Clinical Anatomy and Management of Cervical Spine Pain

220 Pages·1998·59.01 MB·English

by  Lynton Giles MSc PhD DC

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ClinicaAln atomya ndM anagemenotf C ervicaSlp inPea in
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CLINICAALN ATOMY
AND .MANAGEME T OF
CERVICALS PINEP AIN
DC(C)P,h D
L.G .F. GileMsS c,
DepartmeontfP ublic and TropicaJll edlcine,
James University Queenslo1in!d1,L' nsville
Director
NationCaeln tfroer M ultidiscipSltiundairyoe fsB ackP ain,
TownsviGlelnee rHaols pital
HonorarCyl inicSacli entist
TownsviGlelnee raHlos pitTaOiIl,' lIsvQiuleleen,s ill/Auuis,t ralia
PhD
K.P. SingeMrS c,PT ,
AssociaPtreo fessor
SchooolfPh),siotberapy,
CurtiUnn iversoifTl) e,c hnology,
ShentoPnarA? ,I¥i 'steArnu stralia
HonorarRye searcFhe llow
DepartmeonftR sa dioloNgeyur,o patholgoy andB ioengineering,
RoyalP ertHho spitPaelr,t Whe,s teAruns tralAiuas,t ralia
With Foreworbdy
ProfessoDrv orak
Heado fD epartmento fN eurology,
SpineU nitS,c hultbCleisnsi cZ,ur ich,S witzerland
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Contributor."}
P.G .B aker
AssociaPtreo fessor. Cummunitayn d ofN eurosruger,Ry oyal
RuraHle altUhn,i versity \1ersey South AustAruasltiraa,li a
HospitLaalt,r obe.
G.
J.H .B land Associate ProPlheysssioort herDaeppya rtment,
ProfessoofMr e dciine- RheumatoloEgmye,r itus, UniversoiftQ yu eenslanSdtL, u ciAau,s tralia;
Rheumatologayn dC linicIalm munologUyn it, HonorarRye searcFhe lloDwe,p artmeonft
UniversoiftyV ermontB,u rlingtUoSnA, PhysiotherUanpiyv,e rsoiftM ye lbournVei,c toria,
Australia
J. WJ.. B oyle
T.M cClune
Schooolf P hysiother,aC puyrtiUnn iversiPteyr,th ,
SpinaRle searcUhn itU,n iversoiftH yu cldersfield,
WesterAnu straAlusitar,a lia
R.Burtt
SpinaRle searLcihn ie Hlldderstleld, andH umanB iology
HudderstleUlKd , AustralPiear,t Whe,s tenr
R.C ailliet
L.
Professor Emeritus, ofP hysical
]'v[ediciUnnei,v ersoiftS yo utehrnC aliforSncihao,o l EmeritPurso fessoofMr e dicaIlm aginDge,p artment
ofM edicinLeo,sA ngeleCsa,l iforUnSiAa , ofN euroradio,lU ongiyversHiotys pitGarlo,n ingen,
TheN etherlands
R.C larke
L.JR.o we
SpinaRle searUcnhi tU,n iversiotfyH udclerstteld,
HucldersttUeKl cl, Deparmtento fM edicaIlm aginJgo,hn Hunter
HospitaNle,w castlNee,w SoutWha lesA,u stralia
M. GIa.tt erman A.
Deano fC hiropractic SnenceWse,s tern PSYchologSiecravli cUensi,v (T,;iry
StatCehsi ropractic OregonU,S A OlltarCiaon,a da
L.G .F .G iles
ReadeDre,p artmen[ andT ropical Schooolf P l1yostihreapy.
MedicinJea,m es North ShentoPna rkW,e srern
QueenslanDdi;re ctNoar,t ionCaeln trfeo r AustralHioan;o raryR esearcFhe lloDwe,p artments
MultidiscipSltiundairoeyfs B ackP ainT,o wnsville ofR adiology, NeuropaatnhdBo ilooegnygi neering,
GeneraHlo spitHaoln;o rarCyl inicSaCli entist, RoyaPle rtHho spitaPle,rt hW,e sterAnu stralia,
Townsvei JGIeneraHlo spitQaul,e enslaAnuds,t ralia Australia
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Foreword
The prevalence remarkabhilghy , quitaen u nstabplaer t
amountintgob enNcen Jm ongstt hes o­ thee qUilibrium can
callendo rmal on thea ge trauma ands ometimes
group. Tahgei ng a higher inci- procedures. The most
denceo f neck 1,-y[[hourta dicular tissuien jurioefst he
symptomsa nds ignsp,rc scming witha decreased spin3cS 3 rcsulotf c arc ollisions.
rangeo fm otionO.n eo ft her easonfso rt himsi ghbte The managemoefnn te ckp roblemdsu,e e ithetro
theo ngointgr ansfoartmioonft heb onys tructuarse s, degeneraticvhea ngeosr t raumai,sn ota ne asyt ask,
observebdy theG ermana natomisHte,r bervto n andr equirae srp ofounkdn owledgoeft hef unctional
Lusch(k1a8 5a8n)ds cientificastluldyi ebdy t heS wiss anaotmy,t hec linicbailo mechaniacssw eU as the
anatomisGti,a nT ondury( 1947S)u.c h a devel­ radioloagnyd n euroloogfyt hec ervcials pineT.h is
opmentatrla nsformamtiigohntb ed uet ot heu pright book impressviely documentosu rc urrenutn der­
positioofnt heh uman bodya sw ella st heu sea nd standionfgt hea boveT.h ee ditohrasv ei nvidt weorld
sometimeasb useo f spilldeu rign daily contributtoet hibso ok
