Chapter 2 Diagnostic Algorithms. 3 Thoracic Spine Pain Algorithm
|
|
- Stephen Turner
- 5 years ago
- Views:
Transcription
1 Chapter 2 Diagnostic Algorithms 3 Thoracic Spine Pain Algorithm
2 Date revised 2/4/03 Thoracic Spine Pain Algorithm THORACIC SPINE PAIN - ALGORITHM Thoracic spine radiographs for evaluation of spinal infection. Radiographs positive for infection? Immediate referral to orthopaedist. Thoracic spine radiographs for evidence of pathologic fracture, MM, or other lytic processes. If not found, however suspicious is high, order bone scan. For MM perform lab. Refer if found positive; if radiographs negative and suspicion is low, follow acute/ uncomplicated case algorithm If level of suspicion is high based on history, however films are equivocal, refer for bone scan or MRI. X-ray for compression fracture. If positive, management includes rest and NSAIDS; if negative, follow acute/uncomplicated case algorithm. (D) Thoracic spine radiographs for osteoid osteoma or indirect sign of osteoid osteoma (acuteangle scoliosis). (E) Radiographs positive for osteoid osteoma? Refer to orthopaedic surgeon. Evaluate with electrocardiogram and/or chest film. Refer if abnormal. If unremarkable, and/or if reproducible mechanically, trial treatment of SMT for acute mechanical pain. (F) Although negative for osteoid osteoma, suspicion is high due to history and acute angle scoliosis? Limited trial of treatment for 2 weeks with SMT. If unresponsive, referral to orthopaedist or bone scan to evaluate further. Follow acute/uncomplicated case algorithm Patient presents with a complaint of pain in the midback Patient has a fever with associated night pain and/or -gibbous diformity -history of intravenous drugs -diabetes? (A) Older patient with -weight loss -history of cancer -night pain -failure of conservative care? (B) Older patient with sudden onset of thoracic pain with a history of major trauma or either: -history of corticosteroid use, or -postmenopausal? (C) Patient is young with no fever and has sharp pain at night relieved by aspirin? Patient has associated chest pain? Thoracic Spine Pain Algorithm Page 2 Educational & Patient Care Protocols 1
3 Thoracic Spine Pain Algorithm Page 2 From Thoracic Spine Pain Algorithm Page 1 Traumatic onset of thoracic pain; pain with inspiration? Order radiographs. Include PA chest and oblique views of area. (G) X-ray positive for rib fracture or pneumothorax? If fracture is still likely due to degree of pain, manage with rest and NSAIDS. Do not adjust area. If pain is reduced substantially in a few days, consider rib subluxation and adjust the corresponding vertebra cautiously. (H) Insideous onset of mild/moderate constant pain; is patient hyperkyphotic? Perform prone extension test to differentiate between functional and structural kyphosis. (I) Patient is in teens, mainly structural kyphosis? In a younger patient consider postural problems; evaluate and recommend exercise for correction. In older patients go to box 10. Scoliosis suspected due to past history or visual observation of back? Perform Adams test. (K) Angular rotation (rib humping) evident; rotation >7? If pneumothorax or multiple fractures are evident, refer to ED> If rib fracture is single or incomplete, manage with rest and NSAIDS. If patient needs stronger medication, refer to MD. Order AP and lateral thoracic films. If associated scoliosis is evident, order full-spine films. (J) X-ray patient using full-spine view. If scoliosis is evident take lateral bending view. Go to scoliosis algorithm. (J) Go to Box 39 Scheuermann s disease evident on radiographs? If Scheuermann s is evident, eliminate flexion activites. Give thoracic extensorstrengthening exercise and pectoral and hamstring stretching. Patients with >60 kyphosis may benefit from a Boston brace. Educational & Patient Care Protocols 2
4 Thoracic Spine Pain Algorithm Page 3 From Thoracic Spine Pain Algorithm Page 2 Pain is felt with a particular posture or movement to one side? Pain felt on side opposite of bending or resited movement to same side? Muscular involvement. Use myofascial approaches coupled with SMT. Follow acute/uncomplicated case algorithm. Pain felt with Kemp s or with motion testing? Mechanical joint problem. Use SMT. Follow acute/ uncomplicated case algorithm. Insideous onset of pain in a dermatomal, unilateral pattern? Skin is hypersensitive, with sharp pain followed several days later by skin lesions? Herpes zoster (shingles). Usually self-resolving. If not, refer for medical management. (L) Investigate history, lab results, and X-ray for indications of diabetes or severe spinal degeneraton. Pain is felt at superior medical border of scapula? Levator scapulae syndrome is likely. Follow acute/ uncomplicated case algorithm. Reevaluate patient. Educational & Patient Care Protocols 3
5 Reference Consulted Souza, Thomas A. Differential Diagnosis and Management for the Chiropractor, Protocols and Algorithms, Gaithersburg, MD; Aspen Publisher, Inc Educational & Patient Care Protocols 4 Chapter 2 3
Chapter 2 Diagnostic Algorithms. 4 Traumatic Neck Pain Algorithm
Chapter 2 Diagnostic Algorithms 4 Traumatic Neck Pain Algorithm Patient presents with a traumatic onset of neck pain. In general, radiographs should be ordered with a history of recent, significant trauma.
