CERV. disc herniation Flashcards
1
Q
Cerv. disc herniation classic presentation
A
18-35 yrs old after acute bending or twisting motion
2
Q
similar DDX’s
A
- cerv. SPRAIN/STRAIN
- cerv. FRACTURE
- whiplash
- cerv. facet syndrome
3
Q
supporting factors
A
- sharp shooting pain with radiculopathy
- unilat. arm pain/numbness/tingling
- dejereine’s triad
- C5/6 AND C6/7 area
- worse with ext. and rotation
4
Q
refuting factors
A
- non-traumatic MOI
- no radiating signs
- dull/achy pain
- bilateral sign
- no dejereine’s triad
5
Q
relevant orthos
A
- Bakody’s sign
- dejereine’s and valsalva
- cerv. distraction, foraminal compression, jackson’s modified spurlings and max. compression
6
Q
physical findings
A
- gaurding
- distressed
- dec. ROM
7
Q
referrals
A
- T2 MRI to check herniation
- Gp or orthopaedic specialist for any myotomes less than 3 or signs of spasticity
8
Q
contraindications
A
- adjust to tolerance
- avoid rotation
9
Q
technique
A
activator
10
Q
care plan
A
3x a week for 2-4 weeks
11
Q
recommendations
A
- avoid heavy lifting or rotation
- improve diet
- adequate sleep
12
Q
prognosis
A
- 3 months to heal
- 9-18 months if smoker
