Presentation
Further, subtle clinical presentations can belie serious myelopathy because peripheral joint involvement can make interpreting the physical exam difficult. [ncbi.nlm.nih.gov]
Abstract: Background: Scalp dysesthesia is a common mode of presentation in rural West Bengal. The study aims at finding radiological correlation withbnimaging of cervical spine with the presenting symptoms. [journalijdr.com]
Entire Body System
- Pain
[…] types of non-surgical care to manage the pain. [spine-health.com]
If the pain radiates down the arm or up the back of the head, this is not disc or facet pain but nerve pain and can occur in conjunction with neck pain. [neckandback.com]
Pain with Inactivity: Pain that intensifies with prolonged inactivity; for example: sitting for extended periods of time at a desk Reduced Mobility: Decreased mobility from diminished flexibility of the spine and/or chronic pain; A limited range of pain-free [newyorkcityspine.com]
It is now generally accepted in medicine that back pain accounts for the majority of visits to the physicians’ office on a given day and, second to back pain visits, are visits for painful symptoms associated with the cervical or neck region. [practicalpainmanagement.com]
“Pain and spine clinics are filled with patients who suffer chronic neck and back pain, and this study provides the physician with more ammunition to use when educating them about their need to quit smoking.” Reference: www.physiatry.org [healio.com]
- Arm Pain
This results in a pattern of arm pain (specific to the nerve root involved) along with mild weakness and sensory loss in muscles and skin innervated by that nerve root. [bestpractice.bmj.com]
In the neck or cervical spine, radiculopathy usually is characterized by neck pain with associated shoulder blade or arm pain. [dallasneurosurgical.com]
When damaged discs in your neck are causing pain, loss of feeling, restricted movement, weakness, or tingling down your arm, know your treatment options. [necksurgery.com]
You should consult a neurosurgeon for neck pain if It occurs after an injury or blow to the head Fever or headache accompanies the neck pain Stiff neck prevents touching chin to chest Pain shoots down one arm There is tingling, numbness or weakness in [aans.org]
Skin
- Cutaneous Manifestation
The role of gabapentin in treating diseases with cutaneous manifestations and pain. Int J Dermatol. 2003;42(6):491-49512786883 PubMed Google Scholar Crossref 9. Yesudian PD, Wilson NJ. [jamanetwork.com]
- Alopecia
The differential diagnosis for scalp pruritus includes many common dermatologic conditions, including seborrheic dermatitis, psoriasis, scarring alopecia, tinea capitis, pediculosis, contact dermatitis, allergic dermatitis, acne, and folliculitis. [jamanetwork.com]
Musculoskeletal
- Neck Pain
These movable areas can wear out and cause neck pain. The neck pain from the wear of these structures may be located in the center of the neck, the side of the neck and also may radiate into the top or middle of the shoulders. [neckandback.com]
In general, increasing strength and flexibility in the neck can lower the risk for pain. See Physical Therapy for Neck Pain Relief Manual manipulation. [spine-health.com]
What to Do If You Think You Have Neck Pain from a Degenerative Spinal Condition Only a doctor can tell you for sure what is causing your neck pain. [spineuniverse.com]
Deltoids, Biceps) C5 : Wrist extensors C6 : Wrist extensors C7 : Triceps C8 : Hands Cervical Spine Disorder Symptoms Pain Weakness Numbness Pain Neck pain and symptoms caused by a cervical (neck) spine disorder are a very common. [sites.google.com]
- Spine Pain
The cervical spine has openings that allow arteries to pass blood to the brain. What Cervical Spine Pain Could Mean Neck pain can be debilitating and there is a wide range of possible causes. [centerforneuroandspine.com]
Spine 1984;9:667. Palit M, schofferman J, et al: Anterior discectomy and fusion for the management of neck pain. Spine 1999;24:2224. White AA, Southwick WO, Deponte RJ, et al. [uscspine.com]
