Week | Physiotherapy intervention | Duration | Pain rating | Functional Limitation |
1 to 2 | - Exercises: Stretches - Posture correction and ergonomics - Modalities: TENS (20 minutes, SD mode, 75 Hz, 270 µS), Thermotherapy: Infra-red (20 minutes) | Twice a week appointment | 8, 8, 7, 7 on NRS Mean Pain on NRS: 7.5 | - Difficulty sleeping - Difficulty performing overhead activities - Persistent vertigo - Pain related fear towards performing basic activities of daily living and recreational activities |
3 to 6 | - Exercises: Stretches and strengthening exercises to cervical muscles - Posture correction and ergonomics - Modalities: TENS (20 minutes, SD mode, 75 Hz, 270 µS), Thermotherapy: Infra-red (20 minutes) - Manual cervical traction - Mechanical cervical traction with 10% body weight - Reciprocal pulley - Non-thrust manipulation | Twice a week appointment | 7, 8, 7, 5, 6, 6, 7, 5 Mean Pain on NRS: 8.5 |
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7 to 8 | - Exercise therapy: stretches and strengthening exercises - Postural correction and ergonomics - Modalities: TENS (20 minutes, SD mode, 75 Hz, 270 µS), Thermotherapy: Infra-red (20 minutes) - Soft tissue mobilization with topical analgesic | Twice a week appointment | 6, 5, 8, 7 on NRS Mean Pain on NRS: 6.5 |
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