Chapter 24- Cervical Spine And Painful Neck Flashcards
Definition of cervical spondylosis
Degenerative disease of the intervertebral discs and joints of cervical spine (cervical osteoarthrosis)
Mechanisms of symptoms in cervical spondylosis?
- osteophyte impingement of nerve root
- acute disc herniation
Origin of neck pain
- viscerogenic
- vasculogenic
- spondylogenic
- neurogenic
- psychogenic
Symptoms of c5 root compression
Weak deltoid
Loss of sensation over deltoid
Symptoms and signs of c6 root compression
Weak biceps
Absent biceps jerk
Loss of sensation in thumb and index finger
Symptoms and signs of c7 root compression
Weak triceps
Absent triceps jerk
Loss of sensation in index and middle finger
Conservative management of cervical spondylosis
- Rest fro two days followed by soft collar for 1-2 weeks
- Pain relief: anti-inflammatories or analgesic
- Physiotherapy
- Educate patient about neck care
Surgical options for cervical spondylosis
spinal decompression and fusion- evidence of cord compression or root signs
what is the cause of congenital torticollis
the sterno-mastoid becomes fibrous due to a bleed int he muscle
Treatment of congenital torticollis
stretching and splintage, surgical division of the contracted scarred muscle is indicated in resistant cases
secondary causes of torticollis
- inflamed lymph nodes
- ear problems
- ocular problems
- sleeping posture related
- minor trauma related
- Atlanto-axial subluxation
Treatment of acute torticollis
- local heat
- cervical traction
- analgesics
- anti-inflammatories
- soft cervical colllar
treatment of cervical rib
most respond to physiotherapy: the shoulder elevators are strengthened and posture improved
If severe objective neurological or vascular signs are present, the rib or band should be surgically excised.
