pathology: cervical spine syndrome

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cervical spine syndrome (cervicobrachial syndrome, shoulder-arm syndrome, cervical vertebral syndrome)

Definition of

Heterogeneous clinical picture with variable sensory, motor and vegetative-trophic disorders in the neck, shoulder girdle and upper extremities inf. Irritations of the PNS or local circulatory disorders

ICD M53

Cause

– traumatic causes

  1. Whiplash
  2. traumatic plexus lesion

– Disposing diseases of the musculoskeletal system

  1. Syringomyelia
  2. Cheiralgia paraesthetica (Wartenberg syndrome)
  3. Arm plexus paralysis (upper C4-C6, middle C5-C6, lower C7/C8-Th1)
  4. cervical prolapse
  5. WS affections
  6. Muscular atrophy (especially neurogenic) of the neck muscles
  7. Borderline quadrant syndrome (lesion of the ganglion chains on both sides of the spinal cord)
  8. Grinsel syndrome
  9. Cervical migraine
  10. Periarthropathia humeroscapularis (PHS)
  11. Thoracic outlet syndrome (neurovascular compression syndrome of the upper thoracic aperture)
  12. Neuralgic shoulder myopathy
  13. Spondylosis
  14. Spondylarthrosis
  15. Carpal tunnel syndrome
  16. Complex regional pain syndrome(sympathetic reflex dystrophy, complex regional pain syndrome CRPS)

– Dispositional diseases: other

  1. Zoster
  2. Diseases of internal organs (e.g. Pancoast, aortic arch syndrome, subclavian steal syndrome)
  3. Tumor infestation of the brachial plexus
  4. Neurinoma of the supplying nerves
  5. Meningeosis neoplastica

Diagnosis

  1. X-ray
  2. CT
  3. MRI

Symptoms

  1. Pain in the arm

Therapy

  1. If possible, cause
  2. Symptomatic pain therapy
  3. No permanent chiropractic intervention!
  4. Acupuncture
  5. Heat
  6. Massage