Term
| Valsalva's maneuver procedure |
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Definition
| Patient seated, instruct to bear down as if defecating, but concentrate stress at cervical region. Do they feel increased pain? where? |
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Term
| Valsalva's maneuver Indicates |
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Definition
| Disc defect, osteophyte, mass in cervical canal or foramen |
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Term
| Foraminal Compression test procedure |
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Definition
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Term
| Maximal foraminal compression test procedure: |
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Definition
patient seated. Have them stretch chin to shoulder and extend neck
facet joint syndrome
pain in arm: nerve root compression |
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Term
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Definition
1. biographic data
2. CC
3. Radicular vs. referred pain
4. Types of pain
5. Region and radiation
6. severity
7. OPQRST on intake, then pain scale
8. Timing
9. Internal conditions, medical hx
10. Posture analysis
11. TCM sports |
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Term
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Definition
O: Onset
P: provocative/ palliative
Q: Quality of pain
R: Region/ Rediation
S: Severity
T: timing |
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Term
| Most vulnerable cervical vertebrae |
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Definition
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Term
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Definition
| Anterior longitudinal ligament. Inflammation can affect swallowing. |
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Term
| Vertebral Artery Insufficiency |
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Definition
dizziness and nausea from turning neck to side: stenosis on artery, rotaion compresses and blocks circulation to head.
Refer out for MRA |
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Term
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Definition
| See on Xray: transverse proc. of T1 look like wine opener- will see curve of rib obscuring. Can irritate brachial plexus, compress subclavian artery, tingling down arm. |
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Term
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Definition
| Very dangerous- can paralyze. Can affect breathing at brainstem. Seen on APOM x ray |
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Term
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Definition
| Anterior posterior mouth ipen x ray. Shot through mouth. Looks at dens. |
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Term
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Definition
| 45 degree angle at neck: looks for foraminal encroachment (osteophyte calcification): numbness, tingling down arm, neck hurting on rotation, shooting pain down arm. |
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Term
| Osteophyte between C 5 and C 6 |
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Definition
| Neck pain, brachial nerve root affected: pain, numbness, bilaterally to index finger, diminished brachial reflex |
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Term
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Definition
| from front: for dislocation: head drops down anterior and inferior to acromion. Ligament can also rupture and AC joint can separate. |
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Term
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Definition
Look for radial head fracture from falling onto hand with straight arm. Hurts to supinate and pronate.
Olecranon process dislocation: ulna from humerus- flexion and extension hurt. |
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Term
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Definition
Scaphoid fracture common. Sometimes can't see, may see vascular necrosis after a few weeks.
sm. branch of ulnar nerve can get pinched from bicycling, etc. numbness in hard, tingling numbness. Can also dislocate or break hamate, lunate. |
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Term
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Definition
| Akylosing spondylitis: can fuse SI joint bilaterally, pain and stiffness around SI up to cervical, sometimes from a fall when young. |
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Term
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Definition
| Medial meniscud injury: rotational usually- twisting knee. Rupture, cracks of meniscus can be asymptomatic. Bone on bone rupture will hurt. |
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Term
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Definition
| sprained ankle can damage cartilage between talus and tibia- hurts. Can hurt at night.Don't puch much pressure on a strain until fully recovered. Also fracture of lateral malleolus, tibia, fibula, talus are possible. |
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Term
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Definition
| can cause fractures, subluxations, dislocations, paralysis |
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Term
| Upper cervical: C1-C2 anatomy |
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Definition
Flexion, extension, rotation-50-60%. Has a connection with trigeminal nerve- may interact with sensory fibers from upper cervical, cause HA, facial pain, neck tightness, HA
Often rotational injury. |
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Term
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Definition
| Takes a sharp turn by C6- most vulnerable for rupture or occlusion. |
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Term
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Definition
| small ruptures or thickening on artery that tears |
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Term
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Definition
| more often in elderly- better with mvt- in early stage |
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Term
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Definition
1. Severe trauma: esp with loss of consciuosness or memory
2. Neck pain, stiffness with fever, nausea, vomiting, dbl vision, severe HA. Could be meningitis
3. Neck pain with HA more severe than it was before: send out for CT scan: could be tumor, vascular |
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Term
| Myelopathy: lower motor neuron: |
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Definition
| Damage from nerve root outside spinal cord: sciatica, carpal tunnel, Bell's palsy. Reflex diminished. |
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Term
| Myelopathy: upper motor neuron |
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Definition
| Damage from nerve root outside spinal cord: Central nervous system: affects brain, spinal cord: stroke, spinal cord lesion. Reflex increased |
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Term
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Definition
Inside: nucleus pulposus: jelly liquid, dries out with age, becomes hard and tough.
Can rupture (bulge with too much pressure. Can compress nerve root
Annulus fibrosis: tough fibers |
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Term
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Definition
| rupture of annulus with nucleus leaking out- compress nerve root or spinal cord: stiff neck, out to extremities. If lateral, compresses nerve root. If posterior, compresses spinal cord. WIth TX can shrink. |
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Term
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Definition
| Rupture of supraspinou can fracture spinous process |
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Term
| Facet joint referred pain |
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Definition
| Normal reflex test. Might not fit a dermatome, but refers down outer arm to head. |
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Term
| Cervical myelopathy RED FLAG |
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Definition
| with urinary, bowel problems |
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Term
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Definition
| Ligament: sprain or muscle: strain |
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Term
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Definition
| Feels better with arm up, nerve root compression: less preffure om brachial plexus adn nerve root. |
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Term
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Definition
| # rule outs: Rule out fracture, locc of conscious or memory or severe pain, numbness tingling out to arm with mvt severe. |
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Term
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Definition
| upsets ST, dries up mucous lining of intertine. Can cause ST ulcers |
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Term
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Definition
| Damage bon, can also damage tendon, make fragile |
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Term
| Cortico steroid effect on bone |
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Definition
1. prevent calcium absorption in intestines
2. Prevents reasorption of calcium in neurons
3. Stimulates osteoclasts, inhibits osteobloast |
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Term
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Definition
| Neck pain, trauma: distal points: lou zhen, ST 3, UB 63, LU 7 |
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Term
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Definition
| Local: GB 20, 21, UB 10, Bai Lao, local ah shi |
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Term
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Definition
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