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Cervical Spondylosis (cervical osteoarthritis and degenerative osteoarthritis)
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Def: cervical osteoarthritis and degenerative osteoarthritis, is a disorder in which there is abnormal wear on the cartilage and bones of the cervical vertebrae. common cause of chronic neck pain
Cervical Spondylosis
Western Medicine Etiology and Pathology
1. Repetitive strain injury d/t inappropriate lifestyle while working in front of computers, driving, traveling, etc
2. Age related degeneration
3. Injury
Cervical Spondylosis
Clinical syndromes of Cervical Spondylosis
Cervical Radiculopathy (I)
Cervical Myelopathy (II)
Cervical Spondylotic Arteriopathy (III)
Sympathetic Cervical Spondylosis (IV)
Others
Manifestations:
--neck pain
--HA
--Pain in shoulders or arms
--muscle spasms
--tingling fingers
--grinding noise or sensation when the neck is turned
--neck movement limitation
--dizziness and vertigo
--unstable blood pressure
--dysphagia
--vision disorder
-- (+)spurling's test
Cervical Spondylosis
Which type?
a. Aging -->Qi and Blood xu-->tendons and bone lack nourishment-->wdc invasion-->bi syndrome blockages in meridians-->qi and blood stag-->pain
b. LV and KD --> degeneration of bone and tendons-->xu cold acc un bone and tendons-->limitations of movements
sx: neck pain, arm pain, tingling fingers, weak-fist clenching, tender spots
Bi syndrome
Which type?
a. lv and kd xu-->lv yang uprising-->stirring lv wind-->HA, distension, dizziness, vertigo, insomnia
b. SP and ST impairment d/t overthinking-->qi and blood xu-->brain lacks nourishment-->dizziness and vertigo, poor appetite, fatigue
c. Phlegm damp blockage in meridians-->clear Yang fails-->dizziness and vertigo
sx: neck pain, arm pain, tingling fingers, weak-fist clenching, tender spots; weak and numb limbs, vomiting, vertigo, sudden fall, cold limbs, stabbing pain, limited limbs ROM
Dizziness type
Which type?
lv and kd xu-->Du meridian injury-->Yang qi fails to function-->Wei syndrome
sx: weak arms and hands, muscle atrophy
Wei syndrome
Cautions:
--patients should keep warm, avoid pathogenic factors
--avoid keeping the neck in one posture for too long
--adjust the pillow height
--neck traction
--neck exercise
Cervical Spondylosis
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