Week 2- Common Cervical Spine Disorders Flashcards
1
Q
Potential pain generators in the cervical spine
A
- Ligaments: stretch, torn, compressed, ossified
- Muscles: contusion, tear, strain
- IVD: derangement, degenerated, infected
- Facets: subluxation, DJD, impinged, locked, inflamed, infection
- Bone: fracture, bruise, tumor, degeneration, infection
- Nerve root: compressed, stretched, inflamed, adhered
- Dural sheath: compressed, infected
- Spinal cord: compressed, infected, syrinx
- ANYTHING INNERVATED
2
Q
Common cervical MSK disorders
A
- Postural dysfunction
- Facet joint syndrome
- Cervical spondylosis (DJD/DDD)
~ Facet arthropathy (DJD)
~ Degenerative disc disease (DDD)
3
Q
Causes of postural dysfunction (cross syndrome)
A
- Deconditioning
- Prolonged postures
- Poor postural habits
- Large breasts (females)
- Forward head
- Psychological
4
Q
Result of postural dysfunction
A
- Stretched/weak structures
- Tight structures
- “Forward head”
- Thoracic kyphosis
5
Q
Which segments usually experience facet pain patterns?
A
C2-3 to C6-7
6
Q
Signs of acute facet dysfunction
A
Likely locked in sidebend/rotation opposite to pain (wry neck)
7
Q
Signs of chronic facet dysfunction
A
Likely closing/opening restriction
8
Q
Symptoms of facet dysfunction
A
- Sharp pain, protective postures
- Unilateral, mid-cervical usually
9
Q
Aggravating factors for facet dysfunction
A
Movement
10
Q
What is cervical spondylosis?
A
- Forms of osteoarthritis
- Degenerative disc disease (DDD)
- Degenerative joint disease (DJD)
11
Q
How common is cervical spondylosis?
A
Almost all adults 40+ have 1+ level of degeneration
12
Q
Local and systemic process
A
-
13
Q
While often asymptomatic, what arthritic symptoms can arise from cervical spondylosis?
A
- Loss of motion
- Painful motion
- Joint instability
- Neurologic involvement