More informationRadiographic Assessment for Back Pain
Radiographic Assessment for Back Pain North American Spine Society Public Education Series What Are Radiographic Assessments? Radiographic assessments for low back pain involve the use of X-rays to determine
More informationPediatric Spinal Evaluation for Scoliosis and Back Pain
Pediatric Spinal Evaluation for Scoliosis and Back Pain Jill E. Larson, MD September 29, 2018 Ann & Robert H. Lurie Children s Hospital of Chicago Division of Pediatric Orthopedic Surgery and Sports Medicine
More informationAdolescent Idiopathic Scoliosis
Adolescent Idiopathic Scoliosis Adolescent idiopathic scoliosis is characterized by a lateral bending and twisting of the spine. It is the most common spinal deformity affecting adolescents 10 to 16 years
More informationLecture 1 Thoracic Spine
Lecture 1 Thoracic Spine Functional Overview Protects organs e.g. Heart and lungs Limited motion: relatively rigid structure Soft tissue injuries related to: o Sports e.g. Golf, tennis, rowing and cricket
More informationKyphosis & Scheuermann s Kyphosis
Kyphosis & Scheuermann s Kyphosis Patient Information Spinal Service Trauma and theatres centre 2 What is kyphosis? Kyphosis is when the upper spine curves outward more than is normal, making the back
More informationPediatric Spinal Evaluation for Scoliosis and Back Pain
Pediatric Spinal Evaluation for Scoliosis and Back Pain Jill E. Larson, MD September 29, 2018 Ann & Robert H. Lurie Children s Hospital of Chicago Division of Pediatric Orthopedic Surgery and Sports Medicine
More informationSpinal Deformity Pathologies and Treatments
Spinal Deformity Pathologies and Treatments Scoliosis Spinal Deformity 3-dimensional deformity affecting all 3 planes Can be difficult to visualize with 2-dimensional radiographs Kyphosis Deformity affecting
More informationPARAPLEGIA. B FIG. 6 A, B and C, Same patient three years after spinal grafting shows a most remarkable improvement of spinal deformity and posture.
16 PARAPLEGIA A B FIG. 6 A, B and C, Same patient three years after spinal grafting shows a most remarkable improvement of spinal deformity and posture. a grotesque deformity of the spine and trunk with
More informationKyphosis and Scheuermann s Kyphosis
Kyphosis and Scheuermann s Kyphosis Patient Information Spinal Service Trauma and Theatres Centre What is kyphosis? Kyphosis is when the upper spine curves outward more than is normal, making the back
More informationObjectives. Comprehension of the common spine disorder
Objectives Comprehension of the common spine disorder Disc degeneration/hernia Spinal stenosis Common spinal deformity (Spondylolisthesis, Scoliosis) Osteoporotic fracture Destructive spinal lesions Anatomy
More informationDifferential Diagnosis: Visceral Conditions Ruled Out
Regional Review of Musculoskeletal System: Presented by Michael L. Fink, PT, DSc, SCS, OCS Chapter 2: Thoracic Spine Differential Diagnosis: Visceral Conditions Ruled Out Ruled Out Early in the Examination
More informationGregory M Yoshida, MD. Lateral curvature of the spine in the coronal plane > 10 degrees on an upright film
