Combination of Cervical Traction with Transcutaneous Electrical Nerve Stimulation on Patient with Cervical Radiculopathy:A Case Report


  • Aragya Khadka
  • Mohini Shah



Cervical radiculopathy, Cervical traction, TENS, Transcutaneous electrical nerve stimulation


Cervical radiculopathy is the result of cervical nerve root pathology with the sensory, motor and reflexes
changes that may lead to chronic pain and disability. Although, conservative interventions including
cervical traction, TENS and exercises have been previously shown to be effective in reducing pain and
disability caused by cervical radiculopathy, the combined effect of the same has not been documented.
The purpose of this study is to present the effect of cervical traction combined with TENS followed by
exercises on pain and disability in a patient with cervical radiculopathy. A 34-year-old man presented
with an acute history of neurological cervicobrachial pain and whose diagnosis was confirmed with
cervical radiculopathy as per the clinical prediction rule. Cervical traction and TENS was applied
simultaneously followed by exercises to reduce the patient’s pain and disability measured at baseline
and after 1 week using the Numeric Pain Rating Scale, the Neck Disability Index and the PatientSpecific Functional Scale. Improvements in all outcome measures were noted over a period of one
week. Results showed that the patient’s pain had almost disappeared and he was able to return to job
without difficulties and limitations. In conclusion, the findings of this study support that the application
of cervical traction combined with TENS can produce significant improvements in terms of pain and
disability in cervical radiculopathy.

Author Biographies

Aragya Khadka

MPT, Dept of Physiotherapy, Father Muller College of Allied Health Sciences, Mangalore, Karnataka

Mohini Shah

MPT, Assistant Professor, Dept of Physiotherapy, Father Muller College of Allied Health
Sciences, Mangalore, Karnataka