scholarly journals A Case Report of Silent Cervical Spondylosis with Neck Pain

2021 ◽  
pp. 232-237
Author(s):  
Mayuri Zoting ◽  
Shivani Uttamchandani ◽  
Mitushi Deshmukh ◽  
Om C. Wadhokar
Keyword(s):  
Cervical Spine ◽  
Cervical Spondylosis ◽  
Clinical Impression ◽  
Case Presentation ◽  
X Ray ◽  
Wear And Tear ◽  
Vertebral Bodies ◽  
Therapy Intervention ◽  
Physical Therapy Intervention

Background: Cervical Spondylosis, commonly known as Cervical Osteoarthritis, is a kind of degenerative osteoarthritis of the joints between the spinal vertebrae's and the neural foramina. It's a condition characterized by changes in the cervical bones, discs, and joints as a result of regular aging wear and tear. Spondylosis of the cervical spine is most common in 40s and 50s. Case Presentation: A 65 years old male came to physiotherapy department with complaints of pain in left upper limb and neck and weakness in his left upper back muscles and unilateral since 2 months. Clinical impression showed cervical non radiculopathy. X-ray of cervical spine revealed osteophytosis and narrowed inter- vertebral space, seen in C6 and C7 cervical vertebral bodies with straightening of cervical spine. Cervical Distraction and compression test was positive. Conclusion: A well planned physical therapy intervention has shown significant improvement in cases with cervical spondylosis in relieving the symptoms and improving quality of life.

scholarly journals EFFECTIVENESS OF ELECTRICAL STIMULATION (EMS), THERAPEUTIC ULTRASOUND, THERAPEUTIC EXERCISES AND SOFT TISSUE MOBILIZATION IN WHIPLASH INJURIES; A CASE REPORT

2012 ◽  
Vol 2 ◽  
pp. 69-73
Author(s):  
Asghar Khan ◽  
Keyword(s):  
Quality Of Life ◽  
Social Life ◽  
Pain Scale ◽  
Whiplash Injuries ◽  
Therapeutic Exercises ◽  
Whiplash Associated Disorders ◽  
Soft Tissue Mobilization ◽  
Therapy Intervention ◽  
Physical Therapy Intervention

The purpose of the study was to determine the effectiveness of combined physical therapy Intervention in the treatment of whiplash-associated disorders. A case was selected from an outpatient clinic for a 31-year-old male with whiplash injuries due to an auto accident. The outcome measures were pain (0-10 pain scale), disability (disability index) and quality of life including social life activities

scholarly journals Do Physical Therapy Interventions Improve Urinary Incontinence and Quality of Life in patient with Multiple Sclerosis: A systematic Literature Review

2019 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Urinary Incontinence ◽  
Physical Therapy ◽  
Randomized Control Trials ◽  
Randomized Control ◽  
Therapy Interventions ◽  
Therapy Intervention ◽  
Physical Therapy Intervention

Background: Multiple sclerosis (MS) presents with many symptoms, including urinary incontinence (UI) that physical therapy can play very important role, which is widely prevent, but the physical therapy management for UI in MS population lacks consensus. We analyzed the current evidence for effectiveness of physical therapy to decrease UI and improve quality of life (QOL) in population with MS. Purpose: To systematically review the literature and present the best available evidence for the efficacy and effectiveness of physical therapy intervention in treating the urinary incontinence for MS population and improve QOL. Data Source: Pub Med, Cochrane library, BMJ Group, BioMed Central, Wiley online library, Cumulative Index to Nursing and Allied Health Literature, and PEDro. Study Selection: 5 randomized, control trials (RCTs) and one clinical trial published in English from 2006- May 2019. Data Extraction: Any study concentrated on surgical or pharmaceutical treatment interventions, focused on bowel incontinence or were not within the physical therapy scope of practice. Data Synthesis: The study focuses on physical therapy intervention for MS patients with UI and randomized control study. Limitation of the Study: The reviewed study is limited to 6 randomized control trials. Conclusion: There is significant evidence that physical therapy interventions in MS patients with urinary incontinence are very effective and had significant change in reducing UI and increasing QOL.

scholarly journals A Case study on Efficacy of Nasya karma with Karpasasthyadi thailam in the Management of Kaphavrutha Vata w.s.r Manyasthamba