Gregory M Yoshida, MD Lateral curvature of the spine in the coronal plane > 10 degrees on an upright film Measurement Angle made by the endplates of the two most tilted vertebra from horizontal Cobb angle
More informationFreih Odeh Abu Hassan
Scoliosis Freih Odeh Abu Hassan FRCS(Eng) F.R.C.S.(Eng.), FRCS(Tr&Orth F.R.C.S.(Tr.& Orth.). Professor of Orthopedics University of Jordan Hospital - Amman 1 1-Idiopathic Infantile (0-3 years) Juvenile
More informationCLINICAL GUIDELINES. Primary Care Guideline Summary Lumbar Spine Thomas J. Gilbert M.D., M.P.P. 3/17/15 revision
CLINICAL GUIDELINES Primary Care Guideline Summary Lumbar Spine Thomas J. Gilbert M.D., M.P.P. 3/17/15 revision TRIAGE At the initial visit, a focused history and physical examination is performed to assign
More informationThoracic Spine Applied Anatomy. Jason Zafereo, PT, OCS, FAAOMPT
Thoracic Spine Applied Anatomy Jason Zafereo, PT, OCS, FAAOMPT Clinical i l Orthopedic Rehabilitation ti Education Objectives Discuss concepts relevant to thoracic pain of red flag origin Discuss concepts
More informationRichard Dobrusin DO FACOFP
Richard Dobrusin DO FACOFP Define Thoracic Outlet Syndrome (TOS) Describe the Mechanisms of Dysfunction List Diagnostic tests for (TOS) Understand (TOS) referral patterns Discuss Treatment Options Definition:
More informationerhem Thoracal spine section Elastic shoulder brace with support bracing Application:
ERH 53/1 Elastic shoulder brace with support bracing Augmentation of proper upright posture Stable fractures of the clavicle Scheuermann s kyphosis Funnel chest Osteoporotic lesions The shoulder brace
More informationCERVICAL SPINE TIPS A
CERVICAL SPINE TIPS A Musculoskeletal Approach to managing Neck Pain An ALGORITHM, as a management guide Rick Bernau & Ian Wallbridge June 2010 THE PROCESS An interactive approach to the management of
More informationRotator Cuff Pathology. Shoulder Instability. Adhesive Capsulitis. AC Joint Dysfunction
Shoulder Pain Red Flags Unexplained deformity or swelling Significant weakness not due to pain Suspected malignancy Fever/chills/malaise Significant/unexplained sensory/motor deficit Pulmonary or vascular
More informationUnraveling the Mystery of Cervical Pain #3: TP7 Ligament Sprains
Unraveling the Mystery of Cervical Pain #3: TP7 Ligament Sprains Instructor: Ben Benjamin, Ph.D. Instructor: Ben Benjamin, Ph.D. ben@benbenjamin.com 1 Webinar Goal Explore the assessment and treatment
More informationfactor for identifying unstable thoracolumbar fractures. There are clinical and radiological criteria
NMJ-Vol :2/ Issue:1/ Jan June 2013 Case Report Medical Sciences Progressive subluxation of thoracic wedge compression fracture with unidentified PLC injury Dr.Thalluri.Gopala krishnaiah* Dr.Voleti.Surya
More informationSubaxial Cervical Spine Trauma. Introduction. Anatomic Considerations 7/23/2018
Subaxial Cervical Spine Trauma Sheyan J. Armaghani, MD Florida Orthopedic Institute Assistant Professor USF Dept of Orthopedics Introduction Trauma to the cervical spine accounts for 5 of all spine injuries
More informationThe shoulder that won t get better.
