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Cervical Disc Herniation Rehabilitation

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1. Cervical Disc Herniation Rehabilitation

Cervical Disc Herniation Rehabilitation Cervical Disc Herniation Rehabilitation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Cervical Disc Herniation Rehabilitation Cervical Disc Herniation Rehabilitation Aka: Cervical Disc Herniation Rehabilitation From Related Chapters II. Management: General Initiate after acute pain subsides III. Technique: Modalities for acute pain Diathermy or Gentle range of motion and Massage (delay until acute muscle pain resolves) IV. Technique: Graded Isometric Exercise Be gentle Push Head against hand in 3 directions Lateral bending Flexion and Extension Rotation Hold each position for 5 seconds

2018 FP Notebook

2. Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy

Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy This clinical guideline should not be construed as including all proper methods of care or excluding or other acceptable methods of care reason- ably directed to obtaining the same results. The ultimate judgment regarding any specific procedure or treatment is to be made by the physi- cian and patient in light of all circumstances presented by the patient and the needs and resources particular to the locality or institution. 1 (...) Introduct Ion /Gu Idel Ine Methodolo Gy Lumbar Disc Herniation with Radiculopathy | NASS Clinical Guidelines NASS Evidence-Based Clinical Guidelines Committee D. Scott Kreiner, MD Committee Chair, Natural History Chair Steven Hwang, MD Diagnosis/Imaging Chair John Easa, MD Medical/Interventional Treatment Chair Daniel K .Resnick, MD Surgical Treatment Chair Jamie Baisden, MD Shay Bess, MD Charles H. Cho, MD, MBA Michael J. DePalma, MD Paul Dougherty, II, DC Robert Fernand, MD Gary Ghiselli, MD Amgad S

2012 North American Spine Society

3. The Course of Pain Intensity in Patients Undergoing Herniated Disc Surgery: A 5-Year Longitudinal Observational Study (PubMed)

The Course of Pain Intensity in Patients Undergoing Herniated Disc Surgery: A 5-Year Longitudinal Observational Study The aims of this study are to answer the following questions (1) How does the pain intensity of lumbar and cervical disc surgery patients change within a postoperative time frame of 5 years? (2) Which sociodemographic, medical, work-related, and psychological factors are associated with postoperative pain in lumbar and cervical disc surgery patients?The baseline survey (T0; n (...) herniated disc (Wald Chi² = 25.97, p<0.001). In patients with cervical herniated disc a reduction of pain was observed, albeit not significant (Chi² = 7.02, p = 0.135). Two predictors were associated with postoperative pain in lumbar and cervical disc surgery patients: the subjective prognosis of gainful employment (p<0.001) and depression (p<0.001).In the majority of disc surgery patients, a long-term reduction of pain was observed. Cervical surgery patients seemed to benefit less from surgery than

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2016 PloS one

4. Cervical Disc Herniation Rehabilitation

Cervical Disc Herniation Rehabilitation Cervical Disc Herniation Rehabilitation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Cervical Disc Herniation Rehabilitation Cervical Disc Herniation Rehabilitation Aka: Cervical Disc Herniation Rehabilitation From Related Chapters II. Management: General Initiate after acute pain subsides III. Technique: Modalities for acute pain Diathermy or Gentle range of motion and Massage (delay until acute muscle pain resolves) IV. Technique: Graded Isometric Exercise Be gentle Push Head against hand in 3 directions Lateral bending Flexion and Extension Rotation Hold each position for 5 seconds

