Presentation
We present a case of upper cervical myelopathy secondary to atlantoaxial instability and atlantodental osteoarthritis. [ncbi.nlm.nih.gov]
ALS Feature CSM ALS Age Older than 55 Older than 55 MRI findings Spondylosis Spondylosis Fasciculations Absent Present Atrophy of arms Present Present Atrophy of legs Absent Present Denervation Absent Present Other conditions that can mimic CSM on presentation [aafp.org]
Funding and Disclosures * Presented at a meeting of the American Rheumatism Association, Atlantic City, New Jersey, June 4, 1955. [nejm.org]
Findings suggest that manipulation and mobilisation present similar results for every outcome at immediate/short/intermediate-term follow-up. [patient.info]
Hematological
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Easy Bruising
Aches and pains, loss of mobility, easy bruising – they’re all signs of getting older. One area in particular that has a tendency to become bothersome is the spine. [myvegaschiropractic.com]
Immune System
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Cervical Lymphadenopathy
Cervical lymphadenopathy. Exquisite tenderness over a vertebral body. Features suggestive of a myelopathy include: Insidious progression. Gait disturbance /- clumsy hands. Loss of sexual, bladder or bowel function (often a late sign). [patient.info]
lymphadenopathy Exquisite tenderness over a vertebral body Gait disturbance or clumsy hands, or both Objective neurological deficit Sudden onset in a young patient suggests disc prolapse History of severe osteoporosis Drop attacks, especially when moving [physio-pedia.com]
Entire Body System
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Arm Pain
Phlegm damp blockage in meridians-- clear Yang fails-- dizziness and vertigo sx: neck pain, arm pain, tingling fingers, weak-fist clenching, tender spots; weak and numb limbs, vomiting, vertigo, sudden fall, cold limbs, stabbing pain, limited limbs ROM [quizlet.com]
Other common symptoms include shoulder and arm pain, tingling in your arms, hands or feet, poor coordination or difficulty walking, poor reflexes and decreased bladder control [ Mayo Clinic ; PudMed Health ]. [health.howstuffworks.com]
Radiculopathy[4] 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. [patient.info]
Musculoskeletal
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Neck Pain
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%. [patient.info]
However, a small subset of patients who have these changes on the X-ray will have complaints that range from neck pain, and stiffness, to sever debilitating pain with neurologic dysfunction. [synapsedoctor.com]
Neck Pain Guidelines: Revision 2017. J Orthop Sports Phys Ther. 2017;47(7):511-2. 22.0 22.1 22.2 22.3 22.4 Binder A, Cervical spondylosis and neck pain. [physio-pedia.com]
If you have chronic neck pain or other symptoms of cervical spondylosis, come see us at Medici Medical Arts. Contact one of our clinics in the Atlanta area to schedule an exam and consultation with our experienced pain physicians. [medicimedicalarts.com]
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Shoulder Pain
Specific exercise training for reducing neck and shoulder pain among military helicopter pilots and crew members: a randomized controlled trial protocol, BMC Musculoskelet Disord. 2015; 16: 198. KNEW WW. Neck Pain Guidelines: Revision 2017. [physio-pedia.com]
If they perform it systematically, gains strong and flexible spine and make the sufferer free from neck pain, shoulder pain and cervical spondylosis. [gyanunlimited.com]
Clinically, several syndromes, both overlapping and distinct, are seen: neck and shoulder pain, suboccipital pain and headache, radicular symptoms, and cervical spondylotic myelopathy (CSM). [rothmanortho.com]
When symptoms develop, they are typically neck pain, stiffness, and sometimes scapular and shoulder pain. When the spondylosis causes spinal nerve root or spinal cord compression, this is a more serious condition. [emoryhealthcare.org]
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Spine Pain
Spondylosis (spine arthritis) is one of the most common causes of spine pain and stiffness once you are aged over fifty. Spondylosis is further categorised depending on the region of the spine that it is present. [physioworks.com.au]
Neck Pain and Cervical Spondylosis Neck or cervical spine pain becomes more common as you age, often because of age-related degeneration of the neck bones. [everydayhealth.com]
Pain and stiffness are both episodic and usually varies with time (days and weeks). 2 The patient's pain and stiffness will generally present at the end of the day and espcially when the head is held in a specific position(usually in extension). [morphopedics.wikidot.com]
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Paravertebral Muscle Spasm
Pain, paravertebral muscle spasm, lordosis angle, the range of neck motion and function were observed to improve significantly in the LPL group, but no improvement was found in the placebo group. [ncbi.nlm.nih.gov]
The treatment group showed significant improvement on several parameters: pain, paravertebral muscle spasm, lordosis angle and range of motion of the neck [37] [38] [39] References 1.0 1.1 1.2 1.3 1.4 Musumeci G, Aiello FC, Szychlinska MA, Di Rosa M, [physio-pedia.com]
Psychiatrical
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Type A Personality
