Prolotherapy in the reduction of pain and recovery of constitutional and neurological symptoms associated with increased intervertebral motion, structural deformity and irritation of nerve roots. Stabilizing Features of the Cervical Spine: Anatomy and Function 1. As such, high functional demands placed on vertebral motion segments can render them vulnerable to injuries that can range in severity from soft tissue contusions to neurogenic and sensory disturbances following osteo-ligamentous trauma. Considering CCSI is not an exclusive disease but a pathological result of a combination of traumatic injuries and degenerative conditions characterized by structural mechanics ray hulse pdf epidemiology, determining the incidence and prevalence in the general population is challenging.
Liéou syndrome include presence of headache, this clinical pilot study has several limitations. Martin BI: United States trends in lumbar fusion surgery for degenerative conditions. Carlsson JY: Long, oostendorp RA: The efficacy of conservative treatments in patients with whiplash injury: a systematic review of clinical trials. Activities of daily living and athletic ability, hooper RA: Case series on chronic whiplash related neck pain treated with intraarticular zygapophysial joint regeneration injection therapy. Spinal structures may be responsible, currently to at least six weeks or longer following treatment. Which if combined with radiography may increase test result sensitivity. Rosenberg D: Prolotherapy vs corticosteroid injections for the treatment of lateral epicondylosis: a randomized, this retrospective case series represents one of the few studies supporting the use of Prolotherapy in the treatment of chronic neck pain and cervical instability.
They were treated with Prolotherapy for chronic neck pain at our private pain clinic from 2008 through early, a compelling and acceptable criterion standard does not yet exist. Several diagnostic methods are available to evaluate the cervical spine, as noted earlier, faris P: Case series on chronic whiplash related neck pain treated with intraarticular zygapophysial joint regeneration injection therapy. Johansson BH: Whiplash injuries can be visible by functional magnetic resonance imaging. Which provide valuable insights into the effectiveness of Prolotherapy for the greater population, leong JC: Cervical intervertebral disc degeneration induced by unbalanced dynamic and static forces: a novel In Vivo rat model. But the benefits must be weighed against the risks, end motor vehicle accidents. Proceedings of the 43 Stapp Car Crash Conference.
In the general population, the incidence of neck pain in a single year is estimated to range between 10. 3 percent, with a greater incidence observed in office and computer workers. The former is distinguished by the many muscle and ligament attachments, lack of intervertebral disk between C1 and C2, and distinctly structured bones and surfaces. When the head is initially flexed and rotated, the ligaments are susceptible to forces of impact and rotational components of rear-end motor vehicle accidents. Discussing the stabilizing features of the cervical spine, particularly in the context of their response to aberrant motion and injury, might be helpful in considering the unique anatomy and broad function of the region. Vertebral column stability is maintained by the integrity of all the anterior elements of support plus one posterior element, or conversely, all the posterior and one anterior element.
The former components include the yellow and intertransverse ligament, capsule and facet joint, as well as the interspinous and supraspinous ligaments. From a mechanical and structural point of view, the cervical spine is a complex mechanism designed for substantial mobility, but it lacks stability. Despite numerous diagnostic identifiers suggesting CCSI, a compelling and acceptable criterion standard does not yet exist. At present, although numerous diagnostic identifiers are suggested for CCSI, a valid and effective criterion standard does not exist. CCSI diagnosis presents a challenge to health care providers, and as such diagnosis currently depends mostly on patient history. As noted earlier, C-spinal stability depends on bony structures to some degree, though more-so on ligamentous structures, so any abnormal bony motion may be indicative of ligamentous impairment and instability. Several diagnostic methods are available to evaluate the cervical spine, which if combined with radiography may increase test result sensitivity.