2015 FP Notebook

5. Compressible Non-Articulating Disc Prostheses in Adult Patients with Degenerative Disc Disease

arthroplasty for combined long-standing degenerative lumbar disc disease and recent disc herniation. J Clin Neurosci. 2011 Dec;18(12):1677-81. PubMed: PM22099076 28. Tu TH, Wu JC, Huang WC, Guo WY, Wu CL, Shih YH, et al. Heterotopic ossification after cervical total disc replacement: determination by CT and effects on clinical outcomes. J Neurosurg Spine. 2011 Apr;14(4):457-65. PubMed: PM21294610 29. Wang Q, Cheng H, Mao Z, Qi X, Zhang M, Chen Y. Clinical and radiographic results after treatment (...) disc No literature identified. Other discs 2. Johnsen LG, Brinckmann P, Hellum C, Rossvoll I, Leivseth G. Segmental mobility, disc height and patient-reported outcomes after surgery for degenerative disc disease: a prospective randomised trial comparing disc replacement and multidisciplinary rehabilitation. Bone Joint J. 2013 Jan;95-B(1):81-9. PubMed: PM23307678 3. Hellum C, Berg L, Gjertsen O, Johnsen LG, Neckelmann G, Storheim K, et al. Adjacent level degeneration and facet arthropathy after disc

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

6. Cervical Radiculopathy and Myelopathy

to herniated disc remains a matter of debate. Various studies have compared the different surgery types and found no significant difference among them. Cervical surgeries can be divided into 2 major approaches: anterior (with or without fusion) and posterior. With the exception of hybrid surgeries, the choice of surgical procedure is left to the discretion of the surgeon. Anterior cervical decompression alone: Discectomy is a surgical procedure to remove part of a herniated disc to alleviate pressure (...) and health outcomes in patients with spinal impairments. Phys Ther, 1996. 76(9): p. 930-41; discussion 942-5. 15. Saal, J.S., J.A. Saal, and E.F. Yurth, Nonoperative management of herniated cervical intervertebral disc with radiculopathy. Spine (Phila Pa 1976), 1996. 21(16): p. 1877-83. 16. Kuijper, B., J.T. Tans, A. Beelen, F. Nollet, and M. de Visser, Cervical collar or physiotherapy versus wait and see policy for recent onset cervical radiculopathy: randomised trial. BMJ, 2009. 339: p. b3883. 17

2016 Washington State Department of Labor and Industries

7. Microdiscectomy for recurrent L5–S1 disc herniation (PubMed)

Microdiscectomy for recurrent L5–S1 disc herniation 24272269 2014 09 04 2018 12 02 1432-0932 22 12 2013 Dec European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Eur Spine J Microdiscectomy for recurrent L5-S1 disc herniation. 2915-7 10.1007/s00586-013-3114-9 Berjano Pedro P IVth Spine Division, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy, pberjano@gmail.com (...) . Pejrona Matteo M Damilano Marco M eng Case Reports Journal Article Webcasts Germany Eur Spine J 9301980 0940-6719 IM Adult Diskectomy methods Humans Intervertebral Disc Displacement diagnosis rehabilitation surgery Lumbar Vertebrae pathology surgery Magnetic Resonance Imaging Male Recurrence Treatment Outcome Young Adult 2013 11 26 6 0 2013 11 26 6 0 2014 9 5 6 0 ppublish 24272269 10.1007/s00586-013-3114-9 PMC3843786 Spine J. 2010 Jul;10(7):575-80 20347400 J Spinal Disord Tech. 2015 Jun;28(5):E265-9

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2013 European Spine Journal

8. Cervical Disc Disease (Diagnosis)

of the herniation is made up of the annulus fibrosus. DDD involves degenerative annular tears, loss of disc height, and nuclear degradation. IDD describes annular fissuring of the disc without external disc deformation. can result from nerve root injury in the presence of disc herniation or stenosis, most commonly foraminal stenosis, leading to sensory, motor, or reflex abnormalities in the affected nerve root distribution. [ , ] Sagittal magnetic resonance imaging (MRI) scan demonstrating cervical (...) can increase intradiscal pressure and other stress at adjacent unfused levels, thereby accelerating postsurgical spinal degeneration. [ , , , , ] The possibility of obtaining the goals of anterior cervical decompression and fusion (ACDF) while maintaining adjacent segment motion led to the advent of total disk replacement (TDR). Next: Pathophysiology Manifestations of HNP are divided into subcategories by type (ie, protrusion, extrusion, sequestration). Disc bulge, is not a true herniation, per se