The shoulder that won t get better. www.fisiokinesiterapia.biz Shoulder Injuries Acute Chronic Acute shoulder injuries Instability Labral pathology (SLAP lesions) Fractures (clavicle, scapula, humerus)
More informationCHRONIC INTRACTABLE PAIN RELIEVED BY COX TECHNIC
Cox Technic Case Report #76 Chris Humble DC CCSP CSCS 9/09 1 CHRONIC INTRACTABLE PAIN RELIEVED BY COX TECHNIC presented by Chris A Humble DC CCSP CSCS Certified Cox Technic chiropractic physician Humble
More informationAuthor's response to reviews
Author's response to reviews Title: Scoliotic posture as the initial symptom in adolescents with lumbar disc herniation: its curve pattern and natural history after lumbar discectomy Authors: Zezhang Zhu
More informationDr. Theodoros B Grivas MD, PhD
11 th International Conference on Conservative Management of Spinal Deformities 4 th SOSORT Educational Course, 6-7 May 2014, Wiesbaden (Germany) Idiopathic Scoliosis definitions, detection, clinical picture
More informationFractures of the Thoracic and Lumbar Spine
A spinal fracture is a serious injury. Nader M. Hebela, MD Fellow of the American Academy of Orthopaedic Surgeons http://orthodoc.aaos.org/hebela Cleveland Clinic Abu Dhabi Cleveland Clinic Abu Dhabi Neurological
More informationThoracic Spine Applied Anatomy. Jason Zafereo, PT, OCS, FAAOMPT
Thoracic Spine Applied Anatomy Jason Zafereo, PT, OCS, FAAOMPT Clinical i l Orthopedic Rehabilitation ti Education 1 Objectives Discuss red flag signs for the thoracic region Apply key concepts from the
More informationSpondylolisthesis DESCRIPTION EXPECTED OUTCOME POSSIBLE COMPLICATIONS COMMON SIGNS AND SYMPTOMS GENERAL TREATMENT CONSIDERATIONS CAUSES
DESCRIPTION is the slippage of one or more vertebrae, the bones of the spine. Many causes of slippage of the vertebra are possible; these include stress fracture (spondylolysis), which is often seen in
More informationOsteoporosis and Spinal Fractures
Nader M. Hebela, MD Fellow of the American Academy of Orthopaedic Surgeons http://orthodoc.aaos.org/hebela Cleveland Clinic Abu Dhabi Cleveland Clinic Abu Dhabi Neurological Institute Al Maryah Island
More informationSpondylolysis DESCRIPTION EXPECTED OUTCOME POSSIBLE COMPLICATIONS COMMON SIGNS AND SYMPTOMS GENERAL TREATMENT CONSIDERATIONS CAUSES
DESCRIPTION is a stress or fatigue fracture of the bones of the spine (vertebrae) that does not involve the main weight-bearing part of those bones, the body of the vertebra. Instead, it involves an area
More informationCase Studies: Low Back Pain in the Athlete. Jim Messerly DO
Case Studies: Low Back Pain in the Athlete Jim Messerly DO Nothing to disclose Case #1 History 15 y/o male presents for evaluation of his low back pain. His pain has been present for several months. The
More informationRadiology Reference Guide
Radiology Reference Guide Your skeleton gives your body structure and support. It is made of living bone cells, living tissues, blood vessels, mineral deposits and water. Your skeleton also protects delicate
More informationDIAGNOSTIC VIDEOFLUOROSCOPY IMPRESSIONS and BIOMECHANICS REPORT
P.O. Box 6743 New Albany, IN 47151-6743 (812) 945-5515 (812) 945-5632 Fax WWW.KMX.CC DIAGNOSTIC VIDEOFLUOROSCOPY IMPRESSIONS and BIOMECHANICS REPORT Patient Name: Lubna Ibriham Date of Digitization and
More information3/3/2017. Acute spine disorder (< 4weeks duration) Subacute spine disorder (4-12 weeks duration) Chronic spine disorder (>12 weeks duration)
William Hsu BSc DC DACBR March 4, 2017 Acute spine disorder (< 4weeks duration) Subacute spine disorder (4-12 weeks duration) Chronic spine disorder (>12 weeks duration) Neurologic symptoms and signs pain
More information5 minutes: Attendance and Breath of Arrival. 50 minutes: Problem-Solving: Back
Low Back Pain 5 minutes: Attendance and Breath of Arrival 50 minutes: Problem-Solving: Back Punctuality- everybody's time is precious: o o Be ready to learn by the start of class, we'll have you out of
More informationImpingement syndrome. Clinical features. Management. Rotator cuff tear diagnosed. Go to rotator cuff tear
Impingement syndrome Clinical features Management Poor response Good response Refer to orthopaedic surgery R Review as appropriate Investigations Rotator cuff tear diagnosed Go to rotator cuff tear Consider
More informationMusculoskeletal Examination of the Pain Patient
Musculoskeletal Examination of the Pain Patient Joseph F. Audette, M.A., M.D Assistant Clinical Professor, Harvard Medical School Chief, Department of Pain Medicine Harvard Vanguard Medical Associates
More informationCox Technic Case Report #169 published at (sent 5/9/17) 1
Cox Technic Case Report #169 published at www.coxtechnic.com (sent 5/9/17) 1 Management of Lumbar Radiculopathy Associated with an Extruded L4 L5 disc and concurrent L5 S1 Spondylolytic Spondylolisthesis
More informationCommon Low Back Injuries in Dancers
Common Low Back Injuries in Dancers Bones Anatomy of the Spine Ligaments & Discs Muscles Quadratus Lumborum (QL) Muscle Strain or Trigger Point The QL originates from the posterior iliac crest and inserts
More informationX-Rays. Kunal D Patel Research Fellow IMM
X-Rays Kunal D Patel Research Fellow IMM The 12-Steps } 1: Name 2: Date 3: Old films 4: What type of view(s) 5: Penetration } Pre-read 6: Inspiration 7: Rotation Quality Control 8: Angulation 9: Soft tissues
More informationDr. Stefan C. Muzin, MD PM&R Beth Israel Deaconess Medical Center Harvard Medical School Consultant, GE Aviation, OEHN.
