STRAIGHTENING OF CERVICAL SPINE

STRAIGHTENING OF CERVICAL SPINE - In patients with neck pain, generally instability or biomechanical changes causes loss of normal cervical lordosis resulting in straightening of cervical spine which may affect blood flow to the brain and leads to faster degeneration of the intervertebral discs due to increased weight transfer.

SYMPTOMS#Pain in the neck or back
#Muscleweakness or strain
#Stiffness in the neck
#Pain or difficulty moving the shoulders or arms
#Headache
#Involuntary muscle movements
#Numbness or #tingling in the shoulders or arms

CAUSES

Cervical muscle spasms often occur in response to another condition, or as a result of pain, fatigue or overuse. Common causes of cervical muscle spasm include:

• Muscle strain or fatigue
• Increased physical exertion
• Stress, and having tense muscles
• In response to certain medications
• As the result of a fracture in the cervical spine
• Fibromyalgia
• Conditions that degenerate or put pressure on the intervertebral discs
• Trauma such as a motor vehicle accident

ROTATOR CUFF TENDINITIS

ROTATOR CUFF TENDINITIS - Rotator cuff tendinitis, or tendonitis, affects the tendons and muscles that help move your shoulder joint. If you have tendinitis, it means that your tendons are inflamed or irritated. Rotator cuff tendinitis is also called impingement syndrome. This condition usually occurs over time. It can be the result of keeping your shoulder in one position for a while, sleeping on your shoulder every night, or participating in activities that require lifting your arm over your head. Athletes playing sports that require lifting their arm over their head commonly develop rotator cuff tendinitis.

•  #swimmer’s shoulder
• #pitcher’s shoulder
• #tennis shoulder

Symptoms of rotator cuff tendinitis include:

• #pain and swelling in the front of your shoulder and side of your arm
• #pain triggered by raising or lowering your arm
• #a clicking sound when raising your arm
• #stiffness
• #pain that causes you to wake from sleep
• #pain when reaching behind your back
• #a loss of mobility and strength in the affected arm
  
  
  
  

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.

PATELLA DISLOCATION

PATELLA DISLOCATION - The patella can dislocate outside of its normal position, usually round the outside of the knee. It can also partially dislocate, called a subluxation. Pain will be felt immediately at the time of injury. There is likely to be swelling in the knee joint and there will be an obvious displacement of the kneecap. Often the kneecap may briefly dislocated and then return to its normal position, although pain and swelling will usually be present. The patella normally lies within the patellofemoral groove and is only designed to slide vertically within it. Dislocation of the patella occurs when the patella moves or is moved to the outside of this groove and onto the bony head of the femur. The patella may also sublux rather than fully dislocate, meaning it moves partially out of position. A patella dislocation is not the same as a dislocation of the knee joint itself which is a much more severe traumatic injury. 

It is usually a result of an acute blow or twisting action of the knee. In most cases the patella will relocate to the patellofemoral groove on straightening of the knee, however this is usually extremely painful. The factors which make a patella dislocation more likely are insufficient quadriceps strength on the inside of the knee, over pronation of the feet and an what is known as an increased Q angle of the knee.