The other terms used for this condition are Degenerative disc disease Degenerative spondylosis Osteopytosis Spondylitis deformans It is very common in persons above 50 years of age and those who have got to do work like typing or persons who have to keep [physiotherapy-treatment.com]
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Head Banging
Repetitive movement (such as “head banging”) Trauma Sports injuries to the neck Compression caused by muscles in constant spasm (the trapezius muscle is the most common culprit) Movement of the Neck Source Symptoms of Cervical Osteoarthritis Symptoms [healdove.com]
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Social Isolation
Even more than the pain which can be relieved with medicine, it is social isolation from which patients often suffer most. It is true that at an advanced stage, osteoarthritis can be very debilitating and impair quality-of-life. [arthrolink.com]
Neurologic
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Headache
Headaches can be caused from the compression that is the result of the discs degenerating and ultimately collapsing. Cervical osteoarthritis headaches are very distinctive, but are often misdiagnosed. [healdove.com]
Neck Pain Symptoms Cervical osteoarthritis may cause headaches, stiffness, radiating pain, and other neck pain symptoms. [spine-health.com]
It may also cause headaches, a form of radiated or referred pain, especially in the back of the head. [arthritis-health.com]
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Cervical Radiculopathy
See Cervical Radiculopathy Causes and Risk Factors If the osteoarthritis impinges on the spinal cord, it could lead to spinal cord dysfunction, called cervical myelopathy. [spine-health.com]
At the other extreme, cervical spondylosis may compress one or more of the spinal nerves branching out of the cervical vertebrae - a condition called cervical radiculopathy. [nuhgynae.com.sg]
radiculopathy, when bone spurs press on nerves as they exit the bones of the spinal column. [doctorshangout.com]
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Neck Stiffness
There may also be neck stiffness, tingling or numbness in the shoulders and arms, or pain in the back of the head. Symptoms may be gradual or sudden in onset. [riversideorthopedics.com]
Your neck bones and cartilage deteriorate over time, leading to troubling symptoms, like unrelenting neck pain and neck stiffness. Bone deterioration can also lead to irregular bone growths, also known as bone spurs [ Mayo Clinic ]. [health.howstuffworks.com]
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Dizziness
[…] a. lv and kd xu-- lv yang uprising-- stirring lv wind-- HA, distension, dizziness, vertigo, insomnia b. SP and ST impairment d/t overthinking-- qi and blood xu-- brain lacks nourishment-- dizziness and vertigo, poor appetite, fatigue c. [quizlet.com]
Other symptoms such as dizziness, unsteadiness, and double vision when turning the head may also occur. Rarely, pressure on the spinal cord can cause weakness or paralysis in the legs and loss of bladder control. [meddict.org]
Struggling to stand, walk or perform various physical activities while dealing with the pain can be tiring and when severe pain hits, double vision and dizziness may occur. 6) Loss of balance. [natureword.com]
Spinal canal artery type: Symptom is migraine headaches, dizziness, or chest tightness and chest pain. Every attacks is associated with neck rotation. 4. [ift.edu.mo]
[…] intensity, the scale is most commonly anchored by "no pain" (score of 0) and "pain as bad as it could be" or "worst imaginable pain" (score of 100 [on 100-mm scale] Side Effects [ Time Frame: 4 weeks ] Gastric Pain, Constipation/Diarrhea, Blood Pressure, Dizziness [clinicaltrials.gov]
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Vertigo
[…] a. lv and kd xu-- lv yang uprising-- stirring lv wind-- HA, distension, dizziness, vertigo, insomnia b. SP and ST impairment d/t overthinking-- qi and blood xu-- brain lacks nourishment-- dizziness and vertigo, poor appetite, fatigue c. [quizlet.com]
In cervical spondylosis, vertigo is normally provoked by head movements, hence the term cervical vertigo. [gmjournal.co.uk]
So that you will not get vertigo due to cervical spine problems. You should just visit doctor and take tablets for vertigo and then start physiotherapy initially for a period of three weeks. [icliniq.com]
Diagnosis of cervical vertigo may be confused with migraine-associated, head movement–induced vertigo.16,17 Cervical vertigo is managed with neck movement exercises as permitted by orthopedic considerations.16,17 Conclusion Pharmacologic agents for pain [uspharmacist.com]
Ankles dorsiflexed. 10) Cervical spondylosis is usually associated with headache, vertigo and loss of balance which is due to postural changes. [physiotherapy-treatment.com]
Workup
The workup may include: Neck flexibility assessment. Cervical spondylosis limits the range of motion in your neck. To observe this effect, your doctor may have you tilt your head toward each of your shoulders and rotate your neck from side to side. [nuhgynae.com.sg]
Treatment
Our remedial treatment: The patient will undergo a full course of 41 days treatment which is generally recommended for a Cervical Spondylosis patient for permanent cure. [punarjanis.com]
