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Symptoms
- Conditions - Treatment - Examination
The neck, or cervical spine, has 7 vertibrae, intervertebral discs,
and 8 cervical nerve roots. One cervical nerve root is found on
each side of the cervical spine. The places where vertebra move
against each other are called facet joints.
The cervical spine has a normal range of motion of:
Tucking
the chin - 45 degrees
Tilting the head back - 45 degrees
Bending to the right - 45 degrees
Bending to the left - 45 degrees
Rotating to the right - 80 degrees
Rotating to the left - 80 degrees
All
nerve impulses and reflex impulses to and from our hand, arms, shoulders,
neck and face are sent through the cervical nerve roots.
These nerve roots are C1 through C8. C5
through C8 connect from the shoulder to the finger tips. C1 through
C4 connect to everything above the shoulder. These are the ones
usually involved in stenosis, traumas, degenerative disc disease
and osteoarthritis.
SYPTOMS
What it feels like.
Decrease of mobility (range of motion). Stiffness, soreness, pain
or tingling in the shoulder or down the arm. Headaches.
CONDITIONS
What your chiropractor calls these. Subluxation or Luxation
of a joint - Facet syndrome - Stenosis - Disc protrusions or herniation
- Degenerative disc disease - Osteoarthritis Curvature problems
(hypo or hyperlondosis, scoliosis) - Sprain or strain.
Degenerative
Disc Desease:
A breaking down or degeneration of an intervertebral disc (thinning
or loss of height of the disc). This is usually from continuous
mechanical stress or simply age.
Disc
Herniation:
A rupture or fragment of a disc protrudes into the interverttebral
foramen which compreses the nerve root. Or, the disc protrudes into
the spinal canal compressing the spinal chord (or the cauda equina
in the lumbar, lower back, region).
Facet
Joint Syndrome:
A degeneration of facet joints found the rear or posterior of the
each vertebra. They act to prevent excessive spinal motion. Its
causes may be hyperextension injury, degenerative erosion and sceratic
changes. Usually results in reduced motion of the involved spine.
It may be further complicated by muscle spasms.
Luxation - Subluxation:
is one of the more common conditions for chiropractic treatment.
LUXATION is a joint that has moved “out of place,” such as a hip,
knee, shoulder, vertebra. This causes a disruption of normal range
of movement. SUBLUXATION happens when the luxated joint causes irritation
or damage to soft tissues - nerves, circulation, muscles, etc. -
resulting in problems with the part, or region, of the body they
supply. An example is sciatica.
Osteoarthritis:
Typically
develops from trauma or other conditions and comes on gradually,
even subtly and results in an erosion of the joint cartilage. It
mainly happens on weight bearing joints and is more common in older
people.
Strains
or Strains:
Occur
when a muscle or ligament is injured from over use, and when a joint
goes through a motion range greater than normal, but doesn’t fracture
or dislocate. Stenosis: can be congenital or acquired. It is a narrowing
of the canal the spinal nerve passes through or a foramen the spinal
root nerve travels through.
TREATMENT
Chiropractic offers a variety of techniques for effective treatment
of the majority of cervical conditions. The area of involvement
will be completely examined and x-rayed, if needed. Your chiropractor
has a variety of manipulation techniques and will choose those best
suited for the condition you have. Both the conditions of stenosis
and vertebrobasilar instability must not be treated with chiropractic
manipulation for fear of permanent injury.
The
purpose of chiropractic manipulation is to restore the involved
area to normal joint functioning. This increases blood flow, joint
mobility and decreases tissue stress. The area of the spine functions
as intended. This allows any involved area of the body to begin
to heal and repair also.
EXAMINATIONS
A thorough chiropractic examination includes: complete history,
vital signs, orthopedic, neurologic and physical exams. Neurologic
and orthopedic exams take place in the involved area (cervical,
thoracic, lumbar and extremities). Vital Signs include weight, height,
blood pressure, pulse, respiration, ausculation. A Complete History
of the problem helps determine the cause or if it is hereditary.
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