2021 ◽  
Vol 12 (1) ◽  
pp. 171-176
Author(s):  
Remesh Chandran T S ◽  
Manu R ◽  
Sainath Pillai R
Keyword(s):  
Cervical Spine ◽  
Cervical Spondylosis ◽  
Treatment Protocol ◽  
Modern Medicine ◽  
Degenerative Disease ◽  
The Body ◽  
Potent Effect ◽  
Age Related ◽  
Micro Channels ◽  
Wear And Tear

Manyasthamba (Cervical Spondylosis) is one among the Eighty Nanathmaja Vata Vyadhi’s. Due to the Nidanas (Etiology) like sleeping during day time, sitting and standing on irregular postures, constantly gazing upwards.Avarana is one of the pathological processes of Vata vitiation. Avarana is the disturbed movement of Vata due to obstruction by other factors in the body. Vata being aggravated, gets Avrutha by Kapha. Kaphavrutha Vata takes Ashraya (seat)in the Sira (arteries) and Snayu (Nerves) of Manya Pradesha  (Nape of the neck) and produces Lakshanas ( Symptoms)  like Sheetata ,Shopha (Swelling), Gaurava (Heaviness), Ruk (Pain) and Chesthastambha ( Lack of expression) we can correlate cervical spondylosis with Manyastambha which has dominancy of Vata-Kaphaja Dosha.    Cervical spondylosis is a degenerative disease of cervical spine. It is age related degenerative disease but the incidence is increasing day by day due to strenuous activities, faulty postures and long hours desk work cervical spine go through various wear and tear processes because of which the gap between the two vertebrae reduces and the nerve passing through them get compressed and eliciting various symptoms like paraesthesia, radiating pain, numbness in hand, headache, dizziness. Modern medicine has no promising remedy for this disease yet. The general treatment protocol for Avarana is pacification of Vata along with cleansing of channels and treatment of encroaching Dosha. Nasya is considered as the best procedures for disease of head and neck.  Ayurvedic classics has mentioned Nasya (earrhines) as the treatment for Urdhva Jatru Gata Vikara (supraclavicular region). Nasya(earrhines) karma has potent effect on Shroto Shodhan (Cleansing of micro channels) and to retard the Dhatukshaya (Depletion of Dhatus).  

Role of Physical Therapy Intervention in Patients With Life-Threatening Illnesses

2016 ◽  
Vol 34 (2) ◽  
pp. 186-196 ◽  
Author(s):  
Kaitlyn Putt ◽  
Kelli Anne Faville ◽  
David Lewis ◽  
Kevin McAllister ◽  
Maria Pietro ◽  
...  
Keyword(s):  
Palliative Care ◽  
Physical Therapy ◽  
End Of Life ◽  
Well Being ◽  
Palliative Care Setting ◽  
The Impact ◽  
Therapy Intervention ◽  
Physical Therapy Intervention

Background: Physical therapy encompasses the skilled treatment and care for patients across the life span through a multitude of different practice settings. This includes caring for individuals within end-of-life or palliative care settings. The goal of treatment in this stage of care is to relieve physical, social, psychological, and spiritual suffering in order to improve overall quality of life in patients with terminal illnesses. There has been limited research conducted to investigate the utilization of physical therapy interventions in palliative care settings. Purpose: The purpose of this study was to contribute to the current research involving physical therapy and end-of-life care in terms of its efficacy, value, and how this value is perceived by patients and their caregivers. Methods: This was completed by independently screening and reviewing the studies that were published between the years 1994 and 2014 and related to this topic. The databases and journals searched included CINAHL, PUBMED, MEDLINE, Cochrane, PEDro, the Journal of Palliative Care, the American Journal of Hospice and Palliative Medicine, and Google Scholar. Results: Thirteen qualitative articles were selected which met all inclusion criteria and discussed the role of physical therapy intervention in the palliative care setting. Methodological quality of articles were assessed using the QASP, scale and their findings were summarized and presented in table format. Conclusion: These articles support the utilization of physical therapy in palliative care settings and emphasizes the impact of physical therapy on improving patients’ physical, social, and emotional well-being.

scholarly journals Undetected Hangman's Fracture in a Patient Referred for Physical Therapy for the Treatment of Neck Pain Following Trauma

2008 ◽  
Vol 88 (1) ◽  
pp. 98-104 ◽  
Author(s):  
Michael D Ross ◽  
John M Cheeks
Keyword(s):  
Cervical Spine ◽  
Physical Therapy ◽  
Neck Pain ◽  
Motor Vehicle ◽  
Hangman’S Fracture ◽  
Number Of Patients ◽  
Pars Interarticularis ◽  
Hangman's Fracture ◽  
Therapy Intervention ◽  
Physical Therapy Intervention