2014 eMedicine.com

9. Cervical Disc Injuries (Diagnosis)

posterior herniotomy with en bloc laminoplasty: alternative methodfor treating cervical disc herniation. J Spinal Disord Tech . 2005 Apr. 18(2):171-7. . Media Gallery of 0 Tables Contributor Information and Disclosures Author Robert E Windsor, MD, FAAPMR, FAAEM, FAAPM President and Director, Georgia Pain Physicians, PC; Clinical Associate Professor, Department of Physical Medicine and Rehabilitation, Emory University School of Medicine Robert E Windsor, MD, FAAPMR, FAAEM, FAAPM is a member (...) common form involves annular tears with herniation of the nucleus pulposus (ie, soft disc herniation). The second type of disc injury is an annular tear without herniation of the nucleus pulposus (ie, internal disc disruption). When considering the term cervical disc injury, it is important to recognize the natural history of . It is this process that may insidiously predispose one to cervical disc injury of either an acute or chronic nature. Cervical disc injuries can be treated conservatively

2014 eMedicine.com

10. Cervical Disc Disease (Treatment)

Cervical Disc Disease (Treatment) Cervical Disc Disease Treatment & Management: Rehabilitation Program, Medical Issues/Complications, Surgical Intervention Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzA1NzIwLXRyZWF0bWVudA== processing > Cervical Disc Disease Treatment & Management Updated: Mar 21, 2018 Author: Michael B Furman, MD, MS; Chief Editor: Dean H Hommer, MD Share Email Print Feedback Close Sections Sections Cervical Disc Disease Treatment Rehabilitation Program Physical Therapy For most cervical disc disorders, studies support conservative treatment, such as the McKenzie approach and cervicothoracic stabilization programs, combined with aerobic conditioning. The McKenzie system identifies 3 mechanical

2014 eMedicine.com

11. Cervical Disc Injuries (Treatment)

> Cervical Disc Injuries Treatment & Management Updated: Sep 26, 2018 Author: Robert E Windsor, MD, FAAPMR, FAAEM, FAAPM; Chief Editor: Sherwin SW Ho, MD Share Email Print Feedback Close Sections Sections Cervical Disc Injuries Treatment Acute Phase Rehabilitation Program Physical Therapy Physical therapy emphasizes segmental mobilization, postural training, and reconditioning. Surgical Intervention Surgery is indicated in acute cervical disc herniation causing central cord syndrome and in cervical disc (...) , Yamamoto T, Kasuya T, Wakabayashi E, et al. Microsurgical posterior herniotomy with en bloc laminoplasty: alternative methodfor treating cervical disc herniation. J Spinal Disord Tech . 2005 Apr. 18(2):171-7. . Media Gallery of 0 Tables Contributor Information and Disclosures Author Robert E Windsor, MD, FAAPMR, FAAEM, FAAPM President and Director, Georgia Pain Physicians, PC; Clinical Associate Professor, Department of Physical Medicine and Rehabilitation, Emory University School of Medicine Robert E

2014 eMedicine.com

12. Cervical Disc Injuries (Overview)

posterior herniotomy with en bloc laminoplasty: alternative methodfor treating cervical disc herniation. J Spinal Disord Tech . 2005 Apr. 18(2):171-7. . Media Gallery of 0 Tables Contributor Information and Disclosures Author Robert E Windsor, MD, FAAPMR, FAAEM, FAAPM President and Director, Georgia Pain Physicians, PC; Clinical Associate Professor, Department of Physical Medicine and Rehabilitation, Emory University School of Medicine Robert E Windsor, MD, FAAPMR, FAAEM, FAAPM is a member (...) common form involves annular tears with herniation of the nucleus pulposus (ie, soft disc herniation). The second type of disc injury is an annular tear without herniation of the nucleus pulposus (ie, internal disc disruption). When considering the term cervical disc injury, it is important to recognize the natural history of . It is this process that may insidiously predispose one to cervical disc injury of either an acute or chronic nature. Cervical disc injuries can be treated conservatively