Dr. Stefan C. Muzin, MD PM&R Beth Israel Deaconess Medical Center Harvard Medical School Consultant, GE Aviation, OEHN Work Related Workshop WorkInjuries Related Injuries Workshop Think of the Big Picture
More informationAIS. Objectives. Early onset scoliosis (0-9) Scoliosis 9/12/2018. Scoliosis Nigel Price, MD John T. Anderson, MD. Purpose/Objectives:
Scoliosis Nigel Price, MD John T. Anderson, MD Children s Mercy Kansas City University of Missouri-Kansas City School of Medicine Department of Orthopaedic Surgery Section of Spine Surgery Opening Disclosure
More informationExercises to restore range of movement: Rotation
Exercises to restore range of movement: Rotation Start position: Sitting upright with your back supported in a chair. Position your head so it is evenly balanced, looking forward. Avoid allowing your head
More informationSystem - II. Limb Pain, Lower back pain
Common Problem of the Musculoskeletal System - II Limb Pain, Lower back pain 本講義表格資料取自 Dains, J.E., Baumann, L.C., & Scheibel, P. (2007). Advanced assessment and clinical diagnosis in primary care. (3rd
More informationScoliosis. About idiopathic scoliosis and its treatment. Patient and Family Education. What types of scoliosis are there?
Patient and Family Education Scoliosis About idiopathic scoliosis and its treatment This handout covers the most common type of scoliosis, adolescent idiopathic scoliosis. Other types of scoliosis may
More informationComprehension of the common spine disorder.
Objectives Comprehension of the common spine disorder. Disc degeneration/hernia. Spinal stenosis. Common spinal deformity (Spondylolisthesis, Scoliosis). Osteoporotic fracture. Anatomy Anatomy Anatomy
More information2015 OPSC Annual Convention. syllabus. February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California
2015 OPSC Annual Convention syllabus February 4-8, 2015 Hyatt Regency Mission Bay San Diego, California THURSDAY, FEBRUARY 5, 2015: 3:30pm - 4:30pm The Shoulder: 2 View or Not 2 View * Presented by Alexandra
More informationThe Straw that Broke the Child s Back SPORTS Symposium E. John Stanley PT,SCS
The Straw that Broke the Child s Back 2017 SPORTS Symposium E. John Stanley PT,SCS Learning Objectives: 1.Identify 3 characteristics of kids at risk for back injuries. 2.Describe the impact of flexibility,
More informationSpinal Fusion. North American Spine Society Public Education Series
Spinal Fusion North American Spine Society Public Education Series What Is Spinal Fusion? The spine is made up of a series of bones called vertebrae ; between each vertebra are strong connective tissues
More informationHISTORY AND CHIEF COMPLAINT:
submitted by Keith M. Bartley, D.C. Jasper, IN 07/21/11 presented at Cox Seminar in Nashville, TN, on October 8 9, 2011 HISTORY AND CHIEF COMPLAINT: 01/21/11 55 year old male press operator for Jasper
More informationCruciform anterior spinal hyperextension (CASH) brace with round anterior chest pads.
