CERV. degeneration/osteoarthritis Flashcards
1
Q
CERV. osteoarthritis classic presentation
A
older patient comes in with slow-onset neck pain and stiffness
2
Q
similar DDX
A
- cerv. myelopathy
3
Q
supporting factors
A
- postural changes
- dec. ROM
- pain worse in the morning or evening
- normal neuros
- headaches
- previous neck trauma
- pain in other joints (knee hip, lower lumbar)
4
Q
refuting factors
A
- younger patient
- radiculopathy
- acute onset
5
Q
relevant orthos
A
- cerv. distraction
- cerv. foraminal compression
- modified spurlings
- jackson’s
- maximum compression
- Lhermitte’s
6
Q
referrals
A
- x-ray for signs of degeneration
7
Q
contraindications
A
- no contraindication (adjust to patient tolerance)
8
Q
technique
A
- diversified with lighter force
9
Q
care plan
A
2x for 3 weeks then progress
10
Q
recommendations
A
- heat
- daily ROM exercises
- avoid aggravating activities
- physical therapy
11
Q
prognosis
A
- fair to good depending on progression and patients health
