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Cervical spondilytis slide share

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Cervical spondilytis slide share

  1. 1. Cervical spondylitis Powered by- Online homeopathic treatment
  2. 2. Cervical spondylitis Cervical spondylitis is a common degenerative condition of the cervical (neck) spine that most likely is caused by age-related changes (wear and tear) in the intervertebral disks and vertebrae of the neck. Research has shown that CSM (cervical spondylotic myelopathy) is the most common cause of non-traumatic weakness in limbs and a persistent stiffness and nagging pain in the neck. 'Spondylo' is a Greek word-meaning vertebra. Spondylitis (or Spondylosis) means changes in the vertebral joint characterized by increasing degeneration of the intervertebral disc with subsequent changes in the bones and soft tissues. Powered by- Online homeopathic treatment
  3. 3. Most often in people above the age of 40, the intervertebral discs get progressively dehydrated and they become more compressible and less elastic. Mineral deposition starts occurring in the intervertebral disc resulting in secondary changes. Although majority of individuals over 40 years of age demonstrate significant radiological evidence of the above changes, only a small percentage develop symptoms of the same. Another noteworthy point is that sometimes the degenerative changes in the cervical spine can be visible on the X-ray as early as in 30’s but it does not call for any treatment if the patient is not symptomatic. Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
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  5. 5. • This is basically a mechanical disorder. • Very stiff muscles in the cervical region can, over the years, cause a kinking of the cervical spine to the front. • Bad posture and lack of exercise to the cervical region are the key factors which are responsible in a majority of the patients. • Lying in bed with several pillows propping up the neck into an unnatural position can affect the alignment of the cervical column, causing a forward inclination. • Reclining on sofas with the spine hunched and the neck pushed forward is bad for cervical alignment. • Hunching over the computer for many hours, occupational hazards such as those of a writer, an illustrator or a painter, all cause the spine to be bent forward all the time. Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
  6. 6. • Positioning the body to the same side during sleep, with the shoulder muscles and the neck compressed, also develops faulty alignment in the cervical spine. In due course the spine is bent, the front surface of the bones and disc are excessively pressurised and damage occurs. • The so-called executive chairs are ill-designed and push the neck out of alignment. No chair should reach over the head. The level should be up to the shoulder blades so that the chest can stretch over the edge keeping the body upright. • In India, railway porters carry heavy loads on their heads but they do not suffer from cervical pain (as one would expect) from the heavy load they carry every day. Only in the group of people who never exercise their bodies does this occur most frequently. Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
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  9. 9. • Neck pain and stiffness is one of the earliest presentations of cervical spondylitis. Some of the characteristic features of this condition are: • Chronic or episodic pain and stiffness in the neck and shoulder region • The pain tends to get worse over a period of time • There may be periods initially when the pain disappears completely; later as the disease advances the pain may remain persistent • Pain may radiate (travel) from neck to shoulders, arms, forearms, hands, lower part of the head, upper back • Coughing, sneezing, other movements of the neck may worsen symptoms • Along with pain, there may be abnormal sensations (tingling numbness), loss of sensation, weakness in any of the above regions Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
  10. 10. • There may be non-specific headaches in the lower part of the back of head • Sensation of loss of balance • Loss of control over the bladder or bowels (if the spinal cord is compressed) • Occasionally there may be atypical pain presenting as chest pain or breast pain (false angina) Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
  11. 11. The doctor may find certain clear pointers to this disease on examination of the patient: • Spasm of the neck muscles • Limited range of movements of the neck – bending forward, backward, sideways, rotating the head are all limited • Weakness of muscles of the arms, forearms • Altered sensation in the shoulder region, arms, forearms, neck, etc. • Reflexes are often reduced • poorly localised tenderness, • limited range of motion, • minor neurological changes. Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
  12. 12. • Imaging tests A variety of imaging tests can provide details to guide diagnosis and treatment. Examples include: • Neck X-ray. An X-ray may show abnormalities, such as bone spurs, that indicate cervical spondylosis. It is ordered primarily as a screening test to look for rare, serious causes for neck pain and stiffness — such as tumors, infections or fractures. • Computerized tomography (CT scan). This test takes X-rays from many different directions and then combines them into a cross-sectional view of the structures in your neck. It can provide much finer details than a Powered by- plain X-ray, particularly of the bones. Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
