...Neck pain is a common occurrence affecting 10% of general population at least once during their lifetime(1). The occurrence rate of neck pain is 50-70% among individuals and 5 years after the onset of symptoms approximately 60% of patients experience chronic pain which lead to severe disability(2,3).Mechanical neck pain is a common classification of neck pain also called non- specific neck pain without specific underlying cause(4).Mechanical neck pain is defined as generalized pain in cervical spine or shoulder area with musculoskeletal and functional symptoms( e.g. decreased ROM, decreased work tolerance, impaired muscle coordination, stiff joint , pain and tenderness in neck region) exacerbated by neck postures, neck movement, or palpation of cervical muscles(5)(6).Mechanical neck pain affects 30-50% of both male and female at any given times leading to muscular, joint and neural impairments(7)(8)....
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...RELAX IN THE MANAGEMENT OF NON SPECIFIC NECK PAIN. INTRODUCTION: Neck pain is one of the most common musculoskeletal problem. Neck pain without any identifiable underlying disease or abnormal anatomical structure is termed as non specific neck pain and it can results from postural and mechanical factors such as sprains and strains of the muscles or ligaments in the neck.1 symptoms of non specific neck pain includes pain develops in the neck and may spread to the shoulder or base of the skull, movement of the neck feels restricted and moving the neck may make the pain worse. Physical therapists attempt to manage patients with non specific neck pain by utilizing a wide variety of interventions including exercise and manual therapy. Muscle Energy Technique (MET) is one of the technique that...
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...condition misdiagnosed due to its presentation of similar diagnoses. The purpose of this case report is to demonstrate the physical therapist’s capability to differentially diagnose SpA with a thorough examination and evaluation of the clinical findings. Case Description: The patient is a 48-year-old Caucasian male who presents with pain and a progressive loss of mobility bilaterally in the neck and shoulders over the past two years in addition to a ten-year history of chronic low back and neck pain. The outcome measure utilized was the neck disability index (NDI). The physical therapist evaluated the patient for physical therapy, differentially diagnosed...
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...In this case study it follows an 89-year-old man named Mr. Chestnut, who was admitted into the hospital for complaints of pain in his head. The associated system with this case study is the neurological system, which is the system in the human body that deals with a network of nerves and cells that send messages from the brain and spinal cord to the rest of the body (Mandal, 2013). Based on this case study a SOAP note, which consists of a subjective data, objective data, an assessment, and a plan, will be created to help identify and assess the condition of the patient. Subjective: The patient, Mr. Chestnut, is an 89-year-old male, who was admitted into the care facility with his caregiver/family member, complaining of pain in his head. The patient states that the pain began two days ago, and has been fluctuating...
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...Assessment type 2: Outcome Topic: How prevalent is neck pain among teenagers? What are the leading factors causing it? 1. Introduction In recent decades, the low-aging tendency of neck pain, as a newly-emerging issue, is drawing increasing attention throughout the world. A specialist reviewed the fact through an interview that a large number of students are tending to suffer from neck pain with the popularization of computers as well as the growing loads of study. Whereas, specific research on teenager neck pain seems to be vague, clear clues have not shown to the public. Over the last 5 months, the research conducted in this area has worked out the conclusion that improper living habits are threatening teenagers’ health of their neck. Detailed information about the prevalence and causing factors for the disease are displayed in this report. 2. Definition of teenage neck pain Neck pain, which is called (cervical) spondylosis in medical term, is a kind of spinal compression attributes to the degeneration of disks and joints in the vertebrae. Unlike the pain in front of the neck, symptoms of neck pain usually behave as headaches, dizziness, and neck stiffness -- which sometimes radiates to the shoulders and limbs and thus lead to the feeling of weakness, numbness and pain (Penick, 2010). Compared to that among the elderly, neck pain among teenagers has some slight differences, chronic diseases like osteoporosis and HIVD (Herniation of intervertebral disc)...