Neck Pain/Cervical Spine Disorders Examination and Tests History: Neck Pain may be chronic or recent in onset. It may be confined to the neck or radiate to the arms. [minneapolisclinic.com]
Neuroleptic medications have a role in patients with cervical spine disorders, especially in the setting of radiculopathy. Gabapentin has been used commonly to treat neuropathic pain as well as spine related nerve pain. [ncbi.nlm.nih.gov]
- Cervical Osteoarthritis
Cervical spondylosis is a common, age-related condition that affects the joints and discs in your cervical spine, which is in your neck. It’s also known as cervical osteoarthritis or neck arthritis. [healthline.com]
It is worth repeating, for emphasis, the fact that NOT ALL NECK AND ARM PAIN IS DUE TO A HERNIATED DISC, CERVICAL OSTEOARTHRITIS OR NERVE ROOT COMPRESSION. [neurosurgerydallas.com]
- Chest Deformity
[…] including kidney, lungs, heart, liver, GI tract Chest deformity Misshapen, fused or absent ribs Breathing difficulties Short stature (dwarfism) Abnormal growth of arms and legs Hand and foot anomalies Vision and hearing impairments Skin abnormalities [chop.edu]
Neurologic
- Hyperreflexia
RESULTS: Patients most frequently present with hyperreflexia (21%) and weakness (21%), and there were various conservative treatment strategies. [ncbi.nlm.nih.gov]
A characteristic physical finding of CSM is hyperreflexia. The biceps and supinator reflexes (C5 and C6) may be absent, with a brisk triceps reflex (C7). [aafp.org]
Upper motor neurone signs in the lower limbs (Babinski's sign - up-going plantar reflex, hyperreflexia, clonus, spasticity). Lower motor neurone signs in the upper limbs (atrophy, hyporeflexia). [patient.info]
- neck pain, decrease ROM, crepitation, and occipital HA are common sx; - neurologic impairment in pts w/ RA usually occurs very gradually and may cause decreased pain sensation and hyperreflexia early; - Radiographic Work Up; - Cross Table Lateral [wheelessonline.com]
[…] impingement is less forgiving than lumbar nerve impingement Prolonged impingement with neurologic deficits is a risk for persistent deficits Cervical Spinal Stenosis may result in significant spinal cord injury Upper Motor Neuron effects may include hyperreflexia [fpnotebook.com]
- Paresthesia
Symptoms Neck tight or stiff Radicular Symptoms Characteristics Radicular pain (most common) Paresthesia s Weakness (15% of patients) Radiation into Shoulder Radiation along Radial Nerve distribution into arm Does not often radiate below elbow Contrast [fpnotebook.com]
[…] and colleagues described 2 case reports in which intrinsic spinal cord damage resulted from cervical epidural steroid injection despite fluoroscopic guidance; the patients, because of intravenous sedation, were unable to perceive and report pain and paresthesias [emedicine.medscape.com]
- Hyporeflexia
Lower motor neurone signs in the upper limbs (atrophy, hyporeflexia). Variable sensory changes (loss of vibration and joint position sense more evident in the hands than in the feet). [patient.info]
- Numbness in the Buttocks
[…] in your buttocks and legs. [newyorkcityspine.com]
- Dystonia
Patients with cervical dystonia or tics of the nuchal muscles can develop serious cervical spine disease. [ncbi.nlm.nih.gov]
Workup
In addition, consider performing infection workup to evaluate for possible discitis, epidural abscess, and vertebral osteomyelitis. [emedicine.medscape.com]
Radiological examination included the following workup as we reported previously. 6, 7 (i) Lordotic alignment of the cervical spine on radiographs taken in neutral positions, designated as cervical spine lordosis. [nature.com]
Treatment
There were two deaths reported, one resulting from conservative treatment and one from surgical treatment. [ncbi.nlm.nih.gov]
Most non-surgical treatment programs for neck pain will include some form of exercise and stretching. [spine-health.com]
Treatments include medication, physical therapy and surgery. [wexnermedical.osu.edu]
Prognosis