  13. 13. • Magnetic resonance imaging (MRI). MRI uses a magnetic field and radio waves and can produce detailed, cross- sectional images of both bone and soft tissues. This can help pinpoint areas where nerves may be getting pinched. • Myelogram. This test involves generating images using X-rays or CT scans after dye is injected into the spinal canal. The dye makes areas of your spine more visible. Nerve function tests- In some cases, it may be helpful to determine if nerve signals are traveling properly to your muscles. Nerve function tests include: • Electromyogram (EMG). This test measures the electrical activity in your nerves as they transmit messages to your muscles when the muscles are contracting and when they're at rest. The purpose of an EMG is to assess the health of your muscles and the nerves that control them. • Nerve conduction study. For this test, electrodes are attached to your skin above the nerve to be studied. A small shock is passed through the nerve to measure the strength and speed of nerve signals. Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
  14. 14. • To arrive at an accurate diagnosis, it is critical for the physician to consider other disorders that have similar symptoms as cervical spondylotic myelopathy (a "differential diagnosis"). Other conditions associated with neck pain and arm pain, motor-sensory-reflex changes, and signs of spinal cord dysfunction include: • Progressive forms of multiple sclerosis • Amyotrophic lateral sclerosis (Lou Gehrig's disease) • Hereditary spastic paraplegia • Subacute combined degeneration of the spinal cord associated with vitamin B12 deficiency • Certain spinal cord tumors Powered by- • Combined system disease Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
  15. 15. • Rheumatoid Arthritis • Cervical Sprain and Strain • Osteoporosis and Spinal Cord Injury • Frozen Shoulder • Metabolic diseases - Paget's disease, osteoporo sis, gout or pseudo- gout Infections - osteomyelitisor tuberculosis Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
  16. 16. • MEDICAL • PHYSIOTHERAPY • RELAXATION • ERGONOMICS • DO’s AND DONT’s • HOMEOPATHIC APPROACH Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
  17. 17. • Usually Analgesics and muscle relaxants are advised . In more severe cases the orthopaedic doctor may suggest cortisone injections near the joints of the vertebral bodies to ease the swelling of the nerves and relieve pain. • Surgical Treatment If the medical treatment and physiotherapy fails, and the condition is severe, where the nerves are affected, surgery may be required.. Decompression of the nerve is done to relieve the nerve which is compressed by the bones and the disc. Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
  18. 18. • Physiotherapy The goal of physiotherapy treatment is to relieve pain, and enhance movements of the neck. • Shortwave Diathermy - A disc or heating pad is placed over the back of the neck. The warmth obtained from the shortwave diathermy current relaxes the muscle and the pain is relieved. Cervical Traction - Traction is a mechanical device, which supports the head and chin. It is used to relieve the nerve compression by a bone. Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
  19. 19. • Posture correction - Simple postural exercises can be taught to correct the faulty position of the neck. Motivation is given to maintain the erect posture: Collars - Two types of collars can be prescribed: Soft Collar - Soft collar is used during night times to prevent awkward position of the neck during sleep. Firm Collar - Firm collar steadies the neck and relieve pain, especially during traveling or work. It is removed when the pain subsides. Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
  20. 20.  Relaxation Relaxation is essential part of treatment. Tension in neck and shoulder muscle, pain, anxiety are all relieved by relaxation. Relaxation can be done in two ways: Physical Relaxation. Mental Relaxation. Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
  21. 21. • Physical Relaxation: The whole body is relaxed by free suitable and comfortable positions, so that the muscles are freed from tension and the pain is relieved. For eg., position of relaxation - when you are lying flat on your back. One pillow under the head One cushion for the shoulder and One under knees. The pillow should be firm and thin This position will allow relaxation for your body while lying down. Relaxation while sitting. The head, neck and shoulder are supported by high backed chair, with a small pillow at lower back. Feet supported on stool or low bench Arm, resting on arm of chair or pillow Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
  22. 22. • Ergonomics Ergonomics concentrates on the architectural design of furnitures like desk, chairs, tables etc. The design of the furniture should be such that it should support the body structure without causing any undue strain to the muscles of the back and neck . Powered by http://www.onlinehomeopathictreatment.c Powered by- om Online homeopathic treatment
  23. 23. • Do's and Dont's If you are prone to cervical spondylosis, Avoid bad roads, if travelling by two or four wheelers Do not sit for prolonged period of time in stressful postures Do use firm collars while traveling Do not lift heavy weights on head or back Do not turn from your body but turn your body moving your feet first Do turn to one side while getting up from lying down Do the exercises prescribed regularly Do use firm mattress, thin pillow or butterfly shaped pillow Do not lie flat on your stomach. Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om
  24. 24. • Yogasanas for cervical spondylitis: • Here are some of the most useful Yoga asanas for cervical spondylitis. Before practicing these Yogasanas you should seek guidance of your health provider and should only practice under guidance of an Yoga expert. • Sarpasana • Dhanurasana • Shalabhasan • Dandasana • Bhujangasan • Tadasana • Makarasan • Neck excercises ( forward bending and backward bending) Powered by- Powered by Online homeopathic treatmenthttp://www.onlinehomeopathictreatment.c om

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