Effects of Thoracic Screw Manipulation in Patients With Cervical Radiculopathy

Cervical radiculopathy is a pain and/or sensorimotor deficit syndrome that is defined as being caused by compression of a cervical nerve root. The compression can occur as a result of disc herniation, Spondylosis, instability, trauma, or rarely, tumors.Thoracic spine manipulation (TSM) is defined as a high-velocity/low amplitude movement or "thrust" directed at any segment of the thoracic spine. Recent research has shown that Thoracic Joint Manipulation directed to the thoracic spine provides a therapeutic benefit to patients with neck pain and has been suggested as an appropriate strategy to minimize the risks associated with manipulation of the cervical spine

Inclusion Criteria:Patients complaint from pain in the cervical spine and pain or paresthesia traveling from the neck into a specific region of the arm, forearm or hand Cervical Lateral flexion and rotation <60 degree Positive scores on 3 of 4 clinical tests: Spurling's test, upper-limb neurodynamic test/median nerve bias, cervical distraction test, and cervical rotation toward the symptomatic side of less than 60° Hypomobility at T1- T5 thoracic vertebrae on springing test.Exclusion Criteria:Participants with a history of vertebro-basilary artery insufficiency. Patient with history of cervical surgery or arthroplasty Patients with a positive history of trauma, fracture or surgery of the cervical spine Diagnosed cases of Torticollis, and scoliosis History of osteoporosis, Any heart disease