- 721 Spondylosis and allied disorders
- 721.0 Cervical spondylosis without myelopathy
- 721.1 Cervical spondylosis with myelopathy
- 721.9 Spondylosis of unspecified site
- 721.90 Spondylosis of unspecified site without
- 721.91 Spondylosis of unspecified site with
- M47.12 Other spondylosis with myelopathy, cervical region
- M47.812 Spondylosis without myelopathy or radiculopathy, cervical
- M47.819 Spondylosis without myelopathy or radiculopathy, site
- Osteoarthritis of the cervical spine
- Chronic degeneration
- Progressive arthritis of the cervical spinal joints
- As space between the vertebrae decreases, there may be compression
onto the nerve roots
- Arthritis can be central- or lateral-foramen based
- Central: usually bilateral symptoms
- Lateral: usually unilateral
- Pain, paresthesia, and weakness in the upper extremities,
can effect lower extremities if central and severe
- Pressure on the nerve root can cause radiculopathy
- Acute painful flare-ups, chronic persistent pain
- Relief with NSAIDs
- Morning stiffness
- Begins with intermittent pain
- Pain and stiffness at rest/sleep
- Improved with low-level activity
- May have rapid and severe onset
- Vertebrobasilar insufficiency is secondary problem
- Common in adults aged 60 years and older
- Limited mobility in cervical motion
- Difficulty looking over shoulder while driving
- May have difficulty washing hair at hair dresser due to cervical
- Increased symptoms with increased weight-bearing
- Aerobic endurance limitation
- Family history of osteoarthritis
- Bone spurs
- Poor posture
- Limited flexibility
- X-ray of the cervical spine
- MRI of the cervical spine
- Decreased space between the cervical vertebrae on X-ray
- To rheumatologist to assess underlying complications
- To orthopedic surgeon for surgical consult
- Functional rotation and bending
- Education in gentle range of motion to maintain mobility
- Exercise: flexibility and stability strengthening to decrease
stress on the joints
- Joint protection education
- Postural training
- Heat or ...
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