Preview

Cervical Spondylosis: Causes, Incidence and Risk Factors and Physiotherapy Approach

Powerful Essays
Open Document
Open Document
2770 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Cervical Spondylosis: Causes, Incidence and Risk Factors and Physiotherapy Approach
Cervical Spondylosis: Causes, incidence and risk factors and Physiotherapy approach
Table of Contents: Serial No. | Contents | Page No. | 1. | Introduction | 02 | | Background | 04 | | Justification | 05 | | | | 2. | Objective | 05 | 2.1 | General objective | 05 | 2.2 | Specific objective | 05 | | | | 3. | Methodology | 06 | 3.1 | Study design | 06 | 3.2 | Sample size | 06 | 3.3 | Sampling technique | 06 | 3.4 | Research instrument | 06 | 3.5 | Study population | 06 | 3.6 | Place of work | 06 | 3.7 | Duration | 06 | 3.8 | Variable | 07 | 3.9 | Operation definition | 07 | 3.10 | Ethical consideration | 08 | 3.11 | Data analysis | 08 | | | | 4. | References | 09 |

1.Introduction:
Cervical spondylosis is a common degenerative condition of the cervical spine. It encompasses a sequence of degenerative changes in the intervertebral discs, osteophytosis of the vertebral bodies, hypertrophy of the facets and laminal arches, and ligamentous and segmental instability. As spondylosis refers degenerative osteoarthritis of joint, it may cause pressure on nerve roots with subsequent sensory or motor disturbance. Clinically, several syndromes, both overlapping and distinct, are seen. These include neck and shoulder pain, sub occipital pain and headache, radicular symptoms, and cervical spondylotic myelopathy (CSM). Radiculopathy is characterized by sensory and motor disturbances, such as severe pain in the neck, shoulder, arm, back, and/or leg, accompanied by muscle weakness, whereas, less commonly, direct pressure on the spinal cord (typically in the cervical spine) may result in myelopathy, characterized by global weakness, gait dysfunction, loss of balance, and loss of bowel and/or bladder control. The patient may experience a phenomenon of shocks (paresthesia) in hands and legs due to nerve root compression. Frequently, associated degenerative changes in the facet joints, hypertrophy of the ligamentum flavum,



References: 7. Young WF. Cervical spondylotic myelopathy: a common cause of spinal cord dysfunction in older persons.Am Fam Physician. Sep 1 2000;62(5):1064-70, 1073.  8

You May Also Find These Documents Helpful

  • Good Essays

    Williams presented to Advanced Diagnostic Group to undergo an MRI of her cervical spine. The results revealed: 1. There is mild spondylosis with anterior osteophytes at C4-5, C5-6, C6-7. At C5-6 there is mild disc space narrowing. 2.…

    • 869 Words
    • 4 Pages
    Good Essays
  • Good Essays

    MRI of the lumbar spine on 8/23/14 shows mild degeneration and minimal bulging of the L4-5 disc, asymmetric central disc herniation at L5-S1 affecting the right S1 nerve root, and moderate bilateral L5-S1 neural foraminal narrowing.…

    • 595 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Hillcrest Medical Case 6

    • 576 Words
    • 3 Pages

    HISTORY OF PRESENT ILLNESS: This 40-year-old black Latin female presents with complaints of low back and right leg pain. She says that she hurt her back in a motor vehicle accident in 2000 and she has had a history of intermittent low back pain since that time. Last December she started a job where she had to lift boxes that weight approximately 40 pounds. Around the first of January this year she began to complain of back pain that gradually went into her right leg. The pain is primarily in the sacroiliac region and radiates into the buttock and lateral lower leg as far as the ankle. She has no numbness. Coughing and sneezing exacerbate her pain. She has to move around to get comfortable when lying down but she is more comfortable lying down then in any other position. She is still working full-time but is not doing the heavy lifting at this time. She has been going to a chiropractor for the last 2 months with no pain relief. She is taking Flexeril, Norflex, Tylenol with Codeine, and Darvocet. All of these have failed to improve her symptoms. She had a CT scan done recently.…