2014 eMedicine.com

13. Cervical Disc Disease (Overview)

of the herniation is made up of the annulus fibrosus. DDD involves degenerative annular tears, loss of disc height, and nuclear degradation. IDD describes annular fissuring of the disc without external disc deformation. can result from nerve root injury in the presence of disc herniation or stenosis, most commonly foraminal stenosis, leading to sensory, motor, or reflex abnormalities in the affected nerve root distribution. [ , ] Sagittal magnetic resonance imaging (MRI) scan demonstrating cervical (...) can increase intradiscal pressure and other stress at adjacent unfused levels, thereby accelerating postsurgical spinal degeneration. [ , , , , ] The possibility of obtaining the goals of anterior cervical decompression and fusion (ACDF) while maintaining adjacent segment motion led to the advent of total disk replacement (TDR). Next: Pathophysiology Manifestations of HNP are divided into subcategories by type (ie, protrusion, extrusion, sequestration). Disc bulge, is not a true herniation, per se

2014 eMedicine.com

14. Cervical Disc Injuries (Follow-up)

bloc laminoplasty: alternative methodfor treating cervical disc herniation. J Spinal Disord Tech . 2005 Apr. 18(2):171-7. . Media Gallery of 0 Tables Contributor Information and Disclosures Author Robert E Windsor, MD, FAAPMR, FAAEM, FAAPM President and Director, Georgia Pain Physicians, PC; Clinical Associate Professor, Department of Physical Medicine and Rehabilitation, Emory University School of Medicine Robert E Windsor, MD, FAAPMR, FAAEM, FAAPM is a member of the following medical societies (...) . No contraindications (Experience and data indicate no increase in risk of serious injury.) occulta Type II anomaly with no evidence of spinal instability Developmental stenosis of spinal canal (canal-vertebral body ratio < 0.8) Healed intervertebral disc bulge Asymptomatic cervical disc herniations treated conservatively in the past Stable, one-level anterior or posterior fusion at or below (only if the individual is neurologically normal, is free of pain, and has a normal range of cervical motion) Absolute

2014 eMedicine.com

15. Cervical Disc Disease (Follow-up)

of herniated disc and stenosis in the cervical foramen. Eur Spine J . 2009 Mar 18. . Derby R, Baker R, Dreyfuss P. Cervical radicular pain: transforaminal vs. interlaminar steroid injections. ISIS Scientific Newsletter: Current Concepts-SpineLine . 2005. 5(1):16-17. Galbraith JG, Butler JS, Dolan AM, O'Byrne JM. Operative outcomes for cervical myelopathy and radiculopathy. Adv Orthop . 2012. 2012:919153. . . Bhadra AK, Raman AS, Casey AT, Crawford RJ. Single-level cervical radiculopathy: clinical outcome (...) outcome. Minim Invasive Neurosurg . 2008 Aug. 51(4):211-7. . Yan D, Li J, Zhu H, et al. Percutaneous cervical nucleoplasty and percutaneous cervical discectomy treatments of the contained cervical disc herniation. Arch Orthop Trauma Surg . 2010 Jan 8. . King JT Jr, Abbed KM, Gould GC, et al. Cervical spine reoperation rates and hospital resource utilization after initial surgery for degenerative cervical spine disease in 12,338 patients in Washington State. Neurosurgery . 2009 Dec. 65(6):1011-22

2014 eMedicine.com

16. Asymmetrical degenerative marrow (Modic) changes in cervical spine: prevalence, correlative factors, and surgical outcomes (PubMed)

showing signal changes on MRI. Statistically significant difference was showed in conservative rehabilitation rate between two groups (p = 0.043). Multiple logistic regression analysis identified disc herniation and neurological symptoms as correlative factors of asymmetrical Modic changes, and the adjusted odds ratios (95% CI) were 2.079 (1.348-3.208) and 0.231 (0.143-0.373) respectively. No statistically significant difference was found in JOA scores and NDI scores between the two kinds of Modic (...) changes.C5/6 was the most commonly affected level by Modic changes. Disc herniation and nerve root compression symptom were more closely correlated with asymmetrical Modic changes than conventional Modic changes. Asymmetrical Modic changes indicated poor result in conservative treatment; however, the final operation rate was similar between the two kinds of Modic changes. The outcomes of surgical treatment were satisfactory both in patients with asymmetrical Modic changes and conventional Modic changes.