working,l eisure activitlieeasd,i ntgo wellb alanceredv,i weing
degenreatvie changes bodya ndp lates ourk noweldge, combined
andt hei ntervertcbr'll siajoli tns. advances.
An understanidng developmencthaanlg es, hiso wn clinilcifael,
or -as pointed thi'so ngoing spindei sorderrasn,g ing
transformatiiso n', interpretaotfi on tot hem ored ifcfiult
altermeodt ion patiesnytm p- such thes pinacla nal
toms,c linicsailg nasn d radiologficianld inTghse. severcee rvicmayle lopathwiheisc hr equrie extensive
diagnoswiisl lfi nalldye termine the appropriate surgerBy.a sedu ponm y OWll cliniecxaple rienacned
therapeuatpipcr oachm,ai nlyi nd ecidinwgh ether researwcohr ki nt het1 eldo ft hec ervicsapli neI,
conservatoirvs eu rgictarle atmeinsti ndicatFeudr.­ wouldh ighlrye commendt hsi book,n oto nlyt o
thermore.u ndaenr standinogft heu nderlypinatgho l­ generaplr actitionbeurtsa l,so to specialoisrt tso
ogy wilhle lpt hec linictioar ne cognitzhee l imiotfs anybodyw ho wishest o dealc ompetentwliyt h
thet hearpeutipcr ocedure, especiyal wlhen aggres-cervicsaplin e problems, bearinign m indt hato ur
sivet reatments be counterproducatnidv e majort ask harmt hep atie(pntr imum
simpl'ew aiatnd mostb eneficianlo cere of Thiis sd efinitelyi mportallt
fort hep atieinnt recoglliLc managemenotf cervical
Mucht ooo ften needleslys prolonged diosrders.
treatmenotfsn eck medicaplr acti­
tionercshi,r opractors. and otherp ro­
fesisonal rogups spindei sorders ZuricSh,e ptember
who clo nota lways ands ometimes ProfesJsiorrDi v orak,
deludet hemselvceosn cernintgh eirt herapeutic Heado fD epartmenotfN eurologSyp,i nUe nit,
omnipotence. SchultheCslsi niZcu,r icShw,i tzerland
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Preface
Ouri ntentiionn texts erieisst o communicatiboent ween
on ther atioanl illtcn.,,[cdi n thisim portant
spinal painW.e hopet oc ontributtoea
and analyssi of cervicals pine care.
clinicUay relevam basci scienecs organizseod thati tc an
leading tod iagnoasllius tr eatment ofm echanical proached 111 scvcrwaaly sa,c corditnogt hen eedosf
neckd isordewrist,h a hcapterd edicatteodc ontra­ ther eader.T hec linicwiahno wisheas quick over­
indicatitoosn psin alm anipulation. viewo fc linicaasls essmecnontc epts andt echniques
Thitse xth gihlightthsev alueo fa team approach in should consuPlatr 3t: D iagnossi and management.
appreciatnig thec omplexiotfny e ckp ainan d ar ange Thisi ncludes: imagi.npgr ocedures f()r mechanical
of treatmeanptp roaches. Contemporaryc ontribu­neck complainst, medicaaln ds urgicala pproachteos
tionfsr oma natomyp,a thologcylin,ic al medicine, neckp ain ands eparacthea pterso n thea ssessmte n
neurosurgecrhyir,op ratcic, stoeopathy andp hysio- and managemetn srtateiegs proviedd by chiropr­ac
threapy arep resetned volumeE.a chp art, physiotherapists.
writtbeyne xpeiernced cliniCians,p rovides rhere asoningb ehind
as ummary ofp ertinclH whichw illl ead toa n clinicaanla tomy, pathology
improveudn derusndll1g ofm echanical cervicspailn e.
neckp ain. Management to botht hec lLnicli
assessmetnetc lmiqun, usincgl inical mechanicnaelc k pllin
reasonings equences. nota tetmptt o revieowf t hel iter:l[urc
endorsae single to highligthhte exampleosf clinical
common apporach tom echanictarle atmte wnhich threed isciplines of mechanicathle rapy.
may be provided by chiroprdtcci,o steopathy and Despitteh en eedt ov atidate theoribeesh inmde chan­
physiotherparpaycit tioners. icailn terventainodnt os hwo thel ong-term efficacy
Ourg oali st op resentt hiisnf ormatiionna manner of these therapiethsi,s texta lsos etso ut our
which willb enefit both theu ndergraduatea nd challeng,e as cliniican s-cientitsot psr,o motec om­
postgraduate studenotfm echanictahle rapays,w ell municationb etweena liln teresptaerdtie s. Neckp ain
asa lcll iniciwahnos s eeka ocmprehensive revieowf ism ultifaceatneddi td emands tshhaeri ng ofi deas
mechanicnaeld belietfh atqu ality and improvteh em anaegmelll
illustraftaiicolnisl lllC carefuls electoifo n to
materiaanld d etadnl heenp reparetod Ie
complementth c objectiivse t o K.
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