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

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