Treatment of chronic cervicobrachialgia with the help of kinesiotherapy

The treatment of chronic non-specific neck pain (NP) is often ineffective due to the lack of a comprehensive approach. We present a case of a 32-year-old patient complaining of NP, mainly on the left side, and pain in the left shoulder with an intensity of up to 6 points on a numerical rating scale (NRS). He had this complains for 4 months, and was repeatedly consulted by neurologists and therapists, magnetic resonance imaging of the neck and other examinations had been performed, diagnosis of osteochondrosis and protrusion of the C IV–VII discs was proposed, nonsteroidal anti-inflammatory drugs, muscle relaxants and vitamins of group B were prescribed with insufficient efficacy. During previous treatment, no attention was paid to the insufficient episodic physical activity against the background of a sedentary lifestyle and long static postures. We used an integrated approach that included kinesiotherapy and optimal drug therapy with dexketoprofen (Dexalgin). Kinesiotherapy included therapeutic exercises, postural training, ergonomic and lifestyle recommendations and kinesio taping. As a result of the treatment, educational talks (about the cause of pain, chronic factors, treatment methods, prognosis), an individually selected exercise complex and therapy with dexketoprofen (Dexalgin) there was a relatively quick (during a week) reduction of the pain to 2 points according to the NRS. Subsequently, the pain had completely subsided (observation period 3 months), the patient began to follow the rules of ergonomics, performed regular medical exercises and resumed sports. Issues related to the treatment of chronic non-specific NP are discussed.