Background and Purpose This case report describes a patient referred for physical therapy treatment of neck pain who had an underlying hangman's fracture that precluded physical therapy intervention. Case Description This case involved a 61-year-old man who had a sudden onset of neck pain after a motor vehicle accident 8 weeks before his initial physical therapy visit. Conventional radiographs of his cervical spine taken on the day of the accident did not reveal any abnormalities. Based on the findings at his initial physical therapy visit, the physical therapist ordered conventional radiographs of the cervical spine to rule out the possibility of an undetected fracture. Outcomes The radiographs revealed bilateral C2 pars interarticularis defects consistent with a hangman's fracture. The patient was referred to a neurosurgeon for immediate review. Based on a normal neurological examination, a relatively low level of pain, and the results of radiographic flexion and extension views of the cervical spine (which revealed no evidence of instability), the neurosurgeon recommended that the patient continue with nonsurgical management. Discussion In patients with neck pain caused by trauma, physical therapists should be alert for the presence of cervical spine fractures. Even if the initial radiographs are negative for a fracture, additional diagnostic imaging may be necessary for a small number of patients, because they may have undetected injuries that would necessitate medical referral and preclude physical therapy intervention.

scholarly journals Evaluation of image quality in cervical spine lateral radiographs

2017 ◽  
Vol 6 (1) ◽  
pp. 30-33
Author(s):  
S Shrestha ◽  
S Maharhan ◽  
U Khanal ◽  
M Humagain
Keyword(s):  
Cervical Spine ◽  
Soft Tissue ◽  
Cross Sectional Study ◽  
Radiographic Examination ◽  
Lateral Spine ◽  
Cross Sectional ◽  
X Ray ◽  
Spine Radiographs ◽  
Diagnostic Radiography

In diagnostic radiography, cervical lateral spine x-ray is common radiographic examination among imaging of cervical spine. Thus, it is important to show entire anatomical structure, adequate penetration, soft tissue of neck and bony detail. This study attempts to quantify the quality of cervical spine radiographs by evaluating the quality of depiction of the anatomical and physical details. In this cross-sectional study, about 188 cases of cervical spine lateral radiographs were collected for study over the three months of period. Nine image criteria i.e. anatomical coverage, soft tissue visualization, C7/T1 junction, sharp bony detail, proper chin raise, artifact, density, patient rotation and collimation were followed and tabulated. Obtained data were analyzed using in SPSS v.20 software and shown in frequency, percentages, bar diagrams and graphs. Among 188 patients, about 23.4% cervical radiographs met all image criteria but remaining 76.6% did not meet these criteria due to no anatomical coverage (33.5%), no proper chin raise (46.3%), artifact (13.3%), patient rotation (50%) and no collimation (33.5%). It is difficult to perform good quality cervical radiograph according to European guidelines14. To a great extent the quality of cervical radiographs depends upon skill of radiographer, equipment condition (x-ray machine, CR reader) and co-operation of patients. This is always a challenge for radiographer and technologist.

scholarly journals Cervical spondylosis: a common finding in vertigo patients

2018 ◽  
Vol 5 (1) ◽  
pp. 33
Author(s):  
Santosh Uttarkar Pandurangarao ◽  
Shraddha Subhash Bhoyar ◽  
Aravind Darga Ramchandra ◽  
Sridurga Janarthanan
Keyword(s):  
Cervical Spine ◽  
Cervical Spondylosis ◽  
Lateral View ◽  
Common Finding ◽  
Common Symptom ◽  
Chi Square ◽  
X Ray ◽  
Common Causes ◽  
Chi Square Test ◽  
Male Patients

<p class="abstract"><strong>Background:</strong> Vertigo<strong> </strong>or giddiness is a common symptom seen in patients attending ENT OPD. Vestibular and neurological pathologies being the known common causes. Cervical spondylosis is being established as a common condition leading to vertigo. Our aim is to evaluate the significance of cervical spondylosis as a cause in patients with vertigo.</p><p class="abstract"><strong>Methods:</strong> Hundred patients of either sex, between the age group of 23-64 years, with vertigo were evaluated with complete history and clinical examination followed by PTA and impedance audiometry. All common causes of vertigo were ruled out and these patients were screened with digital x-ray cervical spine in lateral view to rule out cervical spondylosis. The results were analysed statistically using Chi square test and inference was drawn.  </p><p class="abstract"><strong>Results:</strong> Out of 100 (100%) patients evaluated, 58 (58%) were female patients and 42 (42%) male patients. Cervical spondylosis was found to be present in 47 (47%) patients.</p><p class="abstract"><strong>Conclusions:</strong> Cervical spondylosis was found as a common finding in patients with vertigo. It can be ruled out easily using a simple investigation of cervical spine x-ray, in patients where other commoner causes cannot be established.</p>

scholarly journals A CLINICAL STUDY OF NASYA KARMA WITH HRISHVA-PANCHMOOL TAILA AND ABHYANGAWITH KUKKUTANDA YOGA IN THE MANAGEMENT OF MANYASTAMBHA W.S.R. TO CERVICAL SPONDYLOSIS

