23- Cervical anatomy

Question 1

What are some places that neck pain can come from?

Answer 1

Disc,musce,ligamnent, bone, nerve

Question 2

What can happen to the cervical vertebrae curvature when anterior and posterior muscles spasm?

Answer 2

It can straighten

Question 3

What can occur to the intervertebral foramen in sudden extension of the vertebrae?

Answer 3

It can narrow and press on the DRG and spinal cord

Question 4

What is lig flavum made out of that’s different than the other ligaments?

Answer 4

Elastic cart- allows a lot of stretching

Question 5

What will a rear ending injury do to the whole spinal column?

Answer 5

Extension of spine prmarily, then whip into hyperflexion

Question 6

What are your fingers contacting in suboccipitalrelease?

Answer 6

Skin, subQ fascia, deep investing fascia, traps, semispinalis capitis, splenius capitis, splenius cervicus, suboccipital muscle (RCPMi/Mj, OCS/I)

Question 7

What does rectus capitus posterior minor connect to in the head?

Answer 7

Dura

Question 8

What nerve pierces the semispinalis capitis?

Answer 8

Greater occipital nerve

Question 9

What does the lesser occipital nerve travel?

Answer 9

Up over the head with the greater occipital nerve

Question 10

What curves around the OCI?

Answer 10

Vertebral artery

Question 11

What are some OMT Tx for acute pain?

Answer 11

soft tissue OMT, pain meds

Question 12

What could be a Dx of a pt who has pain radiate downt he arm when they flex their head?

Answer 12

Herniated disc- the disc moves posteriorly when we flex our neck

Question 13

When the disc is herniated, what does it press on that causes the radiculopathy?

Answer 13

Nerve root

Question 14

What can u use for pt’s with herniated disc?

Answer 14

Soft OMT- traction, MFR, ST,CS, still technique, FPR, BLT

Question 15

Is OMT contraindicated with a pt with a herniated disc?

Answer 15

No

Question 16

What do u see on an X-ray with a pt with degenerative discs?

Answer 16

bone spurs (where the bodies stick out), arthritis (whiteness) of the facets

Question 17

What 2 bones form the jugular foramen?

Answer 17

temporal and occipital

Question 18

Jugular foramen stenosis can cause what in kids?

Answer 18

decreased blood flow in skull, torticollis (XI affected), poor sucking (X). Anything with CN IX-XI

Question 19

Where does the sternal branch of the SCM have a tigger point?

Answer 19

back of head, around the eyes

Question 20

Where does the clavicular head of the SCM have trigger points?

Answer 20

above the eyes, ear, behind ear