Flashcards in myelopathy and radiculopathy Deck (19):
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
what are forces highest on vertebral discs?
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
what happens in ageing of the disc?
invasion of firbo cartilage by nuceleus,
loss of elasticity,
uniform cartilage plate
what is radiculopathy?
compression/pathology of the nerve root.
what is myelopathy
pathology of the spinal cord
an annular disc rupture is symptomatic if it occurs in which direction?
what is chronic disc disease otherwise reffered to as?
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)
what two types of cervical spondylosis can occur?
cervial spondylosis radiculopathy (CSR), Cervical Spondylosis Myelopathy (CSM)
describe the natural history of cervical spondylosys radiculopathy
common, self limiting, not recurrent
describe the natural history of cervical spondylosys myelopathy
often stabilises, some milder cases spontaneously improve, not fully explained by compression
what are the clinical features of radiculopathy?
neck pain and stiffness, headaches, limb: pain, sensory loss, weakness, reflex loss
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
what are five differential diagnoses of Cervical Spondylosis Myelopathy (CSM)
demyelination, tumours, rheumatoid arthritis, MND, Syringomyelia, subacute degeneration
what are five differential diagnoses of Cervical Spondylosis Radiculopathy (CSR)
carpal tunnel syndrome, ulnar nerve palsy, thoracic outlet syndrome, shoulder girdle problems, brachial neuritis,
what investigations are useful when investigating myelopathy and radiculopathy?
X RAY, MRI, CT, EMG/NCS
how can CSR and CSM be managed?
conservative: analgesia, physiotherapy, collar SURGICAL: anterior, posterior.