CERV. sprain/strain Flashcards
1
Q
CERV. sprain/strain classic presentation
A
patient has constant dull pain that is sharp with movement after a traumatic injury (initial pain at time of injury then goes stiff)
2
Q
similar DDX’s
A
- burners/stingers
- whiplash
- cerv. disc herniation
3
Q
supporting factors
A
- traumatic MOI
- dull pain that is sharp with movement
- rest and not moving helps
- muscle spasms and guarding
- +ve RUST SIGN
4
Q
refuting factors
A
- abnormal neuros
- not releived by pain
- improved with movement
- insidious onset
5
Q
relevant orthos
A
- possible rust sign
- O’donoghues
- soto hall
6
Q
physical findings
A
- guarded in al ROM
- pain when involved muscle is recruited
7
Q
referrals
A
- physiotherapist
- GP for pain meds
- x-ray is suspecting fracture
8
Q
contraindications
A
if it is grade 3 strain/sprain = NO ADJUSTING CERV. SPINE
9
Q
techniques
A
grade 1 sprain strain = adjust to patient tolerance
grade 2 = use activator
10
Q
care plan
A
adjust 2 x week for 6 weeks
11
Q
recommendations
A
- care with lifting
- adequate sleep
- home exercise
- ice, gentle mobilization and pain relief
12
Q
prognosis
A
- 6-8 weeks
- EXCELLENT if dedicated to recovery and young
