The clinical observation of muscle energy techniques and ligamentous articular strain in 2 cases of cervical disc herniation with thoracic outlet syndrome

This case report presents two successful treatment outcomes of cervical disc herniation (CDH) with thoracic outlet syndrome (TOS) treated using manual therapy technique of the muscle energy technique (MET), ligamentous articular strain (LAS) and additional herbal medicine intake, acupuncture and pharmacopuncture sessions. Significant improvements were reported in the outcome measures at admission and at discharge for Visual Analogue Scale (VAS) and Neck Disability Index (NDI) scores and physical examinations followed by approximately three weeks of hospital admission. The successful outcomes suggest that integrative conservative management focused on muscle energy techniques (MET) and ligamentous articular strain (LAS) are effective in contributing to the conservative management of cervical disc herniation (CDH) with thoracic outlet syndrome (TOS). (C) 2014 Elsevier Ltd. All rights reserved.