Reversing the Curve: A Case Report on Managing Reversed Cervical Lordosis with Physical Therapy

Background: Reversed cervical lordosis is a spinal deformity in which the normal inward curvature of the cervical spine is altered, straightened, or reversed. This can cause severe pain and functional impairment. While many treatments have been recommended, ranging from physical therapy modalities to alternative methods, very few studies have evaluated the effectiveness of these interventions. Aim: It was to evaluate the effectiveness of physical therapy modalities in treatment a case of reversed cervical lordosis. Case Presentation: A case of a 63-year-old male with reversed cervical lordosis, disc bulges, and associated cervical pain treated with physical therapy was reported. MRI findings have shown multiple posterior disc bulges from C3/4 to C6/7, which were causing compression on the Cerebrospinal Fluid (CSF) space and spinal cord. Intervention: The course of treatment included Transcutaneous Electrical Nerve Stimulation (TENS), ultrasound, manual massage, manual cervical traction, and exercises for home use. Results: The patient cleared significant pain relief (Numerical Pain Scale reduction from 8/10 to 4/10) and improvement in range of motion after four treatment sessions. Conclusion: The current case emphasizes the effectiveness of physical medicine and rehabilitation in treating reversed cervical lordosis with associated disc bulges. Further researches are required in order to confirm treatment in similar cases with these therapeutic modalities.