Thursday 25 August 2016

Weight Loss Can Decrease Miracle Cervical Spondilysis Pain


Some time we watch Cervical Spondylosis Causes Severe pain, may pain radiate up to hand finger . than we focus only on Physiotherapy, Medicine etc. but tif Patient is Obese or overweight or Central part of Obesity (increase Abdominal Part) can enhance pain due to Improper Posture, Change the Body Alignment, Body Weight not Distribute Properly, direct give pressure Cervical Region (neck). its a Bio-Mechanical Disturbance. in that case The Medical Management is so much effective to Use Manual Manipulation Technique & Immediate Weight Loss & Reduce Indra-abdominal Fat.


Cervical spondylosis is chronic cervical disc degeneration with herniation of disc material, calcification and osteophytic outgrowths.

After back pain, simple neck pain (pain varying over time and with activity) is the most frequent musculoskeletal cause of consultation in primary care worldwide. As with simple back pain, it is multifactorial in origin, reflecting poor posture, muscle strain and sporting and occupational activities as well as psychological factors. Cervical spondylosis undoubtedly contributes to this burden but may also cause:

    Radiculopathy due to compression, stretching or angulation of the cervical nerve roots.
    Myelopathy due to compression, compromised blood supply or recurring minor trauma to the cord.

Epidemiology

    Neck pain is one of the most common musculoskeletal complaints. About two thirds of the population will experience neck pain at some point in their lives.
    Women are affected almost twice as much as men.
    Prevalence rises with age for men and women and is the highest in the age group between 50-59 years.
    The incidence of neck pain in general practice has been estimated to be between 18 and 23 per 1,000 registered patients per year.
    The percentage of people in whom neck pain becomes chronic is generally thought to be about 10%.
    X-ray findings suggest that the majority of men older than 50 years and women older than 60 years have evidence of degenerative changes in the cervical spine. The boundary between normal ageing and disease process is difficult to define.
    Both sexes are affected equally but problems begin earlier in males.

Symptoms

    Cervical pain worsened by movement.
    Referred pain (occiput, between the shoulder blades, upper limbs).
    Retro-orbital or temporal pain (from C1 to C2).
    Cervical stiffness - reversible or irreversible.
    Vague numbness, tingling or weakness in the upper limbs.
    Poor balance.

Signs

    Limited range of movement (forward flexion, backward extension, lateral flexion and rotation to both sides).
    Minor neurological changes like inverted supinator jerks (unless complicated by myelopathy or radiculopathy).
    Poorly localised tenderness.

Radiculopathy (PAIN AGRAVATING TOWARDS FOREARMS MAY UPTO FINGER)

Suspect this where there is unilateral neck, shoulder, or arm pain approximating to a dermatome. There may be accompanying changes in sensation or weakness in related muscles. Note: pain or paraesthesia radiating into the arm is a nonspecific sign for nerve root pain.

    There may be postural asymmetry with the patient flexing their head to decompress the nerve root.
    Neck movement may be restricted.
    Dural irritation can be demonstrated with the Spurling test (flexion of the neck laterally, rotation and pressure on the top of the patient's head) - typical radicular pain is reproduced if the test is positive.
    The most commonly affected nerve roots are between the C5 to C7 levels.
    Sensory symptoms (shooting pains, numbness, hyperaesthesia) are more common than weakness.
    Reflexes are usually diminished at the appropriate level (biceps - C5/C6, supinator - C5/C6, or triceps - C7).

No comments:

Post a Comment