Early detection and treatment can save you from the more invasive treatment options for the condition and restore you to a pain free life. [frontrangeregenmd.com]
Cervical osteoarthritis treatment The goal of cervical spondylosis treatment is to relieve your pain, reducing your risk of developing long-term damage, and helping you return to your daily activities. [bonsecours.com]
Any compression of the spinal cord requires prompt surgical treatment to avoid permanent disability. Treatments and drugs Without treatment, the signs and symptoms of cervical spondylosis may decrease or stabilize, or they may worsen. [nuhgynae.com.sg]
If you have cervical spondylosis and it is causing you chronic pain or functional issues, our team at Medici Medical Arts offers treatment for relief. Spondylosis is a general term for degenerative wear and tear of the spine. [medicimedicalarts.com]
Prognosis
Prognosis of Cervical Spondylosis A variety of factors determine success after surgery. [healthengine.com.au]
Prognosis of neck arthritis Although little can be done to reverse the degenerative changes to the spine associated with this condition, most patients can have a good outcome with appropriate management. [physioadvisor.com.au]
Prognosis Cervical spondylosis progresses slowly. It is a chronic joint disability, especially when it is associated with neuronal compression. However, most with acute neck pain do well. [patient.info]
Etiology
Epidemiology Incidence Predominant sex: male female (3:2 ratio) (1,2) Prevalence 10% by age 25 years 95% by age 65 years Etiology and Pathophysiology Disk desiccation leads to loss of disk height and biomechanical changes in the spine. [unboundmedicine.com]
Ossification of the Posterior Longitudinal Ligament (OPLL): Epidemiology, Pathology, Etiology, Diagnosis and Treatment (T Sakou et al.) Readership: Neurosurgeons, orthopaedic surgeons and researchers in biomechanics and bioengineering. [worldscientific.com]
Anatomy of Cervical vertebrae animation Epidemiology/Etiology Cervical osteoarthritis may be generalised, sometimes involving the entire cervical region, but it is usually more localised between the 5th and 6th and the 6th and 7th cervical vertebrae. [physio-pedia.com]
These are the most common causes of morbidity and mortality in the elderly population, but it is still not fully clarify their etiology and possible causal link. [nardus.mpn.gov.rs]
(Etiology) Some of the causes of Cervical Spondylosis include: Degeneration of the cervical disc, which causes the space between the vertebrae to narrow Prolapse (slipping forward) of the cervical disc Bulged cervical disc Formation of bone spurs (osteophytes [dovemed.com]
Epidemiology
Contents: Age-Related Changes of the Cervical Spine and Epidemiology of Neck Pain (J Dvorák & J A Antinnes) Clinical Anatomy of the Cervical Spine (K Hayashi) Biomechanics of Spondylosis (S Ebara et al.) [worldscientific.com]
Epidemiology of osteoarthritis. Clinics in geriatric medicine. 2010 Aug 1;26(3):355-69. Available from: [Accessed 19 June 2019] Kohn MD, Sassoon AA, Fernando ND. Classifications in brief: Kellgren-Lawrence classification of osteoarthritis. [physio-pedia.com]
Epidemiology[1] 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 slightly more than men[2]. Problems begin earlier in males. [patient.info]
Epidemiology Incidence Predominant sex: male female (3:2 ratio) (1,2) Prevalence 10% by age 25 years 95% by age 65 years Etiology and Pathophysiology Disk desiccation leads to loss of disk height and biomechanical changes in the spine. [unboundmedicine.com]
Pathophysiology
A review of the pathophysiology of cervical spondylotic myelopathy with insights for potential novel mechanisms drawn from traumatic spinal cord injury. Spine. 1998;23:2730–7. 3. Wilkinson M. [aafp.org]
Links: pathophysiology clinical features of cervical spondylosis investigations differential diagnosis management of cervical spondylosis/cervical disc prolapse red flags in neck pain [gpnotebook.com]
Epidemiology Incidence Predominant sex: male female (3:2 ratio) (1,2) Prevalence 10% by age 25 years 95% by age 65 years Etiology and Pathophysiology Disk desiccation leads to loss of disk height and biomechanical changes in the spine. [unboundmedicine.com]
Pathology and Pathophysiology (K Hiroshima et al.) [worldscientific.com]
Pathophysiology Cervical spondylosis is the result of disk degeneration. As disks age, they fragment, lose water, and collapse. Initially, this starts in the nucleus pulposus. [emedicine.medscape.com]
Prevention
Prevention of Cervical Osteoarthritis It is important to know how to prevent this condition. We will tell you some important tips for preventing cervical osteoarthritis and how to care for it. [steptohealth.com]
The movement prevents the stiffness so characteristic of osteoarthritis and the endorphins help to relax the muscles in the neck alleviating compression. [healdove.com]
As researchers work to understand the causes of osteoarthritis, they are able to offer advice to help prevent the disease or its progression and lessen... Cervical spondylosis most often causes neck pain and stiffness. [doctorshangout.com]
Prevention You may not be able to prevent cervical spondylosis. [nuhgynae.com.sg]
Cervical osteoarthritis prevention While cervical spondylosis cannot be prevented in many patients, follow these guidelines to reduce your risk, and slow the progression of the disease. [bonsecours.com]