Physiotherapy is very important for cervicobrachialgia, aiming to reduce pain, improve function, and address underlying causes. Advanced techniques often include:

Manual Therapy

• Joint Mobilization/Manipulation: Skilled hands-on techniques to restore normal joint movement in the cervical and thoracic spine, reducing pressure on nerves.
• Soft Tissue Mobilization: Techniques to release tension and improve mobility in muscles and fascia of the neck, shoulder, and arm. This can include various strokes, kneading, and sustained pressure.

Myofascial Release (MFR)

Focuses on releasing restrictions in the fascia, the connective tissue that surrounds muscles, bones, and organs. Therapists apply sustained pressure to tight areas to stretch and loosen the fascia, improving flexibility and reducing pain.

Dry Needling

Involves inserting thin needles into myofascial trigger points (hyperirritable spots in muscles) to release muscle tension, reduce pain, and improve range of motion. It targets specific muscular dysfunction.

Active Release Technique (ART)

A patented, hands-on technique that involves applying pressure to a muscle or soft tissue while the patient actively moves the body part through a specific range of motion. This helps to break up adhesions and scar tissue, restoring normal tissue texture and function.

Muscle Energy Technique (MET)

A gentle manual therapy technique where the patient actively contracts specific muscles against a therapist’s resistance. This helps to lengthen shortened muscles, improve joint movement, and reduce muscle spasm.

Kinesiology Taping

Application of elastic therapeutic tape to the skin, designed to support muscles and joints, reduce pain and swelling, and improve circulation without restricting movement. It can help facilitate muscle function, reduce muscle fatigue, and alleviate pain.

Neural Mobilization (Neurodynamics)

Exercises and techniques designed to improve the mobility and gliding of nerves as they pass through anatomical tunnels. This helps to reduce nerve compression and irritation, alleviating symptoms like tingling, numbness, and shooting pain. Examples include “nerve glides” or “sliders.”

Therapeutic Exercise and Postural Training

• Strengthening Exercises: Focus on strengthening deep cervical flexors, scapular stabilizers, and rotator cuff muscles to improve neck and shoulder stability and support.
• Stretching Exercises: To improve flexibility in tight muscles of the neck, chest, and shoulders.
• Postural Re-education: Training patients to adopt correct postures during daily activities, work, and sleep to reduce stress on the cervical spine.
• Motor Control Exercises: To improve coordination and control of neck and shoulder movements.

Ergonomic and Lifestyle Modifications

Guidance on modifying workstations, sleep positions, and daily habits to minimize strain on the neck and arm.