physical therapy exercises for upper back and neck pain

Ngày tải lên: 23/03/2014, 01:20

... responsible for 25% of spinal column length (Figs 16-1 and 16-2) The disks are largest in the cervical and lumbar regions where movements of the spine are greatest The disks are elastic in youth and ... spine consists of cylindrical vertebral bodies separated by intervertebral disks and held together by the anterior and posterior longitudinal ligaments The intervertebral disks are composed of a ... age The function of the anterior spine is to absorb the shock of body movements such as walking and running Figure 16-1 Vertebral anatomy (From A Gauthier Cornuelle, DH Gronefeld: Radiographic...

Ngày tải lên: 06/07/2014, 08:20

... exaggerate their pain for the purpose of compensation or for psychological reasons Examination of the Back A physical examination that includes the abdomen and rectum is advisable Back pain referred ... "sclerotomal" pain may explain some cases of back and leg pain without evidence of nerve root compression Radicular back pain is typically sharp and radiates from the lumbar spine ... paraspinal muscles, and dull pain Knowledge of the circumstances associated with the onset of back pain is important when weighing possible serious underlying causes for the pain Some patients...

Ngày tải lên: 06/07/2014, 08:20

... present—see "Examination of the Back. " b These muscles receive the majority of innervation from this root c Straight leg–raising sign present—see "Examination of the Back. " ... Examination Findings Lumbo Reflex sacral Nerve Sen Motor Pain sory Distribution Roots L2a — Up per Psoas (hip flexion) Anteri or thigh anterior thigh L3a...

Ngày tải lên: 06/07/2014, 08:20

... normal when only limb pain or sensory nerve root injury or irritation is present Causes of Back Pain Table 16-3 Causes of Back and Neck Pain Congenital/developmental Spondylolysis and spondylolisthesisa ... Vertebral artery dissectionb Other Referred pain from visceral disease Postural Psychiatric, malingering, chronic pain syndromes a Low back pain only b Neck pain only ... responsible for the injury Needle EMG provides objective information about motor nerve fiber injury when the clinical evaluation of weakness is limited by pain or poor effort EMG and nerve conduction...

Ngày tải lên: 06/07/2014, 08:20

... onset of low back and buttock pain Patients are often males below age 40 Associated features include morning back stiffness, nocturnal pain, pain unrelieved by rest, an elevated ESR, and the histocompatibility ... x-rays, CT, or MRI Surgical foraminotomy results in long-term relief of leg and back pain in 80–90% of these patients The usefulness of therapeutic facet joint blocks for pain has not been rigorously ... disease, typically occurs in later life and primarily involves the cervical and lumbosacral spine Patients often complain of back pain that is increased with movement and associated with stiffness The...

Ngày tải lên: 06/07/2014, 08:20

... to appear MRI and CT are sensitive and specific for osteomyelitis; CT may be more readily available in emergency settings and better tolerated by some patients with severe back pain Spinal epidural ... with debilitating pain Candidates for PVP have midline back pain, palpation tenderness over the spinous process of the affected vertebral body,

Ngày tải lên: 06/07/2014, 08:20

... lumbosacral back pain include chronic prostatitis, prostate cancer with spinal metastasis (Chap 91), and diseases of the kidney and ureter Lesions of the bladder and testes not usually produce back pain ... refer pain to the upper sacral or midline suprapubic regions or left lower quadrant of the abdomen Sacral Pain with Gynecologic and Urologic Disease Pelvic organs rarely cause low back pain, ... abdominal pain, midlumbar back pain, or both The pain may have a beltline distribution around the body A lesion in the transverse or proximal descending colon may refer pain to the mid or left back...

Ngày tải lên: 06/07/2014, 08:20

... nerve root pain despite conservative treatment for weeks at a minimum, and (4) recurrent incapacitating pain despite conservative treatment The latter two criteria are more subjective and less ... findings that, by themselves, should not dictate management decisions for patients with back pain There are four indications for intervertebral disk surgery: (1) progressive motor weakness from ... of multiple lumbosacral nerve roots within the spinal canal Low back pain, weakness and areflexia in the legs, saddle anesthesia, and loss of bladder function may occur The problem must be distinguished...

Ngày tải lên: 06/07/2014, 12:20

... for their back pain; (3) no information is provided about the details of treatment; and (4) no attempt to tabulate structural causes of ALBP is made The algorithms for the treatment of back pain ... physiologic studies, and imaging studies have been devised to minimize the likelihood of unsuccessful surgery.[newpage] Back Pain: Treatment Acute Low Back Pain (ALBP) ALBP is defined as pain of

Ngày tải lên: 06/07/2014, 12:20

... but evidence for a long-term benefit is lacking Randomized studies of back school for primary prevention of low back injury and pain have failed to demonstrate any benefit NSAIDs and acetaminophen ... effective for ALBP Possible advantages of early ambulation for ALBP include maintenance of cardiovascular conditioning, improved disk and cartilage nutrition, improved bone and muscle strength, and ... Early resumption of normal physical activity (without heavy manual labor) is likely to be beneficial Proof is lacking to support the treatment of acute back and neck pain with acupuncture, transcutaneous...

