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Cervical Sprain-Strain protocol (12 steps)

Sitting: Mild Rolling (neck, shoulders), finger springing (neck, shoulders), grasping (neck, shoulders, arms), rolling w/ passive movement (neck, shoulders), press-rub (Points GB 20, 21, UB 10, Du 16); Lying down: press-release (side of neck), push (neck), finger springing (side of neck), passive movement; Sitting: grasping (neck, shoulders, arms), rolling w/ passive movement, chafe w/ lineament

Upper spine vulnerabilities

wind-cold-damp, physical trauma

TCM organs to which pain in upper spine may be related

lungs, LI, UB, GB, liver

TCM organs to which pain in T5-T12 may be related

heart, pericardium, lungs, liver, GB, spleen, stomach

vertebrae of the upper spine


vertebrae of the middle spine


vertebrae of the lower spine

L1-L5 and sacrum

middle spine vulnerabilities

more stable due to attachment of ribs

lower spine vulnerabilities

wind-cold-damp, physical trauma due to sudden overloading

TCM organs to which lower spine may be related

kidneys and kidney qi

symptoms of sprain-stain of cervical spine

pain, stiffness, immobility, muscle spasms

causes of sprain-strain of cervical spine

impact trauma or overloading of soft tissue

sudden deceleration syndrome

whiplash - extensive micro-trauma of the cervical soft tissue

causes of sudden deceleration syndrome

sudden deceleration, overextending muscle fibers, connective tissue, joint capsules, and nerve fibers

symptoms/pathologies of sudden deceleration syndrome

immediate pain which recedes after 30-60 minutes; severe pain and swelling, inability to lift head, headache, blurred vision 2-3 hours after trauma; weakness and difficulty holding head and neck erect

why are SDS symptoms staged

delay in micro-traumatic bleeding - blood and fluid seep slowly into soft tissues

cervical spondylosis

degeneration of soft tissue if the inter-vertebral facet joints

causes of cervical spondylosis

recurring sprain-strain, wind-cold-damp invasion, possibly inter-vertebral disc change from previous protrusion or herniation

symptoms/pathologies of cervical spondylosis

fusion and immobilization of the vertebra, narrowing of the foramina compressing nerve roots, pain and swelling

cervical disc protrusion

herniated, "slipped or ruptured disk"

causes of cervical disc protrusion

degeneration of annular fibers of the nucleus pulposa leads to protrusion of border of disc

symptoms/pathologies of cervical disc protrusion

protrusion of the disc causes pressure and displacement of soft tissues and root nerve compression resulting in pain, numbness, inflammation of the nerve sheath, tingling and weakness

three levels of disc protrusion

partial - fibers intact; partial herniation - fibers separated, but pulposa in place; complete herniation - pulposa extruded

cervical spondylolysis

"cracking vertebrae" - vertebra develop small cracks, gradually degenerating and narrowing the vertebral disc space

cervical spondylolisthesis

"slipping vertebrae"

causes of cervical spondylolisthesis

degeneration of soft tissue allows vertebrae to slip forward

symptoms/pathologies of cervical spondylolisthesis

ledge can be palpated between vertebrae; increased friction between inter-vertebral joints causes narrowing of inter-vertebral spaces and nerve compression

causes vertebral artery syndrome

compression of vertebral artery due to muscular tension at occipital area

symptoms/pathologies of vertebral artery syndrome

in specific positions: dizziness, loss of consciousness, visual distortion, pain and tenderness

cervical vertebral fracture

broken neck - vertebral body, TP, SP may be fractured due to physical trauma. Immobilize patient and transport to ER

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