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
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]
[…] types of non-surgical care to manage the pain. [spine-health.com]
Any patient suffering from neck, shoulder, head or arm pain should be examined by a doctor in order to determine where the pain originates and what is causing the pain. [sites.google.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 and symptoms may spread into your shoulders and arms. This is called radicular pain or radiculopathy. [spinesurgery.com]
- Arm Pain
In the neck or cervical spine, radiculopathy usually is characterized by neck pain with associated shoulder blade or arm pain. [dallasneurosurgical.com]
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]
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]
- Asymptomatic
While the radiographic features can be dramatic in untreated disease, patients may remain asymptomatic making treatment decisions challenging. [ncbi.nlm.nih.gov]
This spontaneous degeneration is commonly asymptomatic. [bestpractice.bmj.com]
In our study, the percentage of women with abnormal images was 93% (14 of 15 patients), which is higher than that among the asymptomatic population, and covered a wide age range of 38 to 83 years. [jamanetwork.com]
Osteoarthritis ( spondylosis ) affect the spine’s joints Cervical instability Symptoms Some people have no symptoms; they are asymptomatic. However, cervical DDD often is progressive, which means symptoms gradually develop and may worsen. [spinesurgery.com]
Asymptomatic patients with a limited subluxation should probably undergo x rays once or twice a year, but not be treated unless there is progression. Asymptomatic patients with more major subluxation should be referred for neurosurgical assessment. [jnnp.bmj.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]
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]
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]
- Muscle Weakness
NEXT: Symptoms & Diagnostic Process › Symptoms & Diagnostic Process Cervical Radiculopathy Pain that moves along the arm, neck or shoulder Muscle weakness and numbness and tingling in the fingers or hands Headaches in the back of the head The doctor will [mdmercy.com]
The pain might increase when: standing sitting sneezing coughing tilting your neck backward Another common symptom is muscle weakness. Muscle weakness makes it hard to lift the arms or grasp objects firmly. [healthline.com]
During this exam, the doctor will also look for loss of reflexes, muscle weakness, loss of sensation or other signs of neurological injury. Diagnostic tests. [princetonbrainandspine.com]
The doctor tests your reflexes and evaluates you for muscle weakness, loss of feeling, and signs of neurological injury. Diagnostic testing helps the doctor confirm your diagnosis. A simple spinal x-ray will show collapsed disc space. [spinesurgery.com]
Symptoms of cervical discogenic disease include: Localized or radiating pain Stiffness Numbness Tingling Muscle weakness Preventing and treating discogenic disease Although you can’t stop the natural aging process, there are a number of steps you can [laserspineinstitute.com]
- Lordosis
Maintenance of entire and segmental lordosis after surgery was better in groups A and B compared with group C (p = 0.002, 0.001); however, the extent of loss of lordosis from the surgery to the final follow-up did not show any significant differences. [ncbi.nlm.nih.gov]
Other abnormal imaging findings included anterolisthesis, osteophytic spurring, lordosis, kyphosis, and nerve root impingement. [f1000.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]
Psychiatrical
- Dysthymic Disorder
In their case series of 11 patients, 5 patients had at least 1 known psychiatric disorder (dysthymic disorder, somatization disorder, or generalized anxiety disorder), 7 patients had symptoms worsened by stress, and 9 patients had symptom improvement [jamanetwork.com]
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]
- Neuralgia
Cervicogenic headaches may resemble occipital neuralgia, which is a condition that causes localised pain and neurological abnormalities in the distribution of the occipital nerves at the back of the head. [precisionhealth.com.au]
One of the earliest complaints is pain in the neck and base of the head (occipital neuralgia). Pain can even radiate to the ears. [understandspinesurgery.com]
I was treated for occipital neuralgia and posture issues. Aside from performing wonderful treatment, everybody there is super friendly and accommodating (you will always be greeted with a smile) and also very focused and helpful! [twinboro.com]
[…] physician because it does not have well-established or evidence-based treatments, with low-dose antidepressants as the only reported treatment to date. 1 Gabapentin has been approved by the Food and Drug Administration for partial seizures and postherpetic neuralgia [jamanetwork.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]
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]
Treatments include medication, physical therapy and surgery. [wexnermedical.osu.edu]
Treatment options Non-surgical treatment often helps to relieve pain and symptoms. Your doctor may combine two or more therapies to maximize the success of your treatment. [spinesurgery.com]
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]
It has also been demonstrated that early intervention improves the prognosis by helping to prevent permanent destructive changes of the spinal cord. Surgery is the treatment of choice unless the patient is unwilling or unable to undergo surgery. [coloradospineinstitute.com]
Etiology
The etiology of DISH is still unknown. [radiopaedia.org]
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]
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]
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]
It may also be an option for patients with other medical conditions that prevent them from undergoing general anesthesia. [neurosurgery.ucsf.edu]
The goals of treatment are to avoid development of irreversible neurologic deficit, to prevent sudden death caused by unrecognized neural compression. [understandspinesurgery.com]