Manual Therapy. Your physical therapist may use manual therapy techniques, such as manual cervical traction, to relieve pressure in the cervical (neck) region. ![]() A cervical contoured pillow may be recommended to properly support the neck, and allow you to sleep more comfortably. Your physical therapist may advise you to wear a soft cervical collar at times throughout the day, to allow the neck to relax. ![]() Moist heat can be used after this time period to help the surrounding muscles relax. Ice packs applied to the neck and scapular (shoulder blade) region during the first 24 to 48 hours following the onset of pain, help reduce inflammation. Pain Management. The first goal is to reduce the pain and inflammation in the area. Your physical therapist will develop an individual treatment plan based on the findings of your initial evaluation. Physical therapy is an effective treatment for cervical radiculopathy, and in many cases, it completely resolves symptoms. That is why a pinched nerve in the neck can cause pain, weakness, and loss of sensation in the arm, even though the pinch is in the cervical region. Everywhere the spinal nerve travels will be affected. When the spinal nerves are impinged, they cannot properly send messages to the muscles from the brain, nor receive proper sensation from the specific arm location the nerve travels.
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