General Description Thoracolumbar orthoses (TLOs) are used mainly to treat fractures between T10 and L2, because their mobility is not restricted by the ribs, unlike fractures between T2 and T9. Immobilization
More informationThe Side Shift Exercise School Presentation 2014 T.Betts
The Side Shift Exercise School Presentation 2014 T.Betts Royal National Orthopaedic Hospital Background The Side Shift approach to correction of scoliosis curves has been used by therapist at the RNOHT
More informationESSENTIALS OF PLAIN FILM INTERPRETATION: SPINE DR ASIF SAIFUDDIN
ESSENTIALS OF PLAIN FILM INTERPRETATION: SPINE DR ASIF SAIFUDDIN Consultant Musculoskeletal Radiologist Royal National Orthopaedic Hospital Stanmore,UK. INTRODUCTION 2 INTRODUCTION 3 INTRODUCTION Spinal
More informationRaymond Wiegand, D.C. Spine Rehabilitation Institute of Missouri
2D Pattern matching of frontal plane radiograph to 3D model identifies structural and functional deficiencies of the spinal pelvic system in consideration of mechanical spine pain (AKA Spine distortion
More informationCervical Spine in Baseball
Cervical Spine in Baseball Robert G Watkins, IV, MD Co-Director, Marina Spine Center Marina del Rey, CA Vice Chief of Staff Cedars-Marina del Rey Hospital Disclosures n Pioneer / RTI Consulting, Royalties
More informationThe Swimmer s Shoulder: An Osteopathic Approach
The Swimmer s Shoulder: An Osteopathic Approach Mary Solomon, D.O. Rainbow Babies and Children s Hospital Cleveland, OH 440-914-7865 1 I have no relevant relationships/affiliations with any proprietary
More informationPractical Assessment of the Chiropractic Patient: The Slump Test K. Jeffrey Miller, DC, MBA
0/0/07 Practical Assessment of the Chiropractic Patient: The Slump Test K. Jeffrey Miller, DC, MBA 3 4 The Slump Test Maitland, GD. The slump test: examination and treatment. The Australian Journal of
More informationA Patient s Guide to Back Pain in Children
A Patient s Guide to Back Pain in Children 2350 Royal Boulevard Suite 200 Elgin, IL 60123 Phone: 847.931.5300 Fax: 847.931.9072 DISCLAIMER: The information in this booklet is compiled from a variety of
More informationCase 4 Generalised bone pain
Case 4 Generalised bone pain C A 34- year- old woman presented complaining of multifocal pain in her chest and legs. The pain was intermittent, was aggravated by weight bearing. Initially was alleviated
More informationCase Report: CASE REPORT OF FACET ARTHROPATHY INDUCED NERVE ROOT COMPRESSION RESULTING IN MOTOR WEAKNESS AND PAIN
Cox Technic Case Report #100 published at www.coxtechnic.com (sent October 2011 on 10/11/11 ) 1 Case Report: CASE REPORT OF FACET ARTHROPATHY INDUCED NERVE ROOT COMPRESSION RESULTING IN MOTOR WEAKNESS
More informationVERTEBRAL COLUMN VERTEBRAL COLUMN
VERTEBRAL COLUMN FUNCTIONS: 1) Support weight - transmits weight to pelvis and lower limbs 2) Houses and protects spinal cord - spinal nerves leave cord between vertebrae 3) Permits movements - *clinical
More informationThoracolumbar Anatomy Eric Shamus Catherine Patla Objectives
1 2 Thoracolumbar Anatomy Eric Shamus Catherine Patla Objectives List the muscular and ligamentous attachments of the thoracic and lumbar spine Describe how the muscles affect the spine and upper extremity
More information외래에서흔히접하는 요통환자의진단과치료 울산의대서울아산병원가정의학과 R3 전승엽
외래에서흔히접하는 요통환자의진단과치료 울산의대서울아산병원가정의학과 R3 전승엽 Index Introduction Etiology & Type Assessment History taking & Physical examination Red flag sign Imaging Common disorder Management Reference Introduction Pain
More informationThe Biomechanics of the Human Spine. Basic Biomechanics, 6 th edition By Susan J. Hall, Ph.D.
