SCOLIOSIS CORRECTION AND IT'S REHABILITATION

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CERVICAL MANIPULATION AND REHABILITATION

CERVICAL MANIPULATION AND REHABILITATION - Cervical manipulation is called called as neck manipulation, is a procedure involving adjustment of the seven vertebrae called C1, C2, C3, C4, C5, C6, C7 of the spine. This technique is most often used by chiropractors and Manipulative Physiotherapists. Many people with neck pain also have weak muscles in the neck, upper back and core. So once the pain get reduced then by strengthening and stretching of those muscles, more blood flow comes to the area to help repair injury. Ability to function in your daily activities also improves. Stronger muscles provide greater stability to the neck.

CERVICAL DEGENERATIVE DISC DISEASE

NECK PAIN \ CERVICAL PAIN - The cervical spine in your neck is made up of seven bones called vertebrae, which are separated by discs filled with a cushioning gel-like substance. Your cervical discs both stabilise your neck and allow it to turn smoothly from side to side and bend forward to back.The space between the vertebrae narrows and nerve roots become pinched. This process is known as cervical degenerative disc disease. As degenerative disc disease progresses, the neck becomes less flexible, and you may feel neck pain and stiffness, especially towards the end of the day. The most common and obvious symptoms of cervical degenerative disc disease are neck pain and a stiff neck. When one of these conditions presses on one or more of the many nerves running through the spinal cord, you also can develop pain, numbness, or weakness radiating down your shoulder, arm, and hand.

NECK ARM SYNDROME

NECK ARM SYNDROME - Neck arm syndrome or neck arm pain, are umbrella terms which encompass a variety of conditions affecting your neck or upper back that also include some arm symptoms. The most common type of neck arm pain is Neck-Shoulder Pain, which is obviously a relationship between neck and shoulder pain. Neck-arm pain is specific to dysfunctions which refer symptoms down the arm and have the potential to cause abnormal neural tension or compression. Neural tension refers to the amount of strain on a nerve at rest and with movement. An abnormal increase in neural tension occurs when the nerve becomes caught or restricted anywhere along its path. Common causes for this include a restriction in neck joint mobility, inflammation at soft tissue interfaces or muscle spasm around a nerve. Neural tension can be increased or decreased by changing the position of your arm. Different arm positions will target different nerve branches. Your physiotherapist is an expert at assessment of your neurodynamics 

SYMPTOMS:

• Neck pain, stiffness or soreness
• Pins and needles 
• Numbness  
• Weakness  
• Burning, sharp or dull pain radiating down the arm.

TEXT NECK SYNDROME

TEXT NECK SYNDROME - Text Neck is an overuse syndrome or a repetitive stress injury to the neck caused by holding your head in a forward and downward position for extended periods of time. When holding your head in this position, excessive amounts of tension are created in the deep muscles of your neck and across the shoulders causing both acute and chronic neck pain. Chronic headaches have also been linked to this condition.Text neck is the term used to describe the neck pain and damage sustained from looking down at your cell phone, tablet, or other wireless devices too frequently and for too long. Text neck most commonly causes neck pain and soreness. In addition, looking down at your cell phone too much each day can lead to:

• Upper back pain ranging from a chronic, nagging pain to sharp, severe upper back muscle spasms.
• Shoulder pain and tightness, possibly resulting in painful shoulder muscle spasm.
• If a cervical nerve becomes pinched, pain and possibly neurological symptoms can radiate down your arm and into your hand.

A recent study shows that 79% of the population between the ages 18 and 44 have their cell phones with them almost all the time—with only 2 hours of their waking day spent without their cell phone on hand.

CERVICAL SPONDYLOSIS

CERVICAL SPONDYLOSIS - Cervical spondylosis is a general term for age-related wear and tear affecting the spinal disks in your neck. As the disks dehydrate and shrink, signs of osteoarthritis develop, including bony projections along the edges of bone. Cervical spondylosis is a common degenerative condition of the cervical spine. It is most likely caused by age-related changes in the intervertebral disks. These include neck and shoulder pain, suboccipital pain and headache, radicular symptoms, and cervical spondylotic myelopathy. As disk degeneration occurs, mechanical stresses result in osteophytic bars, which form along the ventral aspect of the spinal canal.

Sometimes, cervical spondylosis results in a narrowing of the space needed by the spinal cord and the nerve roots that pass through the spine to the rest of your body. If the spinal cord or nerve roots become pinched, you might experience:

• Tingling, numbness and weakness in your arms, hands, legs or feet
• Lack of coordination and difficulty walking
• Loss of bladder or bowel control

Cervical spondylosis is caused by aging and chronic wear on the cervical spine. This includes the disks or cushions between the neck vertebrae and the joints between the bones of the cervical spine. There may be abnormal growths or spurs on the bones of the spine-vertebrae. Over time, these changes can compress one or more of the nerve roots. In advanced cases, the spinal cord becomes involved. This can affect not just the arms, but the legs as well.


The pain may get worse:

• After standing or sitting
• At night
• When you sneeze, cough, or laugh
• When you bend the neck backwards or walk more than a few yards

TORTICOLLIS - INDRAPRASTH PHYSIOTHERAPY CENTRE

TORTICOLLIS - Torticollis is a fixed or dynamic tilt, rotation, or flexion of the head and/or neck. The type of torticollis can be described depending on the positions of the head and neck.
-laterocollis : the head is tipped toward the shoulder
-rotational torticollis : the head rotates along the longitudal axis
-anterocollis : forward flexion of the head and neck...
-retrocollis : hyperextension of head and neck backward
A combination of these movements may often be observed. Torticollis can be a disorder in itself as well as a symptom in other conditions. Other symptoms include:
-Neck pain
-Occasional formation of a mass
-Thickened or tight sternocleidomastoid muscle
-Tenderness on the cervical spine

The cause of congenital muscular torticollis is unclear. Intrauterine malposition is considered to be the cause of damage to the sternocleidomastoid muscles in the neck. Other alterations to the muscle tissue arise from repetitive microtrauma within the womb or a sudden change in the calcium concentration in the body which causes a prolonged period of muscle contraction. Any of these mechanisms can result in a shortening or excessive contraction of the sternocleidomastoid muscle, which curtails its range of motion in both rotation and lateral bending. The head typically is tilted in lateral bending toward the affected muscle and rotated toward the opposite side. In other words, in the direction towards the shortened muscle with the chin tilted in the opposite direction. Congenital Torticollis is presented at 1–4 weeks of age and a hard mass usually develops. It is normally diagnosed using ultrasonography and a colour histogram or clinically through evaluating the infant's passive cervical range of motion. Congenital torticollis constitutes the majority of cases seen in clinical practice.  The reported incidence of congenital torticollis is 0.3-2.0%.^. Sometimes a mass, such as a sternocleidomastoid tumor, is noted in the affected muscle at the age of two to four weeks. Gradually it disappears, usually by the age of eight months, but the muscle is left fibrotic.