Cervical 2B Flashcards
What are the 4 buckets of neck pain classification
Mobility Deficit
Movement Coordination deficit
neck pain with headache
neck pain with radiating pain
Symptoms of instability of c spine
Hx of major trauma
Reports of catching, locking, giving way
Unpredictability of symptoms
“Head feels heavy”
alerted ROM
neck pain w/ or w/o muscle spasms
Headache
How will a patient with facet joint dysfunction typically present?
unilateral neck pain
will report “crick in their neck” or that they slept wrong”
Imaging typically unremarkable
What are the 6 predictors of whether or not T spine manip will help a C spine facet dysfunction?
Symptoms for under 30 days
No symptoms distal to shoulder
Looking up does NOT aggravate symptoms
FABQ Under 12
Diminished Upper T spine kyphosis
Cervical extension range is over 30
Cervical radiculopathy is usually ________
Cervical myelopathy is usually __________
Combined Myelopathy and radiculopathy usually presents how?
Unilateral
Bilateral
Unilateral in UE and bilateral in LE
How will a C4 disc herniation present?
posterior neck and medial scapular border pain
How can a herniated disc in the C spine affect breathing?
Difficulty breathing can indicate C3-C5 disc herniation because of diaphragm involvement
How will a C5 disc herniation present?
Numbness on superior aspects of shoulders
How will a C6 disc herniation present?
radiating pain from neck to lateral aspect of upper arm, forearm, and hand
How will a C7 disc herniation present?
Radiating pain from posterior neck, scapula, posterior upper arm, forearm and hand
how will a C8 disc herniation present?
radiating pain from neck to medial aspect of upper arm, forearm, and hand
what is the most common site for cervical radiculopathy
C7- Radiating pain from posterior neck to scapula, posterior upper arm, forearm, and hand
C5 radicular symptoms will cause what motor deficits
Deltoid and bicep
C6 radicular symptoms will cause what motor deficits
wrist extensors and biceps
C7 radicular symptoms will cause what motor deficits
wrist flexors
triceps
finger flexors
C8 radicular symptoms will cause what motor deficits
finger flexors and hand intrinsic
T1 radicular symptoms will cause what motor deficits
hand intrinsic
The disc between C6-C7 will compress what nerve root?
C7 nerve root
(it’s the C6 disc)
When are acute disc herniations typically seen?
Mostly seen over 50
not commonly seen under 30
Cervical radiculopathy is commonly seen following what kind of injury?
hyperextension injury with combined sidebending and rotation of neck
What is neck pain called when its NOT caused by:
Trauma
Cervical radic
non-MSK causes
mechanical neck pain
(can transition to become chronic neck pain
When is mechanical neck pain most common?
30s and 40s
Forward head posture mobility deficits:
OA Flexion:
AA Rotation:
OA extension:
Thoracic Extension:
Shoulder complex:
GH and AC joint:
Forward head posture mobility deficits:
OA Flexion: Hypo
AA Rotation: Hypo
OA extension: Hyper
Thoracic Extension: Hypo
Shoulder complex: Hypo
GH and AC joint: Unstable
How does forward head posture affect the TMJ
TMJ overcloses
What cervical conditions must be ruled out before an exam?
Ligamentous instability
Myelopathy
Malignancy
Spinal Fx
Vascular Pathologies (VBI)