Chapter 9 The Biomechanics of the Human Spine Structure of the Spine The spine is a curved stack of 33 vertebrae structurally divided into five regions: cervical region - 7 vertebrae thoracic region -
More informationROTATOR CUFF INJURIES / IMPINGEMENT SYNDROME
ROTATOR CUFF INJURIES / IMPINGEMENT SYNDROME Shoulder injuries are common in patients across all ages, from young, athletic people to the aging population. Two of the most common problems occur in the
More informationNECK AND BACK PAIN AN INTRODUCTION TO
AN INTRODUCTION TO NECK AND BACK PAIN This booklet provides general information on neck and back pain. It is not meant to replace any personal conversations that you might wish to have with your physician
More informationHistory Prior to Presenting to Us
2013 Part 3 Cox Certification in Maui Case Report Chronic Severe S Scoliosis (Lumbar dextroscoliosis and Thoracic levoscoliosis) treated successfully using Chiropractic for over 30 years and Cox Technic
More informationACE s Essentials of Exercise Science for Fitness Professionals TRUNK
ACE s Essentials of Exercise Science for Fitness Professionals TRUNK Posture and Balance Posture refers to the biomechanical alignment of the individual body parts and the orientation of the body to the
More informationAndrew Scott MRSS MCSP. Postural Shoulder Pain
Andrew Scott MRSS MCSP Postural Shoulder Pain Andrew Scott 25 years shiatsu experience 15 years shiatsu teacher with British School of Shiatsu-Do and in my own school in Liverpool Chartered Physiotherapist
More informationSTRETCHING EXERCISES FOR PAIN REDUCTION
PHYSICAL THERAPY RESOURCES STRETCHING EXERCISES FOR PAIN REDUCTION This material is presented for informational and educational purposes only. If you experience any pain or difficulty with these exercises,
More informationImaging of Trauma to the Spine. Orthopedic Diplomate Program University of Bridgeport College of Chiropractic
Imaging of Trauma to the Spine Orthopedic Diplomate Program University of Bridgeport College of Chiropractic Jefferson Fracture Yee, LL: The Jefferson Fracture, Radiology Cases in Pediatric Emergency Medicine.
More informationThe Spine.
The Spine www.fisiokinesiterapia.biz Characteristics of Vertebrae Cervical Spine 1 and 2 Sacrum and Coccyx Curves Lordotic in the Spine Kyphotic Lordotic Ligamentous Support Muscles of the Spine Spinal
More informationTreatment Options. CallenChiro.com
Treatment Options Observation One traditional approach to scoliosis has been the wait and see method of observation. This often happens when a scoliosis is detected in a young child, but the curve is not
More informationA Patient s Guide to Scoliosis
A Patient s Guide to Scoliosis 763 Larkfield Road 2nd Floor Commack, NY 11725 Phone: (631) 462-2225 Fax: (631) 462-2240 DISCLAIMER: The information in this booklet is compiled from a variety of sources.
More informationScoliosis David S. Feldman, MD
Scoliosis David S. Feldman, MD Chief of Pediatric Orthopedic Surgery Professor of Orthopedic Surgery & Pediatrics NYU Langone Medical Center & NYU Hospital for Joint Diseases Overview Idiopathic scoliosis
More informationKanji Mori, Kazuya Nishizawa, Akira Nakamura, and Shinji Imai. 1. Introduction. 2. Case Presentation
Case Reports in Orthopedics Volume 2015, Article ID 301858, 4 pages http://dx.doi.org/10.1155/2015/301858 Case Report Atraumatic Occult Odontoid Fracture in Patients with Osteoporosis-Associated Thoracic
More informationFacts about Scoliosis
Facts about Scoliosis Have you or someone in your family recently been diagnosed with scoliosis? Or do you suspect somebody you know has the condition? That is when we usually start googling to learn all
More informationPilates for Scoliosis
Pilates for Scoliosis Carrie Campbell June 10, 2007 Costa Mesa, CA Abstract I did my case study on myself. I am a 30-year-old female with a 51-degree left lumbar scoliosis. I experienced back pain on a
More information9/4/10. James J. Lehman, DC, MBA, DABCO. Why is posture important to you, the chiropractic physician?
James J. Lehman, DC, MBA, DABCO The posture of homo sapiens is a complex biomechanical continuum, which involves the function of muscles, ligaments, fascia, nerves, osseous structures, neuromuscular control,
More informationThe spine has 3 slight curves: Neck Upper back Lower back
The spine has 3 slight curves: Neck Upper back Lower back Side view - Normal Back view Normal Curves cannot be seen Scoliosis side to side curve American Physical Therapy Association Signs when wearing
More informationGuidelines for the Trunk test for Paracanoe Athletes. Trunk test guidelines for Paracanoe
Guidelines for the Trunk test for Paracanoe Athletes Information Please note that the purpose of the pictures is to show the position of the athlete and classifier. The classifier s job is to assess function
More informationSPINE EVALUATION AND CLEARANCE Basic Principles
SPINE EVALUATION AND CLEARANCE Basic Principles General 1. Entire spine is immobilized during primary survey. 2. Radiographic clearance of the spine is not required before emergent surgical procedures.
