Mississauga Chiropractor Presents: Cervical Disc Herniation

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Cervical Discogenic Pain Syndrome is soft tissue damage & associated irritation of thefibers of the intervertebral discs between the vertebrae in the cervical spine.

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Potential Causes:

  • Direct trauma: falls, motor vehicle accident (cervical acceleration-deceleration), whiplash, sports injury (flexion with axial loading)
  • Overuse, fatigue, repetitive microtrauma (hours,days, months of the same motion)
  • Postural
  • Intrinisic Problem (Hyperlordosis or Hypolordosis)
  • Extrinsic Problem (Prolonged StressfulPositions, Student Posture)
  • Sudden unguarded movement
  • Degenerative disc disease

History:

  • Patient may experience immediate pain or painshorty after injury
  • Pain & paresthesia may radiate down to theshoulder, over the scapula or mid-back
  • Cervicogenic headache, possible tinnitus

Palpation: May reveallocal tenderness, joint dysfunctions, muscle spasms & hypertonicity

Range of Motion:

  • Limited in most motions
  • Pain in multiple directions suggests jointcapsule damage
  • Pain in single direction indicates muscle ortendon damage
  • Local swelling
  • Postural change & guarded movements

Treatment:

  • Ice & rest (avoid heavy lifting or straining, rapid motions)
  • Soft tissue therapy to release musclecontractions
  • McKenzie Exercises:
  • Neck Retractions
  • Neck Retraction-Extension
  • Neck Retraction-Pull head away from affect arm
  • Educate patient about proper posture, biomechanics & home exercise programs to helpstrengthen the spine & decrease the likelihood of future injury

 

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