Journal of Case Reports in Medical Science

Resolution of Neck Pain and Recovery of Drug-associated Erectile Dysfunction Following Conservative Management in Cervical Spondylosis: A Case Report

2026-02-27T10:38:28+00:00

Cervical spondylosis is a degenerative disorder of the cervical spine that commonly causes chronic neck pain and functional limitations in older adults. Although pharmacologic therapy, including neuropathic pain agents, is usually the first line of management, it can cause adverse effects such as erectile dysfunction, which may limit its usefulness and necessitate conservative management like physiotherapy.

A 67-year-old male civil servant presented with a six-month history of right-sided neck pain and a burning sensation that began after abrupt neck rotation during exercise. Radiographs showed osteophyte formation and straightening of the cervical lordosis. Medical management included Amlodipine, Neurovite, and the neuropathic pain agent Gabapentin, which provided minimal relief but triggered erectile dysfunction shortly after initiation, prompting discontinuation and referral for physiotherapy.

The patient underwent eight physiotherapy sessions over four weeks, consisting of cervical mobilization (Grades II and III), soft-tissue mobilization, cryotherapy, progressive neck stabilization exercises, strengthening exercises, and ergonomic counseling.

Following treatment, pain reduced (NPRS: 8/10 to 2/10), disability decreased (NDI: 27% to 8%), and the drug-induced erectile dysfunction completely resolved (IIEF-5: 10/25 to 25/25). Cervical range of motion improved across all planes, and no radicular signs were observed.

This case highlights the role of structured physiotherapy in improving pain and function in cervical spondylosis and was associated with recovery of drug-related erectile dysfunction after medication cessation, although causality cannot be definitively established.

Venous Malformation of the Buccal Mucosa in a 65-Year-Old Female: A Case Report

2026-03-12T05:42:16+00:00

Aim: To present a case of venous malformation of the buccal mucosa in an elderly patient and to emphasize the role of clinical and radiologic evaluation in establishing an accurate diagnosis.

Case Presentation: A 65-year-old female reported a painless swelling on the left buccal mucosa that had been present for three months. Clinical examination revealed a localized, soft, bluish lesion that was compressible and demonstrated blanching on diascopy, indicating a vascular origin. Based on initial findings, hemangioma was considered provisionally. To further assess the lesion, Doppler ultrasonography was performed, which revealed a low-flow vascular pattern consistent with a venous malformation.

Discussion: Accurate distinction between vascular tumors and vascular malformations is essential, as their biological behavior and treatment approaches differ. Sole reliance on clinical appearance may lead to misdiagnosis, particularly in older patients. Doppler imaging provides valuable information regarding flow characteristics, enabling precise classification and appropriate treatment planning.

Conclusion: Comprehensive evaluation combining clinical examination and imaging is crucial for correct diagnosis and rational management of oral vascular lesions.

Comparative Analysis of Scalpel and Diode Laser Surgical Methods in Management of Traumatic Fibroma

2026-01-06T11:54:16+00:00

Aims: To compare the clinical outcomes of conventional scalpel excision and diode laser ablation in the management of traumatic fibroma.

Presentation of Case: This report presents two cases of traumatic fibroma treated using different surgical modalities. In Case 1, a traumatic fibroma was excised using a conventional scalpel technique, resulting in complete lesion removal with satisfactory healing at 15 days and no recurrence at one-month follow-up. In Case 2, excision was performed using an 880-nm diode laser, which provided excellent intraoperative haemostasis, minimal patient discomfort, and rapid postoperative healing without scarring within eight days. Histopathological examination in both cases confirmed the diagnosis of traumatic fibroma.

Discussion: Both treatment modalities were effective in achieving complete lesion removal. However, diode laser excision demonstrated superior clinical advantages, including better haemostasis, reduced postoperative discomfort, and faster wound healing compared to conventional scalpel excision.

Conclusion: While both scalpel and diode laser techniques are effective for the management of traumatic fibroma, diode laser excision offers enhanced clinical efficiency and patient comfort, making it a valuable alternative for soft-tissue lesion management.