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csdss

Created by

kenneth thomas
kenneth thomas
United States

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csdss

by kenneth thomas
1

Vertigo flexion Monitor traction Whiplash Nuchal SCM Refer antalgic Adjust NCV Adjust Valsalva adjustments ribs adjust positional avulsio Adjust Sprengel's Refer numbness

A . Disc

S / S : Aggravated by Dejerine's triad , cord or nerve compression with neck

Dx : Xray , MRI , positive

Tx : Hard braces - 1 symptom - soft brace , rest , ice ( acute ) , intermittent , hot packs , gentle ( As soon as patient can tolerate set - up )

Monitor : Mensuration and compression signs





B . Tumor - Cord or nerve compression , aggravated by Valsalva , MRI ,

Tx :



C . IVF : Pain down one nerve root , aggravated by extension and rotation

Tx : , PT



D . Torticollis - Neck and shoulder pain , towards side of spasm

Tx : , PT



E . Strain / Sprain - Generalized symptoms , process of elimination .

Tx : Varies , PT



F . Barre - Lieou Syndrome - Cervical injury damaging sympathetics , rotation aggravates

S / S : Mimics Meniere's or VBAI .

Tx :



G . Wallenburg syndrome - " PICA " involvement mimics TIA , mostly motor involvement ( weakness )

Tx : , rule out arterial disease



H . Benign Positional Vertigo .

Vertigo in certain positions , fatigues in 30 seconds usually or has a 5 second delay , Baray - Nylen Test

Tx : and monitor



I . Labyrinthitis - with quick motion , often associated with swelling post trauma

Tx : and monitor



J . TOS :

S / S : Neurologica involvement ( radiating pain into little finger ) , ache ( entire arm ) , ( especially medial aspect of hand ) , involvement and relief patterns

Vascular involvement : Cold , edema , Raynaud's burn , pulsations , Horner's syndrome

Associated Conditions : , Klippel Feil's , scoliosis

Leads to : Double crush , Shoulder Hand syndrome

Dx : , SomatoSensory Evoked Potentials ( SSEP's ) , plethysmograph , doppler

Tx : adjust , sternoclavicular / AC , massage , US , electrical stimulation , TENS

evaluate ergonomics ( home , work )

Exercise : Corner push - ups , stretch ( neck , shoulders ) , psture , platysma ( raise clavicle )

Brace : Enlarge straps on brassier , shoulder brace



K .

Hyperflexion

Hyperextension



I . Whiplash Injury

S / S : HA , neck pain , dizziness , neurological symptoms , vascular compromise

Flexion Stresses : ( supraspinous ) , Interspinous and Flava

Extension Stresses : , Longus colli , ALL< and Esophagus

Flexion Fractures : Spinous avulsion

Vertebral compression

Extension Fractures : Spinous compression

Vertebral

 
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