Cervical Spine Flashcards
What are some common symptoms associated with a Cervical Strain/Sprain?
Pain
Neck stiffness
cervicogenic headache (radiating pain in the head)
Which rules are used to determine is a healthy patient should obtain cervical radiography?
Canadian C-spine rules
What are physical exam findings that would be seen with a cervical strain/sprain?
Tenderness to palpitation over injured area
ROM limitations
What views are ordered for a cervical x-ray?
Lateral
AP
Dons
What symptoms are associated with sprains/strains vs muscle spasms?
Sharp pain = strains/sprains
Tightness + pain = muscle spasms
During examination what levels of spine are tested for a cervical sprain/strain?
C5-T1
What does the Range of motion Spurling’s Test assess?
Helps diagnose cervical disc herniation or cervical spondylosis
How is the Spurling’s test performed and what is considered a positive test?
Patient laterally flexes the neck to the affected side
Downward compression is applied
Positive Test= reproduction of radicular arm pain
What is the method of injury for a Whiplash injury?
MC is a stopped vehicle rear ended
Acceleration–deceleration of the neck with rapid flexion and extension
Classic presentation seen with Whiplash
- Delayed pain for 12-24 hours
- Pain peaks on the 3-5th day
- Pain and stiffness with flexion and extension
What are treatments given for Whiplash injuries
Cervical collars
NSAIDS
Muscle relaxers - Cyclobenaprine, Metaxalone
What is a cervical facet dysfunction and how is it caused?
Caused by a shift in the vetebral column that causes “locking of facet joints”
What is a common phrase associated with a Cervical Facet Dysfunction
“When i woke up i couldn’t turn my head”
What is the clinical presentation of a Cervical Facet Dysfunction?
Sharp unilateral pain
TTP at the focal facet
ROM limitation –> sharp pain that increases with added cervical extension
Treatment for Cervical Facet Dysfunction?
Anti inflammatories & muscle relaxers
Referral to PT/DO