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Cervical Radiculopathy Nonoperative management of neck pain and radicular symptom

저작시기 2010.03 |등록일 2010.04.08 파워포인트파일MS 파워포인트 (pptx) | 16페이지 | 가격 700원

소개글

경추 신경근병증 (목디스크)의 비수술적 방법에 관한 정리입니다.

목차

Cervical radiculopathy
Classic patterns of cervical radiculopathy
Natural History
IMMOBILIZATION
TRACTION
STEROID INJECTIONS

본문내용

Am Fam Physician. 2010;81(1):33-40.
Cervical radiculopathy
irritation of existing n. root
Acute disc herniation
Cervical spondylosis
Foraminal narrowing
Symptoms
Neck pain
Radiating arm pain
Numbness in the distribution of a specific nerve root
Classic patterns of cervical radiculopathy
Diagnostic Evaluation
lateral, open moth view
Electromyography
cervical radiculopathy or entrapment syndrome in the upper extremity
MRI or CT
When symptoms continue with normal radiography findings
Natural History
Most patients with cervical radiculopathy have a favorable prognosis.
The natural history of cervical radiculopathy
43 percent of patients had no further symptoms after a few months
29 percent had mild or intermittent symptoms
27 percent had more disabling pain
No patient with radicular pain progressed to myelopathy.
IMMOBILIZATION
Short course (one week) of neck



STEROID INJECTIONS
Cervical perineural steroid injections may be considered in the treatment of radicular pain
only after confirmation of pathology via MRI or computed tomography
should be performed under radiographic guidance
Prospective cohort series of
21 patients awaiting surgery for
symptomatic radiculopathy,
cervical injections improved pain
and reduced the need for operative
intervention
Complications associated with
cervical injections are rare
Referral
Approximately 1/3 patients with cervical radiculopathy who are treated nonoperatively have persistent symptoms.
Patients should be ref
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