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...Spinal decompression is a non-surgical process that aims to relieve the pain in your back and neck. The therapy involves stretching the spine, taking the pressure off of the vertebrae, creating a healing environment for herniated or bulging degenerating discs. Spinal decompression therapy requires the use of a traction table or similar motorized device, that are based on the same principle of spinal traction that has been used by osteopaths, chiropractors and other trained health care professionals. Herniated discs are often called slipped discs, collapsed discs, ruptured discs and other terms. They basically have two causes and we do a thorough physical exam, review your medical history and one or more diagnostic tests to determine the cause of your neck pain. A pinched nerve is one cause. This occurs when the fluid leaking out of the disc is...
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...David DiBartolo RCR 151 Project Part A Abstract: This case study is about the application and effectiveness of massage modalities on resolving pain and tension issues based on chronic postural imbalances. In this case study there will be assessing of the client's conditions, facilitating techniques based on the symptoms and drawing conclusions of the efficacy of the applied techniques as a protocol for the given conditions. Introduction: 1. The therapeutic concern for my client is to relieve moderate and chronic pain that stems from the neck down the shoulder blade and into the upper arm and mid-back at rest and during daily activity. With the pain and tension comes a compromised active, passive, and resisted range of motion in the actions...
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...Chapter 1 Introduction In earlier civilizations, trepanization (drilling holes in the skull) was performed because of the belief that this would release demons that had entered into the skull and had to be released, if headache relief was to result. In the seventeenth century, it was suggested by Willis that the head pain of 'megrim' or migraine resulted from the swelling of blood vessels within the head. Interestingly, this explanation of blood vessel swelling is close to the belief today that such swelling is involved in migraine headaches (Edmeads, 1997). At the turn of the twentieth century, Sir William Osler proposed that headaches were due to 'muscular rheumatism' of the head. This was probably the first suggestion that muscle abnormalities might be involved. During the 1940s, Wolff carried out a series of experiments that showed that involuntary contraction of scalp and neck muscles could result in headache development. Other causes have been suggested; these were more serious than muscle dysfunction and would evidently require other medical interventions (Solomon, 1993). In the worldwide view, headache can be such a big health problem as evidenced by the establishment of the World Headache Alliance in 1997. The organization exists to alleviate the burden of headache worldwide, in particular, by sharing information among headache organizations and by increasing the awareness and understanding of headache as a public health concern with profound social and economic...
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...Kong Physiotherapy Association have jointly conducted a study on the health effects of using smartphones and portable electronic devices among Hong Kong people. Results showed that, out of the 1,049 people surveyed, 70% of adults and 30% of children and adolescents have reported musculoskeletal symptoms in different parts of the body in relation to the use of electronic devices. In recent years, various kinds of consumer electronics have become increasingly popular in Hong Kong. It is not surprising that the sales of smartphones in Hong Kong are among the highest in the world and the habits of using electronic devices are changing rapidly. Smartphones have become an indispensable communication tool in our everyday life and many people keep their phones turned on around the clock. In addition, people are obsessed with playing electronic games which is a common phenomenon in public places such as on buses and MTR, and this is widely known as "bow head tribe." Spanned over three years, the joint study involving both adults and school children aimed at examining their time spent on using various IT products, the tasks performed and postures adopted in their daily use. The relationship between the use of electronic devices and the development of musculoskeletal symptoms is a major focus of this study. Participants were asked to report any related physical problems, such as neck pain, shoulder pain, and wrist and hand pain symptoms. The first phase of the survey was conducted...
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...Student Susan Kaculis Neuromuscular Therapy 19 September 2015 Case Study I. The Client My client is my big sister, ______. She is a wife and also a mother of two girls; her youngest was born rather recently, on July 4th. She is currently on maternity leave, but when she is working she does so for a company that recruits special needs educators, spending most of her time at her desk. She rowed crew for four years at The Ohio State University, is a marathon runner, a triathlete, a yogi, and a lifter. She has had only one surgery: an ACL repair on her right knee back in 2008, but has had no trouble with it since. She also has a very slight case of scoliosis, almost unnoticeable until palpated. She sees a chiropractor, a massage therapist, and her little sister–me–for treatment when her busy schedule allows. ________ had no pain complaints before we began her assessment, putting her at a 0 on the pain scale. As a new mother, she is breastfeeding, which means that she has a substantial amount of relaxin in her system that will take another several months to work out. This relaxin makes my already super flexible sister–again she’s a yogi–a walking rubber band, so I didn’t push her range of motion assessments any further than what we would otherwise deem as “normal.” Her goals were to decrease tension, break up and release trigger points, and become more aware of her structural and muscular imbalances. II. The Observations A) Standing: _________ had even weight...
