radiculopathy

Question 1

cervical spondylosis

Answer 1

degeneration of annulus fibrosis and osteophyte formation- narrowing of spinal canal and intervertebral foramina

Question 2

presenting complaint of cervical spondylosis

Answer 2

neck stiffness, crepitus, stabbing or dull arm pain, forearm/ wrist pain

Question 3

signs of cervical spondylosis

Answer 3

limited painful neck movement +/- crepitus, neck flexion may produce tingling down the spine

Question 4

radiculopathy

Answer 4

pain and electrical sensations, numbness, dull reflexes, LMN weakness and eventual wasting of muscles

Question 5

what suggests cord compression

Answer 5

UMN signs

Question 6

Management of cervical spondylosis

Answer 6

MRI, pain relief, consider surgical decompression eg discectomy, laminectomy

Question 7

sciatica

Answer 7

leg pain- sharp shooting, radicular worse on stretch/standing, better when lying with knee bent

Question 8

cauda equina

Answer 8

back and leg pain, bilateral sciatica, bilateral leg weakness, acute bladder/ bowel painlesss retention, perineal numbness