scholarly journals Cervical Spondylosis Management through the Spactacles of Homoeopathy

2021 ◽  
Vol 10 (1) ◽  
pp. 649-655
Author(s):  
Shashi Bhushan Singh ◽  
◽  
Ravi Prakash ◽  
Keyword(s):  
Risk Factor ◽  
Cervical Spine ◽  
Soft Tissue ◽  
Neck Pain ◽  
Intervertebral Disc ◽  
Cervical Spondylosis ◽  
Soft Tissues ◽  
Holistic Approach

Cervical spondylosis is one of the commonly seen diseases nowadays. Neck pain, which usually arises from diseases of the cervical spine & soft tissues of the neck, is common. “SPONDYLO” is a Greek term, meaning “Vertebra” & spondylosis generally mean changes in the vertrbral joint characterized by increasing degeneration of the intervertebral disc with subsequent changes in the bones & soft tissue. The management of cervical spondylosis is very much effective with Homoeopathic medicine. This article stress upon the risk factor, pathophysiology, symptomatology, investigation in concise manner as well as emphasises how homoeopathy can manage in such cases by its holistic approach of treatment.

scholarly journals The Biomechanics of Cervical Spondylosis

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Lisa A. Ferrara
Keyword(s):  
Risk Factor ◽  
Cervical Spine ◽  
Neck Pain ◽  
Load Balance ◽  
Cervical Spondylosis ◽  
Cervical Radiculopathy ◽  
Height Loss ◽  
Ventral Margin ◽  
Vascular Structures ◽  
Eventual Loss

Aging is the major risk factor that contributes to the onset of cervical spondylosis. Several acute and chronic symptoms can occur that start with neck pain and may progress into cervical radiculopathy. Eventually, the degenerative cascade causes desiccation of the intervertebral disc resulting in height loss along the ventral margin of the cervical spine. This causes ventral angulation and eventual loss of lordosis, with compression of the neural and vascular structures. The altered posture of the cervical spine will progress into kyphosis and continue if the load balance and lordosis is not restored. The content of this paper will address the physiological and biomechanical pathways leading to cervical spondylosis and the biomechanical principles related to the surgical correction and treatment of kyphotic progression.

Magnetic Resonance Imaging in Retropharyngeal Tendinitis

Cephalalgia ◽  
1994 ◽  
Vol 14 (4) ◽  
pp. 266-269 ◽  
Author(s):  
K Ekbom ◽  
J Tothall ◽  
K Annell ◽  
J Träff
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cervical Spine ◽  
Magnetic Resonance ◽  
Soft Tissue ◽  
Signal Intensity ◽  
Soft Tissues ◽  
Resonance Imaging ◽  
X Ray ◽  
Soft Tissue Swelling ◽  
Retropharyngeal Tendinitis

Seven consecutive patients with acute retropharyngeal tendinitis underwent plain X-ray and magnetic resonance imaging (MRI) of the cervical spine. All seven had marked soft tissue swelling anterior to C1 and C2 on plain X-ray, and soft tissue calcification at this level was present in five of them. On MRI, there was markedly increased signal intensity on T2-weighted images in the acute phase and intermediate signal intensity on T1-weighted images, anterior to the level of C1 and C2, often extending as far down as C6. These changes correlated well with the soft tissue swelling seen on conventional X-ray of the cervical spine. The maximum mid-sagittal thickness of the soft tissues was significantly greater in the tendinitis patients ( p < 0.001) than in 12 control subjects free of symptoms from the pharynx or the cervical spine. Treatment with non-steroidal anti-inflammatory drugs rapidly alleviated symptoms, and at follow-up MRI showed regression or complete restitution of the changes. In conclusion, MRI can visualize the edematous changes in the longus colli muscle and adds useful diagnostic information in suspected cases of acute retropharyngeal tendinitis.

scholarly journals A non-linear multiaxial fatigue damage model for the cervical intervertebral disc annulus

2018 ◽  
Vol 10 (6) ◽  
pp. 168781401877949 ◽  
Author(s):  
Shruti Motiwale ◽  
Adhitya Subramani ◽  
Reuben H Kraft ◽  
Xianlian Zhou
Keyword(s):  
Cervical Spine ◽  
Cyclic Loading ◽  
Neck Pain ◽  
Intervertebral Disc ◽  
Fatigue Damage ◽  
Disc Degeneration ◽  
Intervertebral Discs ◽  
Quantitative Prediction ◽  
Biomechanical Models ◽  
Non Linear

