Three-dimensional Myofascial Release and Neck Strengthening in the Management of Cervical Spondylosis—A Case Report

Background: Cervical spondylosis is a degenerative condition caused by age-related wear and tear of the spinal discs and joints. It can lead to stiffness, pain, and reduced mobility. Three-dimensional myofascial release (3D-MFR) is a technique that involves stretching, compression, and movement to release fascial restrictions, reduce pain, and improve mobility. This case report illustrates the application of 3D-MFR in the treatment of cervical spondylosis. Purpose: To evaluate the effectiveness of 3D-MFR combined with strengthening exercises on pain, proprioception, range of motion (ROM), and function in a patient with cervical spondylosis. Participant description: A 55-year-old female reported with chronic neck discomfort, stiffness, and functional restrictions caused by cervical spondylosis. She was a pathologist by occupation, and her condition was exacerbated by prolonged use of a microscope at work, which required sustained neck flexion and suboptimal posture. Intervention: The patient underwent 3D-MFR in combination with neck strengthening exercises over a period of 5 weeks. Results: The patient demonstrated significant improvements in pain, ROM, proprioceptive accuracy, and functional capability. The outcome measures used for assessment included the Visual Analog Scale, goniometer-based ROM, joint position error test, and the Neck Disability Index. Conclusion: This case report supports the potential efficacy of 3D-MFR and neck strengthening exercises in treating symptoms of cervical spondylosis and enhancing cervical spine function, particularly for individuals with work-related postural demands.