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2018 Journal of orthopaedic surgery and research

17. Effect of Exercise and Manuel Therapy Methods on Pain, Posture, Daily Living in People With Cervical Pathologies

: clinical diagnosis of cervical disorder (for example; chronic neck pain, cervical disc herniation) must have pain at least three months. Exclusion Criteria: History of structural scoliosis History of surgery History of metabolic, neurologic and metastatic diseases. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer (...) Effect of Exercise and Manuel Therapy Methods on Pain, Posture, Daily Living in People With Cervical Pathologies Effect of Exercise and Manuel Therapy Methods on Pain, Posture, Daily Living in People With Cervical Pathologies - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved

2018 Clinical Trials

18. Cervical Radiculopathy Trial

Details Study Description Go to Brief Summary: The primary aim of the present project is to compare the effectiveness of surgery and nonsurgical treatment in patients with cervical radiculopathy caused by either disc herniation or spondylosis. Secondary aims are to evaluate cost-effectiveness and predicting factors of success of the two treatments, and to explore the terms success rate and expectations by asking the patients to fill in their expected primary outcome score at baseline. Condition (...) or disease Intervention/treatment Phase Cervical Radiculopathy Procedure: Anterior discectomy Behavioral: Conservative treatment Not Applicable Detailed Description: Cervical radiculopathy is usually caused by disc herniation or spondylosis. Prognosis is expected to be good in most patients but there is limited scientific evidence about the indication for non-surgical and surgical treatment. Two randomised controlled trials comparing cervical decompression and non-operative treatment with cost

2018 Clinical Trials

19. Physiotherapy After Anterior Cervical Spine Surgery

and/or motor deficit At least 3 months of persistent arm pain Inclusion criteria for the study: ACDF due to cervical disc disease (disc herniation with or without osteophytes, or stenosis caused by osteophytes) in one or two segmental levels Aged 18-75 years Residual disability (approximately) 3 months after surgery (at the re-visit to the surgeon/ physiotherapist at the neurosurgery/ neuroorthopedic clinic) in terms of the Neck Disability Index (NDI ≥30%). Access to a computer/tablet/smartphone (...) by (Responsible Party): Anneli Peolsson, Linkoeping University Study Details Study Description Go to Brief Summary: Background: Patients suffering residual disability after anterior decompression and fusion (ACDF) surgery for cervical disc disease may be prescribed physical activity (PPA) or neck-specific exercises (NSE). Currently, we lack data for the success of either approach. There is also a knowledge-gap concerning the use of internet-based care for chronic neck pain, inclusive of cervical disc disease

2017 Clinical Trials

20. Herniated Nucleus Pulposus (Follow-up)

due to herniated nucleus pulposus. Perspect Clin Res . 2012 Jan. 3(1):16-21. . Barton JE, Haight RO, Marsland DW, Temple TE Jr. Low back pain in the primary care setting. J Fam Pract . 1976 Aug. 3(4):363-6. . Tomasino A, Gebhard H, Parikh K, Wess C, Härtl R. Bioabsorbable instrumentation for single-level cervical degenerative disc disease: a radiological and clinical outcome study. J Neurosurg Spine . 2009 Nov. 11(5):529-37. . Buchowski JM, Anderson PA, Sekhon L, Riew KD. Cervical disc (...) cohort study of close interval computed tomography and magnetic resonance imaging after primary lumbar discectomy: factors associated with recurrent disc herniation and disc height loss. Spine (Phila Pa 1976) . 2009 Sep 1. 34(19):2044-51. . Fish DE, Kobayashi HW, Chang TL, Pham Q. MRI prediction of therapeutic response to epidural steroid injection in patients with cervical radiculopathy. Am J Phys Med Rehabil . 2009 Mar. 88(3):239-46. . Hirsch JA, Singh V, Falco FJ, Benyamin RM, Manchikanti L

2014 eMedicine Surgery

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