A significant portion of the military population develops severe neck pain in the course of their duties. It has been hypothesized that neck pain is a consequence of accelerated degeneration of the intervertebral discs in the cervical spine, but more occupational and mechanistic-based tools and research are needed to positively confirm the link between neck pain and accelerated disc degeneration. Heavy head-supported mass including helmets and accessories worn by military personnel may subject the intervertebral discs of the cervical spine to complex cyclic loading profiles. In addition, some military operational travel which includes riding on high speed planing boats has also been reported to result in high magnitude cyclic loading on cervical spine discs. In this article, we present a methodology to computationally predict fatigue damage to cervical intervertebral discs over extended periods of time, by integrating kinematics-based biomechanical models with a continuum damage mechanics-based theory of disc degeneration. Through this computational approach, we can gain insights into the relationship between these military activities and possible accelerated fatigue degeneration of cervical intervertebral discs and provide a quantitative prediction tool for decade-long time ranges. The four significant improvements this computational framework adds to the area of modeling intervertebral disc degeneration are the following: (a) it addresses the non-linear nature of fatigue damage evolution, (b) it includes the effect of aging and damage recovery to accurately simulate biological phenomena, (c) it computes fatigue damage taking into account the multiaxial stress state in the disc, and (d) it correlates the computational damage parameter with established clinical grading systems for disc degeneration.

scholarly journals Level of Education as a Risk Factor for Extensive Prevalence of Cervical Intervertebral Disc Degenerative Changes and Chronic Neck Pain

2017 ◽  
Vol 25 (3) ◽  
pp. 245-250 ◽  
Author(s):  
Vedran Markotić ◽  
Damir Zubac ◽  
Miro Miljko ◽  
Goran Šimić ◽  
Amra Zalihić ◽  
...  
Keyword(s):  
Risk Factor ◽  
Neck Pain ◽  
Intervertebral Disc ◽  
Chronic Neck Pain ◽  
Degenerative Changes ◽  
Level Of Education

scholarly journals A Review on Diagnosis and Management of Cervical Spondylosis

2021 ◽  
pp. 668-674
Author(s):  
Ahmed Abdulaziz G. Ibrahim ◽  
Ali Mohammed A. Alahmari ◽  
Abdullah Hassan F. Alsuayri ◽  
Abdullah Misfer M. Algomshah ◽  
Saeed Ghanem S. Almlfi ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Cervical Spondylosis ◽  
Natural Aging ◽  
Posterior Longitudinal Ligament ◽  
Cervical Radiculopathy ◽  
Intervertebral Discs ◽  
Degenerative Changes ◽  
Facet Joints ◽  
Wide Range

Cervical spondylosis is a term that encompasses a wide range of progressive degenerative changes that affect all components of the cervical spine (i.e., intervertebral discs, facet joints, Luschka joints, flava ligaments, and laminae). It is a natural aging process and occurs in most people after the age of five. Most people with radiographic spondylotic changes in the cervical spine  remain asymptomatic, and 25% of those under  40, 50% of those over  40, and 85% of those over  60 show some evidence of degenerative changes , including changes in  the environment. Uncovertebral joints, facet joints, posterior longitudinal ligament (PLL) and yellow ligament lead to  narrowing of the spinal canal and intervertebral foramina. As a result, the spinal cord, spinal vasculature, and nerve roots can become compressed, leading to the three clinical syndromes that occur with cervical spondylosis: axial neck pain, cervical myelopathy, and cervical radiculopathy. Cervical spondylosis is usually diagnosed for clinical reasons only, but imaging is also required. Treatment for cervical spondylosis can be medical or surgical, depending on whether the patient has symptoms of myelopathy, radicular pain, or neck pain.

scholarly journals Cervical Spondylosis in Nepalese Porters

2008 ◽  
Vol 47 (172) ◽  
Author(s):  
Prakash Bista ◽  
YB Roka
Keyword(s):  
Cervical Spine ◽  
Head Injury ◽  
Confidence Interval ◽  
Neck Pain ◽  
Odds Ratio ◽  
Cervical Spondylosis ◽  
Case Control ◽  
X Rays ◽  
Age Group

Neck pain with or without radiculopathy and myelopathy is a very common problem in clinicalpractice. The incidence is believed to be higher in subgroups carrying load on their head. It has beenreported in literature that radiographic spondylosis is appreciable in 25% to 50% of population by theage of 50 years and 75% to 85% by the age of 65 years.One hundred and nineteen lateral X-rays of cervical spine were analyzed as case-control studyin patients between 40 and 50 years age with the objective of finding out proportion of cervicalspondylosis in this age group and difference in the prevalence between porters and non-porters.Out of the 119 cases 54 (45.4.2%) were porters and 65 (54.6%) were non-porters. There were 98(82.4%) males and 21 (17.6%) females. The overall prevalence of radiological cervical spondylosiswas 69 (58%). The prevalence of cervical spondylosis was significantly lower (x2 = 14.795, p=0.0001)in porters in comparison to non-porters. The odds ratio was found to be 0.23 (0.10, 0.53) at 95%confidence interval indicating that portering significantly prohibited development of spondylosis.This study concludes that the overall prevalence of cervical spondylosis in the Nepalese populationis slightly higher than in the Caucasian and contrary to other studies there is significantly lowerprevalence of such degeneration among the Nepalese porters.Key words: cervical Spine, cervical spondylosis, head Injury, Nepalese porters