2021 ◽  
Vol 09 (1) ◽  
pp. 44-52
Author(s):  
Deepika Nagar ◽  
Gyan Prakash Sharma ◽  
Mahesh Kumar Sharma ◽  
Preeti Swami
Keyword(s):  
Cervical Spine ◽  
Clinical Study ◽  
Cervical Spondylosis ◽  
Clinical Symptoms ◽  
Combined Therapy ◽  
Group Discussion ◽  
Modern Medicine ◽  
Nerve Roots ◽  
X Ray ◽  
Motor Disturbances

Manyastambha is the clinical condition in which the back of the neck becomes stiff and the movements of the neck are hampered. Manyastambha is one of the Vatavyadhi and further explained as one of eighty types of Vataja Nanatmaja Vikara as well as Urdhwajatrugata Vikaras. It can be co-related with Cervical Spondylosis in modern medicine. Cervical Spondylosis is a degenerative condition of the cervical spine. Ruka and Stambha are the primary symptoms. If severe, it may cause pressure on nerve roots with subsequent sensory or motor disturbances. Today is the era of modernization and fast life. Everybody is busy and living stressful life. In the present observational study, housewives are more prone to develop Manyastambha (cervical spondylosis), followed by clerk, tailor, farmer. Aim- To assess the efficacy of Nasya Karma with Hrishva-Panchmool Taila and Abhyanga with Kukkutanda Yoga in the Management of Manyastambha w.s.r. to Cervical Spondylosis. Material &Method -Present study was undertaken on 30 patients of Cervical Spondylosis. Patients diagnosed Cervical Spondylosis by X-ray and Clinical Symptoms were randomly divided into Three groups, A, B and C consisting of 10 patients in each group. Discussion & Conclusion- The combined therapy of Nasya and Abhyanga showed encouraging results in the subjective and objective parameters of Manyastambha. The study shows that the Kukkutanda Yoga Abhyanga and Nasya Karma with Hrishva-Panchmool Taila are very effective in the management of Manyastambha (Cervical Spondylosis). These modalities are having Vata-Kaphahara and Ushna, Snigdha Balya, Brihmna, properties are supposed to be beneficial in Manyastambha.

Management of The Cervical Spine Tuberculosis

2018 ◽  
Vol 1 (2) ◽  
pp. 19
Author(s):  
Sabri Ibrahim
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cervical Spine ◽  
Magnetic Resonance ◽  
Spinal Tuberculosis ◽  
Intervertebral Disk ◽  
Posterior Fixation ◽  
Resonance Imaging ◽  
Vertebral Bodies ◽  
Intervertebral Disk Space ◽  
Developed Nations

Tuberculosis of the cervical spine is a rare clinical condition (10%), most commonly affected lower thoracic region (40-50% of the cases). Spinal tuberculosis is a destructive form of tuberculosis. It accounts for approximately half of all cases of musculoskeletal tuberculosis. Spinal tuberculosis is more common in children and young adults. The incidence of spinal tuberculosis is increasing in developed nations. Characteristically, there is a destruction of the intervertebral disk space and the adjacent vertebral bodies, collapse of the spinal elements, and anterior wedging leading to kyphosis and gibbus formation. For the diagnosis of spinal tuberculosis, magnetic resonance imaging is more sensitive than x-ray and more specific than computed tomography. Magnetic resonance imaging frequently demonstrates an involvement of the vertebral bodies on either side of the disk, disk destruction, cold abscess, vertebral collapse, and presence of vertebral column deformities. Anti-tuberculous treatment remains the cornerstone of treatment. Surgery may be required in selected cases, e.g. large abscess formation, severe kyphosis, an evolving neurological deficit, or lack of response to medical treatment. The quality of debridement and bony fusion is optimal when the anterior approach is used. Posterior fixation is the best means of achieving reduction followed by stable sagittal alignment over time. With early diagnosis and early treatment, the prognosis is generally good.

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