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...Corticosteroids in Treatment of Neuropraxia Corticosteroids are a medication that reduces inflammation and in turn relieves pain. They are sometimes used in the treatment and management of cervical nerve root injuries. Other usages include treatment of joint arthritis, bursitis, tendinitis, and many other painful conditions. Nerve injuries such as brachial plexus neuropraxia, also known as a “stinger” or “burner”, involve the cervical nerves usually 5 through 7 and the brachial plexus. Stingers can be caused by stretching, traction or compression of the brachial plexus nerves. Injury results in shooting pains from the neck down the arm out to the fingertips. Sometimes numbness and muscle weakness are present in the affected area. These injuries may produce severe complaints, as they do cause very sharp pain to radiate through the arm. When treating a stinger the first goal is to relive that pain. When physicians are presented with that task some evidence is showing that corticosteroids may be a safe way to successfully return an athlete to play following one of these injuries. There is an increased risk of getting a “stinger” in sports such as football and wrestling. The cervical nerve roots and the brachial plexus come in contact with a lot of stress during these competitions. In football we see that contact from hard hits or direct blows to the neck and shoulder cause traction or compression to those nerves causing damage. In wrestling it is common to see cervical injuries...
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...consequences. Therefore, the APN must be diligent in diagnosing and treating any patient that presents with signs of either of these disease processes. For the purpose of this discussion, I will evaluate a case study and present differential diagnoses. I will identify unique characteristics for the primary diagnosis and explain a plan for the treatment and management for the disorder, including any medications and appropriate dosages. Lastly, I will discuss education strategies for the patient and families to aid in caring for their child. My case study is that of an 18-month-old male that presents with a three-day history of upper respiratory symptoms. The mother reports that the illness has gotten worse over the last eight hours. His fever was 103.2 degrees Fahrenheit at the highest. He is becoming fussier. The parent also states that he drank juice today and vomited and he is not drinking. His abdominal exam is...
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...tighter it becomes, the looser its antagonist becomes because of reciprocal inhibition. In acute conditions, the cycle can be described as continuing spasm–pain–spasm. The result is tightness that progresses from the acute condition of muscle contraction to muscle contracture, leading to chronicity. In chronic conditions, the cycle is described as pain–looseness–pain.3 In the cervical...
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...Review of Related Literature and Studies Joints and its Major Points Joint is located between two connected bones that allow a body part to move. A joint is made up of fibrous connective tissue and cartilage. Joints are also clustered based on their kind of motion: ball-and-socket joint; hinge joint; condyloid joint; pivot joint; gliding joint; and saddle joint. Joints can also move on four different ways: gliding; angular; circumduction; and rotation. (MedicineNet.com) Joints are found on different body parts and has different common joint name. As stated in ptdirect.com, Joints are located on the neck, intervertebral, shoulder, elbow, sacroiliac, hip, knee, and ankle. Noise made by Cracking Joints According to Dr. Campos (2007), from...
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...One example is the Rollkur position, which is hyperflexion of the neck. This position has been banned by the FEI who state that ‘the nasal plane should be at all times be in front of the vertical’ (FEI, 2009, cited in McGreevy et al. 2010). It involves the rounding of the neck and the muzzle of the horse to be almost touching its own chest. This can be achieved by exerting excessive pressure on the reins as well the use of draw reins which restrict the movement of the horses head. Researchers such as Denoix (2006, cited in Borstel et al. 2009), have observed that hyperflexion causes stress on the withers, nuchal area and intervertebral discs, causing unnecessary pain in the horse. Other studies of hyperflexion have found that it causes obstruction of airways, impairs vision and damages ligaments by overstretching them; major welfare issues (Christensen et al. 2014). After a test carried out about different head carriages, it was proved that when ridden in Rollkur position, the horses showed more stressful behaviour patterns associated with discomfort and pain, demonstrated by higher heart rates, compared with regular poll flexion. These results prove that this harsh style of riding is diminishing the horse’s welfare and putting it at greater risk of injury related to stress. (Kienapfel,...
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