CSpine (MB)

Question 1

What is pain adaptability?

Answer 1

How each individual’s perspectives influence their pain

Question 2

What is the prevalence & economic impact of cervical spine dysfunction?

Answer 2

• gotten worse in the last year
  -4th yrs lost in disability
  -spinal problems make up >9% US HC dollars
  -50% will have recurrance
  -USA: these pts have increased psychological effects and decreased overall health
  -Usually no clear picture of what causes neck pain

Question 3

With cervical spine dysfunction, WHO seeks help?

Answer 3

-about 25% of those with pain (SO we usually see the worse cases)
-women>men
-chronic issues

Question 4

What is the PREPARE instrument? (used in cspine)

Answer 4

designed to ID critical social determinents of health that may influence that pt outcome (race, gender, ethnicity, social class, sexual orientation)
*the longer the duration of sxs means less likely to have good outcome

Question 5

What are the cspine issues categorized at irritable disorders vs. non-irritable disorders?

Answer 5

Irritable:
1. whiplash
2.radiculopathy
3. acute herniated disc
Non-Irritable:
1. postural problem
2. cervical spondylosis
3. NON-acute herniated disc
4. cervicogenic headache

Question 6

Which dx best correlates with the following symptoms in cspine?
- Worse in AM?
- Worse in PM?
- Worse with movement?
- Better with movement?

Answer 6

• disc issue
• instability, disc, posture
• instability, WAD
• spondylosis

Question 7

What is the difference between a primary headache and a secondary headache?

Answer 7

• Primary: NOT the result of a different medical condition (cluster, tension, migraine)
• Secondary: DUE to another underlying condition (cervicogenic) which is what we usually tx