Use of proper mechanics, proper posture, body mechanics and awareness of the do’s and don’ts for a healthy back is necessary for a good long-term prognosis. [twinboro.com]
[…] joint ankylosis enthesopathy of the iliac crest, ischial tuberosities, and greater trochanters and spur formation in the appendicular skeleton (olecranon, calcaneum, patellar ligament) are frequently present 'whiskering' enthesophytes Treatment and prognosis [radiopaedia.org]
If surgery can be avoided the long term prognosis is good. [jnnp.bmj.com]
Treatment and prognosis of cervical radiculopathy. https://www.uptodate.com/contents/search. Accessed May 8, 2018. Shelerud RA (expert opinion). Mayo Clinic, Rochester, Minn. May 10, 2018. [mayoclinic.org]
Etiology
The etiology of DISH is still unknown. [radiopaedia.org]
Brodsky 14 reported the largest series of 438 cases with cervical angina, and perhaps had made the finest insight into the physiological etiologies. [nature.com]
Causes There are a number of specific causes of degenerative disc disease, ranging from an initial injury to the annulus (outer ring of the disc), facet joint injury, fractures, infections or rheumatologic etiologies (causes). [uscspine.com]
Current understanding of lumbar intervertebral disc degeneration: a review with emphasis upon etiology, pathophysiology, and lumbar magnetic resonance imaging findings. fckLRJOSPT 2008; 38(6):329-340 (level of evidence 1b) ↑ Zhang Y. [physio-pedia.com]
Background & Etiology The neck, or cervical spine, can be divided into three separate areas each performing a slightly different function. [twinboro.com]
Epidemiology
Over the past 50 years, we have found a significant decrease in the prevalence of aAAS, possibly due to improved disease control with modern DMARDs or changing epidemiology of RA. [arthritis-research.biomedcentral.com]
Incidence and epidemiology of cervical radiculopathy in the United States military: 2000 to 2009. J Spinal Disord Tech. 2012 Feb. 25(1):17-22. [Medline]. Salemi G, Savettieri G, Meneghini F, et al. [emedicine.medscape.com]
Epidemiology Incidence (U.S.) Men: 107 per 100,000/year Women: 64 per 100,000/year C5-C6 disc represents 90% of cervical disc lesions C6 nerve root impingement is most common (followed by C7 nerve root impingement) IV. [fpnotebook.com]
Pathophysiology
An understanding of the pathophysiological background of DCSD is necessary for appropriate interpretation of MR images, both plain and DTI. [ncbi.nlm.nih.gov]
Introduction: Most of these cutaneous pain symptoms are not attributed to any pathophysiology. The range of complaints vary widely from tingling, stinging to severe itching leading to scratch-itch cycle. [journalijdr.com]
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]
Current understanding of lumbar intervertebral disc degeneration: a review with emphasis upon etiology, pathophysiology, and lumbar magnetic resonance imaging findings. fckLRJOSPT 2008; 38(6):329-340 (level of evidence 1b) ↑ Zhang Y. [physio-pedia.com]
Current understanding of lumbar intervertebral disc degeneration: a review with emphasis upon etiology, pathophysiology, and lumbar magnetic resonance imaging findings. J Orthop Sports Phys Ther. 2008;38:329–340. Free Article. [moveforwardpt.com]
Prevention
CONCLUSIONS: This study emphasizes the need for careful neurological and surgical evaluation of pediatric patients with cervical spine abnormalities affected by CDP or CE in order to prevent progressive instability. [ncbi.nlm.nih.gov]
Ohio State’s stroke program is improving health care by developing the next breakthroughs in stroke prevention, diagnosis and care. [wexnermedical.osu.edu]
There is no way to prevent cervical spondylosis. [healthcommunities.com]
If you’re already suffering from degenerative disc disease, it’s important to seek treatment or begin home remedies to prevent it from getting worse. Degenerative disc disease is a progressive condition that typically develops in older demographics. [neuromicrospine.com]
It may also be an option for patients with other medical conditions that prevent them from undergoing general anesthesia. [neurosurgery.ucsf.edu]