Spondylosis bmc

4. Cause of
spondyliosis
Mechanism
of injury
Definition
Sign and
symptoms

5. DIFFINATION
OF THE JOINTS BETWEEN THE CENTER OFOSTEOARTHRITISIS A TERM REFERRING TO DEGENERATIVE
FORAMINANEURALAND/ORSPINAL VERTEBRAETHE

7. •DEVELOPS AS A RESULT OF THE WEAR AND TEAR OF THE CARTILAGE AND BONES
•WORK-RELATEDACTIVITIES THAT PUT EXTRA STRAIN ON YOUR NECK FROM HEAVY LIFTING
•SMALL FRACTURES TO THE SPINE FROM OSTEOPOROSIS

9. •LONG-TERM REPETITIVE MOVEMENTS (E.G., OCCUPATION - OR CONTACT SPORTS-RELATED “ REPETITIVE
STRAIN «
•BENDING WITH TWISTING

11. •PAIN IN THE NECK
•STIFFNESS

13. FINDINGS AT PHYSICAL EXAMINATION MAY INCLUDE :
•SPURLING SIGN:
•RADICULAR PAIN IS EXACERBATED BY EXTENSION AND LATERAL BENDING OF THE NECK TOWARD THE SIDE OF
THE LESION, CAUSING ADDITIONAL FORAMINAL COMPROMISE.

14. HOFFMAN SIGN:
REFLEX CONTRACTION OF THE THUMB AND INDEX FINGER OCCURS IN RESPONSE TO NIPPING OF THE MIDDLE FINGER.
THIS SIGN IS EVIDENCE OF AN UPPER MOTOR NEURON LESION. A HOFFMAN SIGN MAY BE INSIGNIFICANT IF PRESENT
BILATERALLY.

15. LHERMITTE SIGN:
THIS GENERALIZED ELECTRICAL SHOCK SENSATION IS ASSOCIATED WITH NECK EXTENSION.

16. •INCREASED REFLEXES
IN THE LOWER EXTREMITIES AND IN THE UPPER EXTREMITIES BELOW THE LEVEL OF THE LESION
•ABNORMAL GAIT
CHARACTERISTICALLY BROAD-BASED, STOOPED, AND SPASTIC
•EXTENSOR PLANTER REFLEX
IN SEVERE MYELOPATHY

17. •DECREASED ROM:
•IN THE CERVICAL SPINE, ESPECIALLY WITH NECK EXTENSION
•DISTAL WEAKNESS
•HAND CLUMSINESS
•LOSS OF SENSATION

19. IMMOBILIZATION
•IMMOBILIZATION OF THE CERVICAL SPINE IS THE MAINSTAY OF CONSERVATIVE TREATMENT FOR
PATIENTS WITH CERVICAL SPONDYLOSIS. IMMOBILIZATION LIMITS THE MOTION OF THE NECK, THEREBY
REDUCING NERVE IRRITATION. SOFT CERVICAL COLLARS ARE RECOMMENDED FOR DAYTIME USE ONLY,
BUT THEY ARE UNABLE TO APPRECIABLY LIMIT THE MOTION OF THE CERVICAL SPINE (LIKE BRACE AND
NECK PILLOW )

20. EXERCISE
• THE USE OF CERVICAL EXERCISES HAS BEEN ADVOCATED IN PATIENTS:
• ISOMETRIC EXERCISES ARE OFTEN BENEFICIAL TO MAINTAIN THE STRENGTH OF THE NECK MUSCLES.
• STRETCHING EXERCISES FOR THE NECK AND UPPER BACK MUSCLE .
• LIGHT AEROBIC ACTIVITIES

21. MODALITIES
•MECHANICAL TRACTION
PRONEX CERVICAL TRACTION UNIT

22. •GENERALLY INVOLVE THE APPLICATION OF HEAT TO THE TISSUES
IN THE CERVICAL REGION, EITHER BY MEANS OF
SUPERFICIAL DEVICES (EG, MOIST-HEAT PACKS)
OR MECHANISMS FOR DEEP-HEAT TRANSFER (EG, ULTRASOUND, DIATHERMY).

23. MANUAL THERAPY
•MANUAL TRACTION
•MANIPULATION: TO INCREASE ARTICULAR MOBILITY OR TO REALIGN THE SPINE

25. •PERSONAL DATA :
• NAME : ABDULLAH MOHAMMED
• AGE: 45
• SEX: M
• DIAGNOSIS : SPONDYLOSIS
• REFERRAL DEPT: ORTHOPEDIC

26. •HISTORY
GRADUAL PAIN SINS 6 MONTH AGO AND RADIATE TO THE NECK AND ARM , INCREASE SEVERITY OF PAIN
WHILE HE DRIVE FOR LONG TIME AND IN THE MORNING ,SMOKER , HYPERTENSIVE .
CHIEF COMPLAINT:
DIFFICULTY IN ROTATE HIS HEAD

27. OBJECTIVE
•OBSERVATION:
FORWARD HEAD
PALPATION:
FLEXOR NECK MUSCLE TIGHT , EXTENSOR NECK MUSCLE UNDER ACTIVE ,