Neck pain and dysphagia associated to disc protrusion and reduced functional stability: A case report

Abstract Background Deglutition dysfunction like dysphagia may be associated with cervical symptoms. Findings A young female complained of pain on the neck and swallowing dysfunction that was reduced by means of isometric contraction of cervical muscles. Magnetic resonance imaging revealed an anteri...

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Bibliographic Details
Published in:Journal of bodywork and movement therapies 2017-04, Vol.21 (2), p.322-327
Main Authors: Margelli, Michele, BSc, PT, OMT, Vanti, Carla, MSc, PT, OMT, Villafañe, Jorge Hugo, PhD, MSc, PT, Andreotti, Roberto, BSc, PT, OMT
Format: Article
Language:English
Subjects:
Adult
Cervical
Cervical Vertebrae - diagnostic imaging
Cervical Vertebrae - pathology
Deglutition disorders
Deglutition Disorders - etiology
Exercise Therapy - methods
Female
Humans
Intervertebral disc displacement
Intervertebral Disc Displacement - complications
Intervertebral Disc Displacement - diagnostic imaging
Intervertebral Disc Displacement - therapy
Musculoskeletal Manipulations - methods
Neck Muscles - pathology
Neck Pain - etiology
Osteophyte
Pain
Physical Medicine and Rehabilitation
Physical therapy technique
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Summary:Abstract Background Deglutition dysfunction like dysphagia may be associated with cervical symptoms. Findings A young female complained of pain on the neck and swallowing dysfunction that was reduced by means of isometric contraction of cervical muscles. Magnetic resonance imaging revealed an anterior C5-C6 disc protrusion associated with a lesion of the anterior longitudinal ligament. Barium radiograph showed a small anterior cervical osteophyte at C6 level and dynamic X-ray excluded anatomical instability. The treatment included manual therapy and active exercises to improve muscular stability. Conclusions Diagnostic hypothesis was a combination of cervical disc dysfunction associated with C6 osteophyte and reduced functional stability.
ISSN:1360-8592
1532-9283
DOI:10.1016/j.jbmt.2016.07.011