Effectiveness of 4 Weeks Progressive Inhibition of Neuromuscular Structure (PINS) Technique with Conventional Treatment in Cervical Radiculopathy Patient: A Case Study

This case study presents the comprehensive physiotherapy management of a 45-year-old male patient named diagnosed with cervical radiculopathy. The aim of this study was to evaluate the effectiveness of progressive inhibition of neuromuscular structures technique with conventional interventions in reducing pain, symptoms, energy and posture, actions and activities, enhancing muscle strength and quality of life in patient. Baseline assessments revealed severe pain, increasing symptoms in arm and forearm during Median nerve tension test, significant functional limitations. The treatment plan incorporated Progressive inhibition of neuromuscular structure technique, exercise therapy, pain management techniques and education/self-management strategies. Pain management techniques included therapeutic hydrocollator packs and TENS, while Exercise therapy encompassed stretching, strengthening, and postural correction exercises. Education and self-management strategies focused on ergonomics, postural education, and a home exercise program. Evaluation of outcomes demonstrated significant improvements in pain intensity, symptoms, energy and posture, actions and activities, muscle strength and functional limitations decreased. The patient's quality of life also improved. Key words: Cervical radiculopathy, Progressive Inhibition of Neuromuscular Structures, Conventional treatment, cervical radiculopathy impact scale