More informationSpine MRI and Spine CT Test Request Tip Sheet
Spine MRI and Spine CT MRI is almost always preferred over CT scan; if ordering CT, CLEARLY document why MRI is not appropriate. In cases of back pain without red flags, six weeks of multimodality supervised
More informationSpineCor. Standard Treatment Protocol. Dynamic Corrective Brace. The. The SpineCorporation Limited All Rights Reserved (Version VII March 2007)
SpineCor The Dynamic Corrective Standard Treatment Protocol The SpineCorporation Limited All Rights Reserved (Version VII March 2007) 2004 The SpineCorporation Limited All rights reserved. No part of the
More informationRadiology of Cervical Spine Trauma. Cervical Spine Trauma. Imaging Standards. Canadian C. Spine Rule 11/28/2016
Radiology of Cervical Spine Trauma Dr. Steven J. Gould, D.C. Board Certified Chiropractic Radiologist Cleveland Chiropractic College, KC. MO. Radiology Residency at CCC, KC Cervical Spine Trauma Vertebral
More information10/8/2015. FACTORS IN BACK PAIN introduction 27% Framing the Discussion from a Clinical and Anatomical Perspective
FACTORS IN BACK PAIN Framing the Discussion from a Clinical and Anatomical Perspective A B M P B a ck Pa i n S u m m i t With Clint Chandler FACTORS IN BACK PAIN introduction Back pain affects 8 out of
More informationChest cavity, vertebral column and back muscles. Respiratory muscles. Sándor Katz M.D., Ph.D.
Chest cavity, vertebral column and back muscles. Respiratory muscles. Sándor Katz M.D., Ph.D. Chest cavity - bony structures Chest cavity- bony structures Sternum Ribs True ribs: first seven pairs connect
More informationPILATES CONDITIONING FOR PATHOLOGY OF THE INTERVETEBRAL DISK
PILATES CONDITIONING FOR PATHOLOGY OF THE INTERVETEBRAL DISK Ashlee Tinken August 12, 2017 Comprehensive Apparatus Program Pilates Denver June 2015 ABSTRACT The pathology of the intervertebral disk is
More informationOsteoporosis Protocol
PRODUCTS HELPING PEOPLE HELP THEMSELVES! Osteoporosis Protocol Rehabilitation using the Resistance Chair General Information Osteoporosis is a condition where bones gradually decrease in mass or density
More information1.03 Understand the functions and disorders of the skeletal system
1.03 Understand the functions and disorders of the skeletal system 1.03 Understand the functions and disorders of the skeletal system What do you think? 1.03 Understand the functions and disorders of the
More informationTrauma Overview. Chapter 22
Trauma Overview Chapter 22 Kinematics of Trauma Injuries are the leading cause of death among children and young adults. Kinematics introduces the basic physical concepts that dictate how injuries occur
More informationA Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH)
A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) 6565 Fannin Street Houston, TX 77030 Phone: 713-790-3333 DISCLAIMER: The information in this booklet is compiled from a variety of sources.
More informationEVALUATION AND MANAGEMENT OF CERVICAL SPINE DISORDERS
CERVICAL SPINE EVALUATION AND MANAGEMENT OF CERVICAL SPINE DISORDERS Gregory M Yoshida MD Supports the skull Allows movement of the head Houses the spinal cord CERVICAL SPINE Unique anatomy Upper C spine
More informationEvaluation and Management of Knee Pain. Michael Cassat, MD University of Arkansas for Medical Sciences
Evaluation and Management of Knee Pain Michael Cassat, MD University of Arkansas for Medical Sciences Disclosure I have no actual or potential conflict of interest in relation to this program/presentation.
More informationCLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 12/01/2012 Radiology Quiz of the Week # 101 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
More informationBone Injuries and Treatment. Fractures and Dislocations
Bone Injuries and Treatment Fractures and Dislocations Bellwork Research the small bones in the foot and wrist. Draw them in your notes. State Standards 16) Understand principles of and successfully perform
More informationSpine MRI and Spine CT Test Request Tip Sheet
Spine MRI and Spine CT With/Without Contrast CT, MRI The study considered best for a specific clinical scenario should be ordered. The second study should be done ONLY if the first study does not provide
More information