    • 576 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    DOI: 07/07/2015. This is a 55-year-old male scrap metal grader who sustained a work related injury on his right elbow, thoracic spine, cervical spine, and lumbar spine when he was ejected from a container bin. Patient is a diagnosed with cervical sprain, cervical radiculopathy, thoracic sprain, lumbar sprain, lumbar radiculopathy, right shoulder sprain, right wrist, and right hand sprain. MRI of lumbar spine without contrast dated 10/14/15 revealed T12 compression fracture, chronic; degenerative disc disease at L1-L2 through L5-S1, posterior annular fissure at L4-L5; facet arthropathy at L2-L4 and L5-S1; mild canal stenosis at L3-L4 and L4-L5; moderate left neural foraminal narrowing at L3-L4 and L4-L5, and right paracentral disc protrusion at L5-S1.…

    • 466 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Sciatica Case Studies

    • 671 Words
    • 3 Pages

    - Pt C/O lower back and radiates through the buttock and to one or both lower extremities. The patient reports that he is a construction foreman who assist with lifting machinery. A herniated disc is characterized by leg pain greater than back pain that radiates below the knee that worsens with sitting (Casazza, 2012). In addition to this a herniated disc may be the underlying cause for the patient current sciatic nerve pain. As stated by Rothaus (2015), the most common cause of sciatica is herniation of the disc in the lumbar region. Rothaus (2015), also states that a positive SLR is also indicative of disc herniation.…

    • 671 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    * Common signs and symptoms: pain at medial epicondyle, pain with forced flexion of wrist and with any torqueing mechanisms with a high load of weight…

    • 473 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    A 22yo Case Study

    • 1609 Words
    • 7 Pages

    First I have the client perform active free range of motion (AFROM) of the spine to the limit of their pain in a standing position. They present with pain on both sides when performing extension of the lumbar spine. Second I have the client supine on the table and perform passive relaxed range of motion (PRROM) to the point of any pain. The client presents with reduced range of motion in the right hip, specifically in extension. Since the PRROM test does not reveal pain in the Piriformis on either side we can possibly rule out piriformis syndrome and sciatic nerve lesion. To verify I have the client perform the Pace Abduction test which is negative, thus ruling out piriformis syndrome. I then have the client take a few steps across the room to see if they suffer any foot drop, the test is negative, possibly ruling out sciatica nerve lesion/s. I progress with the Ely’s test to check for shortened Rectus Femoris muscle which yields a positive result. This information leads me to believe that the client is suffering from…

    • 1609 Words
    • 7 Pages
    Good Essays
  • Powerful Essays

    Gnt1 Task 1

    • 2042 Words
    • 9 Pages

    References: Smith, Nathalie, RN, MSN, CNP. Grose, Sara, MSN, RN, PHN, CNL, CLE. August 2010. Pain Assessment in Older Adults. Retrieved from http://www.ebscohost.com/uploads/poc/pdf/NRC_skillPaper.pdf…

    • 2042 Words
    • 9 Pages
    Powerful Essays
  • Satisfactory Essays

    Iw Injury

    • 588 Words
    • 3 Pages

    IW reports constant neck pain as aching with exacerbations and radiation to bilateral shoulders/upper extremities. IW notes intermittent numbness and tingling to bilateral hands/fingers. IW reports major weakness in the upper extremities, not being able to grasp items and involuntarily drop items. IW reports being able to tolerate right wrist pain. IW reports exacerbation of pain due to change in weather. IW complains of headaches with dizziness and nausea. She attempts to avoid any exacerbating activities. The IW has tried pain medications and therapy which helps some. Her sleep quality is poor secondary to pain. She has a history of epidural injections with no change. She has been doing PT 3 days a week since her last visit with some improvement of symptoms. On examination of the cervical spine, bilateral paracervical and trapezius tenderness is noted. Bilateral palpable spasm is noted. Range of motion (ROM) shows flexion of 35 degrees, extension of 20 degrees, and bilateral rotation to 55 degrees, all with pain. On examination of the lumbar spine, bilateral paralumbar tenderness is noted with palpable spasm. Sacroiliac joint tenderness is noted, right greater than the left. ROM demonstrates flexion of 45 degrees and extension of 0 degrees, all with pain. Straight leg raise is positive bilaterally. Sensory…

    • 588 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    DOI: 7/28/2016. Patient is a 44-year-old female communication strategist who sustained injury while she was walking to a meeting when she tripped and fell. Per OMNI, she was diagnosed with severe spinal cord compression at C4-7 with myelopathy and L4-5 and L5-S1 degenerative changes. Patient is status post cervical laminectomy from C3 through C7 with posterior cervical fusion on 09/06/16.…

