case_images: PMC8093562_01
case_images: MRI impression: Bilateral foraminal stenosis at C4 and C5, related to uncovertebral arthropathy, with exiting C5 nerve root impingement. At C5-C6, there is significant right foraminal stenosis with exiting C6 nerve root impingement. Photo courtesy of Joseph A. Marchione, MD, Neuroradiologist at Garnet Health Medical Center.
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case_images: PMC8093562_01_fpsyt-12-660105-g0001.jpg
case_images: F1
case_images: She had recently visited the emergency room for acute exacerbation of her cervical pain with complaints of stiffness, right upper extremity radiculopathy, worsening neck pain, decreased range of motion (Figure 1), and inability to sleep and perform activities of daily living (ADLs) (Figure 1).
case_images: Chronic pain intensity & pain-related symptoms.
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case_images: F2
case_images: Her pain score (see Figure 2) improved from 9 to 5, indicating a 40% decrease in pain at the end of the trial. She had no change in the intensity of her PTSD flashbacks post therapy vs. initial (Figure 2).