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Abstract

SYMPTOMATIC MANAGEMENT IN THE REVERSAL OF CERVICAL LORDOSIS AND SACRALIZATION OF LUMBAR VERTEBRAE WITH CUPPING THERAPY: A CASE REPORT

*Vd. Monika Sharma

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Abstract

Healthy cervical spine resembles a wide ‘C’ shaped curvature with the curve pointing towards the back of neck. This cervical curve aids in the stabilization of both head and spine. But in some cases, this curve runs in the wrong direction called as Reverse Cervical lordosis, wherein there is an abnormal straightening, curving up or bow in the opposite direction. When the spine curves abnormally, the muscles get pulled in different directions, causing them to tighten up or spasm. The pain extends to the neck, shoulders and upper back. There is neck stiffness, headache, decreased range of motion, pins and needle sensation in the hands and fingers. On the other hand, Sacralization is a common irregularity of spine where the L5 vertebrae may fuse fully or partially on either side or both sides of sacrum. It is a congenital anomaly. A young male patient aged 30 years visited Shalya OPD with chief complaints of chronic neck pain and stiffness for 2 years. The pain radiates to Rt upper limb and there was decreased and painful cervical range of motion and strength. A considerable lower backache and morning stiffness was also there. MRI Cervical spine with whole spine screening reveals reversal of cervical lordosis, C4,C5,C6,C7 levels with mild disc bulge and uncovertebral osteophyte indenting the traversing nerve roots at these levelsThere is sacralization of L5 vertebrae and at L3,L4,L5 levels, partial disc desiccation with mild diffuse disc bulges. An intervention to manage this case successfully, improve the functional ability of spine and provide symptomatic relief in neck and back pain is CUPPING THERAPY. A Healthy cervical spine is important for much of our movement and flexibility. This therapy exhibits mechanical, physiological and psychological effects on the body, decreases the fascial & muscular spasm and tensions, increases blood flow, releases the rigid soft tissues and promotes cellular healing. The patient’s overall health and comfort levels is enhanced tremendously. It provided deep relaxation to the patient which aided in decreasing his mental stress. Main goal is to increase the upper extremity and neck strength, flexibility as well as range of motion so that he could be active and pain free.

Keywords: Cupping, Cervical and Lumbar Spine, Musculoskeletal Pain, Raktmokashana.


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