Common questions and answers in Department of orthopedics knowledge of cervical spondylosis and what disease?

And shall identify cervical disc syndrome symptoms: atlanto occipital joint and atlantoaxial joint sprain or subluxation often cause with ce


And shall identify cervical disc syndrome symptoms: atlanto occipital joint and atlantoaxial joint sprain or subluxation often cause with cervical disc syndrome clinical manifestations of the same. The patients were younger, with or without injury history, often complained of severe neck pain, to one side of scalp radiation, to the forehead. Stiff neck and paraspinal muscle spasm, not turning neck is nodded, torticollis deformity. Tenderness of paraspinal muscle and "Fengchi", but no upper limb pain and signs. The X-ray is normal, or see the atlantoaxial subluxation from the open position in. These signs are common in the "stiff neck", is the spontaneous subluxation of cervical vertebra in children.

Should be differentiated from the root type of cervical spondylosis: due to the root type cervical spondylosis in the lower cervical segment, the performance of brachial plexus neuralgia, it must be with the exit of the chest, shoulder, elbow disease, as well as nerve root inflammation and other identification. Anterior scalene syndrome or "thoracic outlet syndrome": the distal nerve roots of the brachial plexus, especially the T1 nerve root, can be extruded between the anterior and middle scalene muscles at the outlet of the thorax. If the cervical rib or fiber bundle emanating from the cervical vertebrae, 1 thoracic nerve root, and subclavian artery will be brought by the oppression. Patients with medial forearm pain and sensory loss (8 or 1 neck chest skin), hand hair is cool, white or purple, radial artery pulse weakened or disappeared etc.. From the X-ray film can see 8 cervical transverse process is longer, or cervical rib; the supraclavicular tumor or tumor: a rare Pancoast, originated from the supraclavicular apex of lung cancer. One side of the patient had a sexually transmitted disease, as well as sensory abnormalities or disappearance of the 5 and 6 cervical nerves. 8 of the neck, chest, and sometimes also involved in the 1, resulting in atrophy of the intrinsic muscles of the hand and Horner syndrome. From the X-ray film can be seen on the apical one opaque region and 2 thoracic vertebral destruction; the shoulder pain and shoulder disease: cervical disc syndrome often shoulder pain, shoulder muscle spasm, shoulder abduction activities such as limited signs, so the need to identify and shoulder disorders, such as acromioclavicular joint subacromial bursitis, arthritis, scapulohumeral periarthritis, supraspinatus tear etc.. However, there is no neck pain and positive X-ray signs of shoulder disease. If it is still difficult to identify, it can be used for cervical sympathetic ganglion block. Such as "frozen shoulder" caused by cervical spondylosis, then ganglion block, the activity of the shoulder can be freely; the nerve root inflammation in virus radiculoneuritis radiation pain distribution along the nerve roots, after the onset of muscle shrinking rapidly, with severe tenderness along the muscles and nerves. Another case is neuralgic amyotrophy (Spillian disease), severe pain and upper limb weakness, but in a few months is gradually restored. Carefully check is often a special nerve involvement, especially the dominant serratus anterior muscle nerve; the angina pectoris: cervical spondylosis pain left upper limb ulnar pain and pectoralis major areas, often as angina, but the pressure in pain disappeared after injection of procaine. Angina no chest pain point, changes of ECG, nitroglycerin can relieve pain; the rheumatism: often have neck pain, neck activity and other symptoms, but multiple, non radioactive pain has obvious curative effect, application of adrenal cortical hormone.

To the cervical myelopathy and differential symptoms: many diseases need some identification, from X-ray identification, such as congenital cervical or occipital malformation, cervical fracture dislocation, spontaneous atlantoaxial subluxation, cervical tuberculosis or tumor; some can smooth the subarachnoid space from the lumbar puncture to identify. Such as primary lateral sclerosis, amyotrophic lateral sclerosis and no subarachnoid obstruction phenomenon. It is necessary to identify the following: spinal cord tumors: neck, shoulder, pillow, arm, hand pain or sensory dysfunction, ipsilateral upper limb for lower motor neuron damage, lower limb motor neuron damage. Identification points: from the X-ray film can be seen on the intervertebral foramen enlargement, vertebral or arch destruction. Myelography showed obstruction of an inverted cup; the foramen magnum tumors: identification: myelography obstruction in high contrast agent can not enter into the cranial cavity. Have advanced brain pressure, retinal edema and other symptoms appear; the adhesive arachnoiditis of spinal cord: with anterior and posterior root of spinal nerves or spinal tract symptoms. Identification points: there may be complete or incomplete obstruction in lumbar puncture. Spinal cord angiography, contrast agent is difficult to pass the subarachnoid space, and a candle tear shape; the syringomyelia: in young people, 20 ~ 30 years, cervicothoracic see. Marked by a distinct, typical pain and other deep sense of separation, the temperature of the decline or disappearance, especially prominent. CT and MRI can clearly see the lesions of the spinal cord.

Cervical spondylosis of vertebral artery type: the type of vertebral artery is quite common in all types of cervical spondylosis. Unilateral or bilateral vertebral artery, the first two or three segments could be distorted by pressure, and affected the occurrence of cervical sympathetic nerve spasm caused by different degrees of vertebral artery insufficiency, and vertebral artery supply organization in addition to the amount of top two leaves outside the whole brain, cerebellum, brainstem and diencephalon, and spinal cord central the nervous system, and the supply of the inner ear and eye, so its symptoms and signs of the myriads of changes, can not be generalized, it needs to identify disease are many: inner ear diseases: is the internal auditory artery embolism, sudden deafness, tinnitus, vertigo, severe symptoms and reduction. But also for Meniere's syndrome, headache, dizziness, nausea, vomiting, tinnitus, deafness, nystagmus, pulse rate, blood pressure decreased. Identification: often associated with fatigue and other factors, rather than induced by cervical activity; the ocular vertigo caused by refractive error and other reasons. Identification: closed eyes with ametropia eyes, dizziness disappeared, nystagmus and positive; arteriosclerosis: hypertension, vertebral artery angiography; the substernal goiter: vertebral artery compression first paragraph, change of vertebral artery angiography; the other: such as anemia or bedridden after vertigo and neurosis etc..

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