Ngày tải lên: 06/07/2014, 12:20

... Dorsum forearm Wrist hand extensorsa Extensor digitoruma (finger extension) C8 Finger flexors Little finger Abductor pollicis (abduction D1) Medial 4th and brevis 5th fingers, medial forearm hand and ... innervation from this root Neck pain, which usually arises from diseases of the cervical spine and soft tissues of the neck, is common (4.6% of adults in one study) Neck pain arising from the cervical ... flexion) Lateral forearm, thumb, Radial index Pronator teres finger hand/forearm (internal forearm rotation) C7 Tricep s Middle fingers Tricepsa (arm extension) Posterio r arm, dorsal forearm, lateral...

Ngày tải lên: 06/07/2014, 12:20

... neck, shoulder, arm, or hand pain or tingling Neck pain, stiffness, and a range of motion limited by pain are the usual manifestations A herniated cervical disk is responsible for ~25% of cervical ... responsible for ~25% of cervical radiculopathies Extension and lateral rotation of the neck narrows the ipsilateral intervertebral foramen and may reproduce radicular symptoms (Spurling's sign) In ... radiculopathy and myelopathy may also be present Spinal cord involvement is suggested by Lhermitt's symptom, an electrical sensation elicited by neck flexion and radiating down the spine from the neck...

Ngày tải lên: 06/07/2014, 12:20

... metastatic to the cervical spine, infections (osteomyelitis and epidural abscess), and metabolic bone diseases may be the cause of neck pain Neck pain may also be referred from the heart with coronary ... cause neck pain and less commonly atlantoaxial subluxation; surgery may be required to prevent spinal cord compression Acute herpes zoster presents as acute posterior occipital or neck pain prior ... the fourth and fifth digits EMG and nerve conduction studies confirm the diagnosis Treatment consists of surgical resection of the anomalous band The weakness and wasting of intrinsic hand muscles...

Ngày tải lên: 06/07/2014, 12:20

... with cognitive intervention and exercises in patients with chronic back pain after previous surgery for disc herniation: A prospective randomized controlled study Pain 122:1, 2006 Cassidy JD ... compensation for pain and suffering on the outcome of insurance claims for whiplash injury N Engl J Med 342:1179, 2000 [PMID: 10770984] Cavalier R et al: Spondylolysis and spondylolisthesis in children and ... compensation for pain and suffering on the outcome of insurance claims for whiplash injury N Engl J Med 342:1179, 2000 [PMID: 10770984] Cavanaugh JM et al: Pain generation in lumbar and cervical...

Ngày tải lên: 06/07/2014, 12:20

... perianal pain, sometimes following minor trauma Neuroimaging studies reveal a low-lying conus (below L1-L2) and a short and thickened filum terminale Trauma A patient complaining of back pain and ... common cause of chronic or recurrent low back and leg pain (Figs 16-3 and 16-4) Disk disease is most likely to occur at the L4-L5 and L5-S1 levels, but upper lumbar levels are involved occasionally ... persisting for >1 year that not respond to conservative measures (e.g., rest, physical therapy) Surgery is usually indicated for cases with progressive neurologic deficit, abnormal gait or postural deformity,...

Ngày tải lên: 06/07/2014, 12:20

... intervertebral foramen at the same level The lumbar and cervical spine possess the greatest potential for movement and injury Approach to the Patient: Back Pain Types of Back Pain Understanding the ... tumor, infection, or referred pain from visceral structures (Table 16-1) Table 16-1 Acute Low Back Pain: Risk Factors for an Important Structural Cause History Pain worse at rest or at night ... of the intervertebral disk, epidural veins, and the posterior longitudinal ligament Disease of these diverse structures may explain many cases of back pain without nerve root compression The nucleus...

Ngày tải lên: 06/07/2014, 13:20

... was feasible and accurate for 14 patients with locally recurrent head and neck cancers [42] The 1- and 2-year local control rates were 78% and 57%, respectively, and the actuarial 1- and 2-year ... pulsed-dose-rate brachytherapy in previously irradiated head -and- neck cancer Brachytherapy 2003, 2:158-163 Senan S, Levendage PC: Brachytherapy for recurrent head and neck cancer Hematol Oncol ... operation, we evaluated the history and physical condition of all the patients, hematological and chemical tests, and obtained CT images of the head and neck and radiographs of the chest Patient...

Ngày tải lên: 09/08/2014, 09:20

... Hurwitz EL, Guzman J, Peloso PM: The burden and determinants of neck pain in workers: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders Spine (Phila ... for LBP and NP and prioritised ergonomic measures to prevent LBP and NP Working group members were positive about the quality of the PE steps performed during the meeting, meeting duration, and ... factors for LBP and NP and prioritised ergonomic measures to prevent LBP and NP Moreover, recruitment, reach, fidelity, and satisfaction towards the PE programme were good The same was found for...

Ngày tải lên: 10/08/2014, 10:23

... Materials and methods Study design and setting We performed a longitudinal analysis of patients enrolled in a prospective before and after study of the clinical effectiveness of EGDT for the early ... number and associated 95% confidence intervals (CI) and where applicable tested for significance using Chi squared or Fisher's exact tests The Kaplan-Meier survival estimates and log-rank test for ... published by Rivers and colleagues, 60-day mortality was reported to be 57% in the standard therapy arm and 44% in the EGDT arm [6] In a prospective observational study, Karlsson and colleagues reported...

Ngày tải lên: 13/08/2014, 19:20