Objective: The purpose of this case report is to describe the utilization of Cox Manual Cervical Distraction for the treatment of cervicalgia in a patient with Diffuse Idiopathic Skeletal Hyperostosis (DISH).
Clinical Features: A 59 year-old female presented with chronic constant neck pain and stiffness which limited her ability to perform activities of daily living (ADLs). Cervical spine radiographs revealed findings consistent with DISH.
Intervention and Outcome: This patient was treated with Cox manual cervical distraction resulting in a decrease in the severity and frequency of her pain and improved ability to perform ADLs. Protocol II was utilized to help promote normal facet mobility.
Conclusion: This case study describes the treatment of a 59 year old woman with chronic neck pain in the setting of DISH.
Author keywords: Chiropractic, Diffuse Idiopathic Skeletal Hyperostosis, Cervical Spine
Author affiliations: RAK: Private practice, Chicago, IL; Instructor, Cox Technique; CSO: Doctor of Chiropractic, VA Medical Center Minneapolis, MN
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