Spondylosis bmc

SPONDYLOSIS

Introduction

Assessment

Case studyTreatment

INTRODUCTION

Cause of spondylio

sis

Mechanism of injury

Definition Sign and symptoms

DIFFINATIONIS A TERM REFERRING TO DEGENERATIVE OSTEOARTHRITIS OF THE JOINTS

BETWEEN THE CENTER OF THE SPINAL VERTEBRAE AND/OR  NEURAL FORAMINA

CAUSES OF SPONDYLIOSIS

•DEVELOPS AS A RESULT OF THE WEAR AND TEAR OF THE CARTILAGE AND BONES

•WORK-RELATED ACTIVITIES THAT PUT EXTRA STRAIN ON YOUR NECK FROM HEAVY LIFTING

•SMALL FRACTURES TO THE SPINE FROM OSTEOPOROSIS

MECHANISM OF INJURY

• LONG-TERM REPETITIVE MOVEMENTS (E.G., OCCUPATION - OR CONTACT SPORTS-RELATED “ REPETITIVE STRAIN «

•BENDING WITH TWISTING

SIGN AND SYMPTOMS

•PAIN IN THE NECK

•STIFFNESS

ASSESSMENT

FINDINGS AT PHYSICAL EXAMINATION MAY INCLUDE:

•SPURLING SIGN:

•RADICULAR PAIN IS EXACERBATED BY EXTENSION AND LATERAL BENDING OF THE NECK TOWARD THE SIDE OF THE LESION, CAUSING ADDITIONAL FORAMINAL COMPROMISE.

HOFFMAN SIGN :

REFLEX CONTRACTION OF THE THUMB AND INDEX FINGER OCCURS IN RESPONSE TO NIPPING OF THE MIDDLE FINGER. THIS SIGN IS EVIDENCE OF AN UPPER MOTOR NEURON LESION. A HOFFMAN SIGN MAY BE INSIGNIFICANT IF PRESENT BILATERALLY.

LHERMITTE SIGN:THIS GENERALIZED ELECTRICAL SHOCK SENSATION IS ASSOCIATED WITH NECK EXTENSION.

•INCREASED REFLEXES

IN THE LOWER EXTREMITIES AND IN THE UPPER EXTREMITIES BELOW THE LEVEL OF THE LESION

•ABNORMAL GAIT

 CHARACTERISTICALLY BROAD-BASED, STOOPED, AND SPASTIC

•EXTENSOR PLANTER REFLEX IN SEVERE MYELOPATHY

•DECREASED ROM :

•IN THE CERVICAL SPINE, ESPECIALLY WITH NECK EXTENSION

•DISTAL WEAKNESS

•HAND CLUMSINESS

•LOSS OF SENSATION

TREATMENT

IMMOBILIZATION

•IMMOBILIZATION OF THE CERVICAL SPINE IS THE MAINSTAY OF CONSERVATIVE TREATMENT FOR PATIENTS WITH CERVICAL SPONDYLOSIS. IMMOBILIZATION LIMITS THE MOTION OF THE NECK, THEREBY REDUCING NERVE IRRITATION. SOFT CERVICAL COLLARS ARE RECOMMENDED FOR DAYTIME USE ONLY, BUT THEY ARE UNABLE TO APPRECIABLY LIMIT THE MOTION OF THE CERVICAL SPINE (LIKE BRACE AND NECK PILLOW )

EXERCISE

• THE USE OF CERVICAL EXERCISES HAS BEEN ADVOCATED IN PATIENTS:

•  ISOMETRIC EXERCISES ARE OFTEN BENEFICIAL TO MAINTAIN THE STRENGTH OF THE NECK MUSCLES.

• STRETCHING EXERCISES FOR THE NECK AND UPPER BACK MUSCLE .

• LIGHT AEROBIC ACTIVITIES

MODALITIES

•MECHANICAL TRACTION

PRONEX CERVICAL TRACTION UNIT

•GENERALLY INVOLVE THE APPLICATION OF HEAT TO THE TISSUES

IN THE CERVICAL REGION, EITHER BY MEANS OF

SUPERFICIAL DEVICES (EG, MOIST-HEAT PACKS)

OR MECHANISMS FOR DEEP-HEAT TRANSFER (EG, ULTRASOUND, DIATHERMY).

MANUAL THERAPY

•MANUAL TRACTION

•MANIPULATION:  TO INCREASE ARTICULAR MOBILITY OR TO REALIGN THE SPINE

CASE STUDY

•PERSONAL DATA:

• NAME : ABDULLAH MOHAMMED

• AGE: 45

• SEX: M

• DIAGNOSIS : SPONDYLOSIS

• REFERRAL DEPT: ORTHOPEDIC

•HISTORY

GRADUAL PAIN SINS 6 MONTH AGO AND RADIATE TO THE NECK AND ARM , INCREASE SEVERITY OF PAIN WHILE HE DRIVE FOR LONG TIME AND IN THE MORNING ,SMOKER , HYPERTENSIVE.

CHIEF COMPLAINT:

DIFFICULTY IN ROTATE HIS HEAD

OBJECTIVE

•OBSERVATION:

FORWARD HEAD

PALPATION:

FLEXOR NECK MUSCLE TIGHT , EXTENSOR NECK MUSCLE UNDER ACTIVE ,