Case study: Strain Counterstrain technique for upper trapezius trigger point in a 45-year-old IT professional diagnosed with cervical radiculopathy

This case study examines the use of the strain counterstrain (SCS) technique in treating a 45-year-old IT professional diagnosed with cervical radiculopathy and an associated upper trapezius trigger point. The patient presented with neck pain radiating to the right shoulder and arm, numbness in the fingers, and muscle weakness. These symptoms, persisting for six months, were not significantly alleviated by conventional physical therapy and medication. Following a thorough assessment, including physical examination, imaging studies (MRI), and electromyography (EMG), the diagnosis was confirmed. The SCS technique was chosen as the primary treatment modality due to its non-invasive nature and focus on patient comfort. After four weeks of treatment, the patient experienced significant pain reduction, improved muscle strength and range of motion, and was able to return to work with ergonomic adjustments. Follow-up EMG showed decreased nerve irritation, and the upper trapezius trigger point was no longer palpable, with a 25% improvement in conduction amplitude in the right C6 nerve root, indicating decreased nerve irritation. The Neck Disability Index (NDI) score improved from 28 to 12. This case study suggests that the SCS technique can be an effective treatment option for upper trapezius trigger points in patients with cervical radiculopathy.