myelopathy and radiculopathy Flashcards Preview

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Flashcards in myelopathy and radiculopathy Deck (19):
1

how can radiculopathy and myelopathy pain occur?

distortion stresses in fascial attachments and muscles,

muscle fatigue causing local accumulation of metabolites,

stress in facet joint and SI joint capsules,

inflammation of facet joints,

irritation of perivascular and periostal nerves,

distortion of posterior annulus and PLL by discs

2

what are forces highest on vertebral discs?

when sitting

3

what are degenerative diseases of the spines?

disorders due to change in the tissues of the vertebral column which occurs to some extent In all individuals after early adult life

4

what happens in ageing of the disc?

dehydration,

invasion of firbo cartilage by nuceleus,

loss of elasticity,

fissuring,

uniform cartilage plate

5

what is radiculopathy?

compression/pathology of the nerve root.

6

what is myelopathy

pathology of the spinal cord

7

an annular disc rupture is symptomatic if it occurs in which direction?

posteriorally

8

what is chronic disc disease otherwise reffered to as?

spondylosis

9

what is chronic disc disease?

degenerative condition of the vertebral discs, occurs in later life, disc flattening and dehydration as well as secondary chances such as deformity (spondyloisthesis)

10

what two types of cervical spondylosis can occur?

cervial spondylosis radiculopathy (CSR), Cervical Spondylosis Myelopathy (CSM)

11

describe the natural history of cervical spondylosys radiculopathy

common, self limiting, not recurrent

12

describe the natural history of cervical spondylosys myelopathy

often stabilises, some milder cases spontaneously improve, not fully explained by compression

13

what are the clinical features of radiculopathy?

neck pain and stiffness, headaches, limb: pain, sensory loss, weakness, reflex loss

14

what are the clinical features of myelopathy?

slow onset or sudden with trauma, upper limbs: numb, clumbsy, muscle wasting, lower limbs: stiff heavy legs, poor balance and falls

15

what are five differential diagnoses of Cervical Spondylosis Myelopathy (CSM)

demyelination, tumours, rheumatoid arthritis, MND, Syringomyelia, subacute degeneration

16

what are five differential diagnoses of Cervical Spondylosis Radiculopathy (CSR)

carpal tunnel syndrome, ulnar nerve palsy, thoracic outlet syndrome, shoulder girdle problems, brachial neuritis,

17

what investigations are useful when investigating myelopathy and radiculopathy?

X RAY, MRI, CT, EMG/NCS

18

how can CSR and CSM be managed?

conservative: analgesia, physiotherapy, collar SURGICAL: anterior, posterior.

19

what are some risk factors for back pain, myelopathy & radiculopathy

smoking, pregnancy, certain professions