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International Journal of
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VOL. 13, ISSUE 1 (2026)
Multimodal physiotherapy approach in chronic cervical spondylolysis with carpal tunnel syndrome: Case report
Authors
Kirti Panwar, Rita Sharma
Abstract
Cervical spondylolysis is a rare structural defect of the cervical neural arch that can lead to chronic neck pain, segmental instability, and irritation of neural structures. When combined with compressive neuropathies such as carpal tunnel syndrome, symptoms often intensify and functional capacity may decline further. Multimodal physiotherapy using thermal modalities, targeted exercise therapy, neural mobilization, and ergonomic retraining has shown strong potential in managing degenerative cervical conditions. This case report presents a 67-year-old female with chronic cervical spondylolysis and bilateral carpal tunnel syndrome who completed a structured 15-day physiotherapy program that included hot pack therapy, TENS, cervical isometrics, scapular stabilization, tendon and nerve gliding, and progressive functional strengthening. The patient experienced marked pain reduction along with improvement in cervical mobility and grip strength. These findings highlight the clinical value of a multimodal physiotherapy approach for managing chronic cervical pathology accompanied by median nerve compression.
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Pages:44-46
How to cite this article:
Kirti Panwar, Rita Sharma "Multimodal physiotherapy approach in chronic cervical spondylolysis with carpal tunnel syndrome: Case report ". International Journal of Multidisciplinary Research and Development, Vol 13, Issue 1, 2026, Pages 44-46
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