide movement in people with and without cervical radiculopathy. Musculoskelet Sci Pract. 2021 Apr; 52:102349. doi: 10.1016/j.msksp.2021.102349. Epub 2021 Feb 16. PMID: 33618231.
- Woods BI, Hilibrand AS. Cervical radiculopathy: epidemiology, etiology, diagnosis, and treatment. J Spinal Disord Tech. 2015 Jun;28(5): E251-9. doi: 10.1097/BSD.0000000000000284. PMID: 25985461.
- Corey DL, Comeau D. Cervical radiculopathy. Med Clin North Am. 2014 Jul;98(4):791-9, xii. doi: 10.1016/ j. mcna.2014.04.001. PMID: 24994052.
- Borrella-Andrés S, Marqués-García I, Lucha-López MO, Fanlo-Mazas P, Hernández-Secorún M, Pérez-Bellmunt A, Tricás-Moreno JM, Hidalgo-García C. Manual Therapy as a Management of Cervical Radiculopathy: A Systematic Review. Biomed Res Int. 2021 Jun 3; 2021:9936981. doi: 10.1155/2021/9936981. PMID: 34189141; PMCID: PMC8195637.
- Maharaj RG, Motilal S, Khan R, Rampersad F. A No-Cost, Bedside, Self-Traction Maneuver for Relief from Chronic Cervical Radiculopathy: A Case Report. Cureus. 2023 Aug 23;15(8): e43963. doi: 10.7759/cureus.43963. PMID: 37746470; PMCID: PMC10515476.
- Peolsson A, Peterson G, Hermansen A, Ludvigsson ML, Dedering Å, Löfgren H. Physiotherapy after anterior cervical spine surgery for cervical disc disease: study protocol of a prospective randomised study to compare internet-based neck-specific exercise with prescribed physical activity. BMJ Open. 2019 Feb 19;9(2): e027387. [PMC free article] [PubMed]
- Hassan KZ, Sherman AL. Stat Pearls [Internet]. Stat Pearls Publishing; Treasure Island (FL): Jul 17, 2023. Epidural Steroids. [PubMed]
- Saranga J, Green A, Lewis J, Worsfold C. Effect of a cervical lateral glide on the upper limb neurodynamic test 1: A blinded placebo-controlled investigation. Physiotherapy. 2003;89(11):678-684. 13. Elvey R, Hall T. Neural tissue evaluation and treatment. In: Donatelli R, ed. Physical therapy of the shoulder. 4 ed. St. Louis: Churchill Livingstone; 2004:187-203.
- Walsh MT. Upper limb neural tension testing and mobilization. Fact, fiction, and a practical approach. J Hand Ther. 2005;18(2):241-258
- Butler DS. The Sensitive Nervous System. Adelaide, Australia: Noigroup Publications; 2000. [Google Scholar].
Introduction.
Cervical radiculopathy is a medical condition that results form nerve root compression or inflammation leading to
pain, numbness, and weakness extending from neck into upper limbs depending upon which nerve is being affected.
Conservative management approaches often include physiotherapy techniques aimed at reducing neural tension and
restoring functional mobility. Nerve flossing, also known as neural gliding, is a neurodynamic technique designed to mobilize
peripheral nerves and reduce adhesions, potentially alleviating symptoms. However, evidence on its specific effectiveness in
cervical radiculopathy remains limited.
Methodology
Thirty people between the ages of 30 and 60 with active neck pain with tingling and numbness in their arms were
subjected to pre-post experimental research. The NPRS (Numerical Pain Rating Scale) assessed functional impairment and
pain both before and after three weeks of treatment.
Results
The average NPRS score dropped significantly from 6.83 to 2.63 (t = 17.381, p <0.01), indicating a noteworthy
improvement in pain and neck function post-intervention.
Conclusion
Nerve flossing produced statistically significant pain relief and functional improvement in patients with cervical
radiculopathy.
Keywords :
Cervical Radiculopathy, Nerve Flossing, Nerve Compression, Tingling, Numbness.