Conditions Affecting The Cervical Spine - Everything You Need To Know - Dr. Nabil Ebraheim
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- เผยแพร่เมื่อ 3 มี.ค. 2014
- Dr. Ebraheim’s educational animated video describes the conditions affecting the cervical spine.
1-Degenerative disorders: can cause mechanical pain, the pain increases with activity and is relieved by rest. Rule out tumor, rule out infection. In these situations the pain is not related to activity. The pain is not relieved by rest or a collar and there will be more pain at night. Pain at night usually not normal. Is the pain axial or radicular? Axial pain means that the pain is diffuse, localized to the midline, or referred pain to the shoulder or the scapula. Radicular pain is associated with objective findings in a dermatomal distribution. There will be numbness weakness and paresthesia. The pain will move down the arm, forearm and into the hands and fingers. The pain is due to herniation of a cervical disc pushing on the nerve root.
Test for cervical radiculopathy
•Spurling’s test: the Spurling's test is used to assess nerve root pain. The patient should be seated with the head turned towards the affected side and the clinician standing behind the patient. downward compressive force to the top of the patient’s head is applied. The test is positive when the compressive force being placed on the cervical spine causes radiating pain down the patient’s arm.
•Shoulder abduction test: the patient’s symptoms are relieved by shoulder abduction and placing the hand over the head. This test helps to differentiate between cervical spine pathology and other causes of shoulder pain. It is important for cervical radicular compressive disease. The relief of the symptoms occurs due to decreased tension on the nerve roots.
2-Cervical spine myelopathy: myelopathy can occur due to compression of the cervical spinal cord. Pain is poorly defined. The pain is present for a while and usually located in the cervical spine or arm. Vague sensory or motor changes in a dermatomal distribution. Symptoms and examination include slow, wide, broad based ataxic gait pattern. Upper motor signs as well as spasticity with hyperreflexia. Pathological long tract signs will be seen consisting of the Hoffman’s, Babinski, Clonus, Finger Escape and L’hermitte’s signs.
•Hoffman’s sign is done by flicking the nail of the middle or ring finger to produce flexion of the index finger to the thumb.
•Babinski sign: running sharp instrument along the lateral border of the foot from the calcaneus produces extension of the big toe and fanning of the other toes.
•Clonus sign: nonvoluntary sustained movement of the ankle muscles with firm passive continuous stretch.
•L’hermitte’s sign: neck flexion causing electric shock sensation and paresthesia radiating into the upper and lower extremity.
Always check the cervical spine in trauma patients. Take precautions to protect the cervical spine. Injury can vary from whiplash injury to fracture dislocation with complete paralysis.
Be aware of malingering patients. Overreaction during examination may be seen in the form of extreme facial expressions, sweating, or verbal responses. The patient may exaggerate their symptoms for the attempt of secondary gain.
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Background music provided as a free download from TH-cam Audio Library.
Song Title: Every Step
I am back again to learn all you know. You are the best.
thank you so much dr nabil
Excelent video, again
Thank you for the information very informative
Thanks alot sir .very informative.
I love your videos..and I love to hear your voice more than the background music 💕💕💕💕💕💕💕💕💕
As always Teacher thank you so much for your lecture and video presentation.
Respect.
thanks
Nice Video Sir
thank you somuch very nice info
Super
doctor you do POD?
Beware the malingering patient , right. I was scoffed at, insulted, had the head of a prestigious hospital roll his eyes at me and tell me I was “mistaken” about my symptoms, accused of all sorts of offensive nonsense and told it was mental illness, “anxiety” or just menopause for 12 YEARS! before I found a doctor who would even take me seriously and give me proper tests and exams. Beware of the jaded, patient blaming attitudes of unhelpful, condescending to ladies, uncaring medical professionals . Do not give up if you are suffering.
Eu tenho dodas esse problema em todo o copo não consigo far nada tenho muitas dor na coluna toda só Deus pra me ajudar
:-) Gracias
is this disease effects in breathing also?
My Dr informed me two days ago I had pinched nerves cervical spine c3 c4 c5. High impact rear end 4 years pain. I had the mri. And waiting to be referred to spine surgen. Do I have a disk issues or nerve root issue which is more likely? Thank you Dr.
I can't bare the waiting.
how does a patient fake sweating?
I just went to bone and joint Dr and he did the nail and foot test, was very alarm and scared, I thought I was going for surgery on my spine six bad disc, root compersion, from fall now he said might not be good idea, wants to do MRI of the brain.
Whiplash and structural brain injury are often comorbid. Mine was moderate to severe. I have cervical titanium fusion C3-C6
Help me please
I have this problem
C3_c4.4-5 and C5-6 make my video
I have neck degeneration Symbiosis I am 65 my upper back is so sore when I trip or sneeze goes right to my back my back because it is sore radiates to my ribs and that affects my breathing I hate my life right now at the top of my neck there is a lump also generates headaches
Hi
Am also suffering what i need to do for neck pain
Sir aap ka address kidar hai ya phir number do bahot neck pain hai
Sir whats aap number hai
Good up to the last bit total nonsense, horse doctor.
why? some patients exaggerate their symptoms and you must be aware of this (if you are a doctor)
تولستوي this is horse shit how does a person fake sweating absolute rubbish how old are you.
older than you .