PT 528 Lecture Notes - Lecture 19: Paresthesia, Spinal Disc Herniation, Spinal Canal

• School: Quinnipiac University
• Department: Physical Therapy
• Course: PT 528
• Professor: Ainsley Rossi

Document Summary

Icf classification codes: various categories for neck pain can overlap. Cervical stenosis: differential diagnosis pathoanatomical, cervical ivd. Cervical stenosis: very vulnerable for herniation in postero-lateral region, no protection from uncovertebral joints or pll, phases of disc herniation. Ivd herniation: test item cluster in identifying cervical radiculopathy, active cervical rom < 60 , + upper limb tension test, + spurling"s test, + neck distraction test, clinical patterns, ivd herniation. Sudden forced flexion; extension; compression; rotation (injury) *insidious prolonged flexed postures, repetitive overhead work. Csp near midline: medial border of scapula; +/-radiating down ue. Stiff painful in am; worsens as day progresses/varies; night pain - positional: cervical spondylosis. Other symptoms cervical stiffness and decreased rom lf; rotn. Cervical spine; ue radiculopathy *may be one side more than other. 24 hour: cervical stenosis narrowing of central spinal canal; disc herniation; degenerative change. Progressive disease process but sx can appear rapidly. Mvt related stiffer in am: facet joint dysfunction.