    • 587 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Spinal muscular atrophy [SMA] is a disorder in which, you have a loss of motor neurons. Your muscle symmetry is often off. In addition, there is muscle weakness in your spinal cord. This occurs in a hard time sitting up and holding your head up on your own. It is just like when you are a newborn and you need a pillow to sit on the couch. A few major causes of SMA are loss of motor neuron cells or nerve cell. This mutation leads to a deficiency of motor neuron cells or nerve cells. The disorder SMA is tied to the gene "SMN1" and tied to chromosome 5. A few symptoms of this disorder are- difficulty breathing lack of oxygen, difficulty eating, floppy posture, small amount of movement, and all these symptoms will gradually get worse over time. All these symptoms are at about a mild level in the beginning.…

    • 417 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Heterotopic Ossification

    • 749 Words
    • 3 Pages

    Heterotopic Ossification (HO) in spinal cord injury patients is a common complication seen a few weeks to months following injury. This paper will focus on R.B. A C2 ASIA A quadriplegic patient and his course of treatment for early HO that was detected in his right hip approximately 1 month following his accident. Heterotopic ossification is the presence of bone in the soft tissue where bone does not normally exist. The ossification process involves the formation of mature lamellar bone, which is indistinguishable from normal bone, in soft tissues surrounding paralyzed joints (Kedlaya, Sheridan 2013) The signs and symptoms are harder to diagnose in a patient that cannot tell you that they have a fever or feel pain. Classic signs are fever, swelling, erythema, and joint tenderness.…

    • 749 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Transverse myelitis is an inflammation across the width of the spinal cord, and her condition affected her vertebra from C6 downward. At the start, she lost complete function from the chest down, but the outcomes of transverse myelitis vary. Some some individuals will regain full function, but some do not regain any. Others only regain partial function. Kerri falls into this category. She does not have sensation from the waist down, so she uses a wheelchair. Also, she stated that her upper extremities are strong, but her hands and wrists are weak (K. Morgan, personal communication, 2017, March 8th). In addition, her top two abdominal muscles fire, along with back muscles that spasms but are not in her control. Due to the diagnosis at a young age, Kerri is accepting of her condition and states that, “I do not know life any different, and that this is my normal” (K. Morgan, personal communication, 2017, March…

    • 1675 Words
    • 7 Pages
    Good Essays
  • Powerful Essays

    Stenosis means "closing in" or "choking". Spinal stenosis describes a condition in which the nerves in the spinal canal are closed in, or compressed. The spinal canal is the hollow vertical hole formed by the bones of the spinal column. Anything that causes this bony hole to shrink can squeeze the nerves inside. This narrowing can irritate the nerve roots that branch out from the spinal cord, or it can squeeze and irritate the spinal cord itself. This may cause pain, numbness, or weakness, most often in the legs, feet and buttocks. As a result of many years of wear and tear on the parts of the spine, the tissues nearest the spinal cord sometimes press against the nerves. The actual narrowing of the spinal canal does not cause symptoms. Symptoms develop when the spinal cord or nerve roots are compressed. Spinal stenosis may affect the cervical, thoracic or lumbar spine. The most common area affected is the lumbar spine followed by the cervical spine. Although many people older than age 50 have some narrowing of the spinal canal, not all experience symptoms. This helps explain why lumbar spinal stenosis is a common cause of back problems in adults over 50 years old.…

    • 2367 Words
    • 10 Pages
    Powerful Essays
  • Good Essays

    At any given time, 10 percent of the adult population has neck pain and it is the second leading cause of lost time from work behind low back pain, with less than 1 percent developing neurologic deficits and requiring surgical intervention. Most of the patients do recover with conservative therapy regardless of the underlying etiology of pain. Patients clinically present for a number of contributing factors and despite the cause, end up recovering well with conservative therapy. The development and use of standardized clinical practice guidelines ensures that tested and proven treatment approaches are used across the board and allows for analogous patient care. One of the research studies conducted is the Philadelphia Panel for Evidence Based Clinical Practice Guidelines (EBCPG) on Selected Rehabilitation Interventions for Neck Pain. What are the major contributing factors of neck pain and some of their treatments?…

    • 606 Words
    • 3 Pages
    Good Essays