SURGERY FOR NECK PAIN

Neurosurgery ◽  
2007 ◽  
Vol 60 (suppl_1) ◽  
pp. S1-51-S1-56 ◽  
Author(s):  
Eric S. Wieser ◽  
Jeffrey C. Wang
Keyword(s):  
Cervical Spine ◽  
Los Angeles ◽  
Neck Pain ◽  
Cervical Spondylosis ◽  
Nonoperative Treatment ◽  
Common Finding ◽  
Cervical Fusion ◽  
Specific Level ◽  
Radicular Symptoms ◽  
Axial Neck Pain

Abstract AXIAL NECK PAIN is a common finding that typically represents a spectrum of clinical Arlington Orthopedic Associates, disorders affecting the cervical spine. Controversy exists concerning the ultimate treatment of the patient who presents with cervical spondylosis and primarily axial neck pain without radicular symptoms or myelopathy and who has failed to respond to extensive nonoperative treatment methods. Cervical discography has been used to assist in determining the specific level or levels causing the neck pain and, potentially, which levels to fuse; however, controversy regarding the specificity of cervical discograms has also been debated in the literature. Los Angeles, California We recommend exhausting all conservative means of treatment of axial neck pain. Surgery is offered only after conservative treatment fails and appropriate psychological testing is performed, as well as diagnostic imaging and discography that confirm a specific level or levels as the pain source. Cervical fusion may demonstrate good results in appropriately chosen patients with cervical spondylosis and axial neck pain.

Spontaneous regression of a cervical intervertebral disc extrusion in French bulldogs documented on MRI after medical management

2019 ◽  
Vol 7 (2) ◽  
pp. e000817
Author(s):  
Victoria Argent ◽  
Anne Fraser ◽  
Lisa Alves ◽  
Paul Freeman
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Intervertebral Disc ◽  
Medical Management ◽  
Spontaneous Regression ◽  
Myoclonic Twitching ◽  
Disc Extrusion

Spontaneous regression of cervical intervertebral disc extrusion (cIVDE) has been reported in people. It has also been reported in a dog after four months of medical management. Two French bulldogs were presented to two different referral centres for signs of neck pain or myoclonic twitching. Both were diagnosed with cIVDE on MRI and were managed medically. One dog re-presented after six weeks with recurrent signs while it was still being strictly rested. Repeat MRI showed a new disc extrusion with apparent spontaneous regression of the initial cIVDE. The same re-presentation occurred in the second dog with a year intermission. These two cases demonstrate that spontaneous regression of intervertebral disc extrusion is a phenomenon occurring in the cervical spine of dogs. Notably one dog had a new disc extrusion during a period of rest, thus illustrating that further work is needed to understand how best to utilise medical management and crate rest.

Cervical Radiculopathy

2018 ◽  
pp. 101-108
Author(s):  
Michael Karsy ◽  
Ilyas Eli ◽  
Andrew Dailey
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Cervical Spondylosis ◽  
Cervical Radiculopathy ◽  
Surgical Approaches ◽  
Anatomical Landmarks ◽  
Cervical Fusion ◽  
Spine Mobility ◽  
Posterior Cervical Fusion ◽  
Spine Disease

Degenerative cervical spondylosis resulting in cervical radiculopathy or myelopathy can be a significant source of morbidity for patients. Traditional surgical approaches have involved anterior or posterior cervical fusion with decompression; however, these techniques may result in higher cost compared with noninstrumented cases, reduction of spine mobility, and adjacent level disease. Anterior microforaminotomy, first described by Jho in 1996, involves a microdiscectomy and decompression of the cervical spine without arthrodesis. Posterior approaches to the foramina can also be an option. In this chapter, the authors describe the use of lateral disc foraminotomies in the treatment of cervical spine disease. These techniques are mainly for the treatment of cervical radiculopathy without instability or mechanical neck pain. Techniques for both anterior and posterior approaches, including pitfalls and key anatomical landmarks, are described.

Damage Prediction for a Cervical Spine Intervertebral Disc

2016 ◽  
Author(s):  
Shruti Motiwale ◽  
Adhitya V. Subramani ◽  
Xianlian Zhou ◽  
Reuben H. Kraft
Keyword(s):  
Cervical Spine ◽  
Cyclic Loading ◽  
Neck Pain ◽  
Intervertebral Disc ◽  
Intervertebral Disc Degeneration ◽  
High Amplitude ◽  
Cyclic Loads ◽  
Military Population ◽  
Damage Prediction ◽  
The Military

A large part of the military population develop severe neck pain as a result of complex cyclic loading on the cervical spine. It is hypothesized that this pain is linked to accelerated intervertebral disc degeneration caused by wearing heavier head supported equipments for extended periods of time. This heavy head supported mass exerts high amplitude cyclic loads at the neck that may result in fatigue failure of the intervertebral disc. In this paper, we present a methodology to predict damage in the intervertebral disc over extended periods of time. With this model, we attempt to understand initiation and progression of damage in the disc due to loads exerted on the neck. Such an understanding can be beneficial in the development of better helmets and head mounted equipment for the soldiers.

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