Neck pain 2

Question 1

adult ADI? child ADI?

Answer 1

adult: 3mm
child: 5mm

Question 2

if someone has a big ADI, what should you do?

Answer 2

consider flexion/extension

Question 3

etiologies for a big ADI

Answer 3

trauma
inflammatory arthropathies (seronegative, seropositive)
down's
major UC anomalies (os odontoideum, agenesis of posterior arch, occipitalization
normal variant

Question 4

describe segmental dysfunction of cervical spine

Answer 4

nonspecific history
local tenderness/signs of subluxation
negative orthopedic
negative neurologic
AROM with variable restriction
PROM with end range restriction

Question 5

describe neuritis or radiculits due to disc

Answer 5

history of similar events, minor or major trauma
maybe radiating pain into arm/hand
radiation w/ valsalva’s: possible
ROM pain may be due to disc protrusion
compression and stretch tests could be positive
AROM: variable weakness
PROM:: variable

Question 6

how should you treat neuritis or radiculitis due to disc?

Answer 6

radiography may be helpful
MRI if unresponsive/progressive
soft techniques
limited orthotic support
when subacute, begin spinal stabilization