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Cervical spondylosis pathology is one of the most common reasons for both outpatients and inpatients to require recovery services. In addition to the common symptoms of cervicalgia these patients also present with mood disorders, anxiety and depression, requiring different therapeutic approaches. Based on patients history we divided them into 4 groups. Group A included 17 patients with localised pain in the cervical spine.
Group B comprised 39 patients with pain and depression, group C had 29 patients with pain and anxiety, and group D included 35 patients with pain, anxiety and depression. The statistical processing of the data reveals that the condition of the patients improved best if they had no associated mood disorder, mental anxiety or depression, patients in group A, followed by patients in group C whose condition was associated only with anxiety.
Improvement was less elrctroterapie in patients in group D with pain and anxiety and depression as well as patients in group B who had a depressive syndrome.
Chronic cervicalgia is best improved when radullescu is not associated with a psychological mood disorder.
In combination with a depressive or anxiety syndrome, the treatment has to include anxiolytic and antidepressant medication as well as psychological counselling apart from the recovery treatment. PAPER TEXT Chronic cervicalgia is a clinical syndrome, frequently encountered in rehabilitation services, in patients presenting for inpatient or outpatient treatments. In most cases it is associated with cervical spine mobility limitation, radiation of pain in the upper limbs with distal paresthesias in the fingers and changes in mood anxiety, depression.
On examination a change in the rectitude of the spine can be noticed, sometimes kyphoscoliosis or increased lordosis of the cervical spine. On palpation it is painful in symmetrical or eleectroterapie cervical paravertebral points and muscle contractures occur. Range of motion assessment reveals a painful limitation of spine mobility, sometimes crackling, while muscular strength testing shows a functional muscle dyssynergia between the flexors hypotonia and cervical spine extensors hypertonia.
The Spurling radulesci can be positive, when positioning the head in extension and axial rotation or compression the foramen narrows and root symptoms may occur. Degenerative changes of the cervical spine and posture are the most often encountered anatomical reasons for chronic cervicalgia.
Foraminography reveals narrowing of the foramina and it warrants radicular symptoms. More laborious imaging investigations are required in event of problematic differential diagnoses in patients under Treatment methods include resting posture, which is required during rebound, complex physical-kinetic treatment and analgesic, anti-inflammatory, myorelaxant, vasodilator, and neurotropic medication apart from medication to treat associated anxiety or depressive disorders.
Anxiety disorder is characterised by both psychological and somatic symptoms. From the first group of symptoms is essential to assess the presence of frequent and persistent excessive concerns about events or activities electroteerapie occupy most of the time during the day, most days.
This concern is disproportionate in relation to the impact of the event or circumstance which is the reason for concerns. Concern is related to various aspects of life such as financial status, family, personal health or the health of family electrotefapie, routine house chores. Although patients cannot identify elwctroterapie concerns as elfctroterapie, they note that these concerns cause suffering, are difficult to control and affect their quality of life. They may also have a persistent negative sense of anticipation, irritability, impaired concentration and a feeling of anxiety.
They often complain about memory problems that are secondary to prosexic disorders and insomnia, the most common on the onset of sleep. Associated symptoms are part of the following major groups: Associated symptoms are pessimism, anhedonia, suicidal thoughts, progressive disinterest from the surrounding stimuli, asthenia, fatigue, loss of appetite, weight loss, mixed insomnia, anxiety and psychomotor inhibition.
Various options for the treatment of anxiety and depressive disorders are currently available, both psychopharmacological benzodiazepines, short-term selective serotonin reuptake inhibitors, serotonin and norepinephrine reuptake inhibitors and psychotherapeutic ones predominantly cognitive behavioural methods that aim at self-monitoring and early detection of internal stimuli thoughts, images, bodily sensationscreating stimulus control methods, relaxation techniques, cognitive restructuring.
In patients coming from rural areas in their daily work in addition to anteflexion positions cervical spine overload was associated with high physical exertion and exposure to cold weather and air currents. Age of patients was between 35 and Based on their history the patients were divided into 4 groups: All patients received a treatment of physical-kinetic recovery consisting of electrotherapy, muscle relaxing massage, paraffin package, kinetotherapy and hydrokinetotherapy.
Apart from electrotherapy, patients with anxiety were treated with continuous magnetodiaflux therapy, while those with depressive elements were treated with discontinuous magnetodiaflux therapy. Electrotherapy consisted of low and medium frequency currents: TENS transcutaneous electrical nerve stimulation was used for some patients several times a day, even at home using portable equipment Trabert Diadynamic currents, forms with painkiller and muscle relaxant effect: Galvanic current downward radiation in patients with upper limb pain Interferential currents choosing parameters in order to obtain different effects: The hyperemia effect is achieved by activating blood circulation and by influencing the autonomic nervous system.
Massage sessions were repeated twice a day, observing analgesic position as uncomfortable posture cancels the effects of concomitant therapy simulation of the nociceptors.
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Hydrokinetotherapy and physiotherapy exercises were tailored according to individual programmes having the following objectives: An important element is the control of posture, awareness of the maintaining of posture, regardless of the position of the patient, sitting, standing, lying. Hygiene recommendations were made, especially in cases in which anamnestic aetiopathogenic factors related to posture required prolonged or abnormal positions due to professional activity requiring prolonged flexion of the neck.
The goal is to force the position of the cervical lordosis and relaxation of muscle tension caused by the daily activities. Patients with anxiety or depressive syndrome were recommended to continue psychological counselling even after the end of the recovery treatment. Statistical analysis was done using Graph Pad software. Distribution of patients according to the onset of symptoms It can be noted that there is a combination between mental disorders and the onset of cervical pain.
The longer the pain, the more acute are the anxiety and depressive disorders.
Radulescu – Electroterapie
There are no psychiatric symptoms in patients with the onset of symptoms 4 months before, while both anxiety and depressive disorder can be recorded in patients with the onset 11 months before. Distribution of patients according to symptoms Table 2.
The earliest the onset of cervicalgia, the greater the risk of association of an anxiety or depressive syndrome. The number of patients from urban areas is higher than those raduledcu rural areas, although risk factors are more numerous in the latter, due to higher medical affordability and probably a higher level of medical education.
When it is associated with a depressive syndrome, pain is the most difficult to influence Cervicalgia improves most easily when it is not accompanied by a psychological mood disorder, proper medication anxiolytic and antidepressant treatment of anxiety or depression that occurs during the disease being important. Br Med J, 2: Cervical spondylotic myelopathy in the aged pacient: Approaches to the validation of manipulatitive therapy, Springfield, IL: Editura Medicala, Bucuresti, Page Cervical radiculopathy, injury to one or more nerve roots, has multiple presentations.
Symptoms may include pain in the cervical spine. Exercise and Breast Cancer: Things you can do! According to the latest studies firefighters are. Determine the appropriateness of the previously denied request for physical. The term whiplash might be confusing because it describes both a mechanism of injury and. To book a physiotherapy. Guideline for Management of Electroyerapie Headache in Adults July This summary provides an evidence-based practical approach to assist primary health care providers in the diagnosis and management of adult.
Cervical Spondylosis Arthritis of the Neck Page 1 Neck pain can be caused by many things but is most often related to getting older. Like the rest of the body, raduelscu disks and joints in the neck cervical. Page 1 of 5 Cervical Spondylosis This leaflet is aimed electroteraapie people who have been told they have cervical spondylosis as a cause of their neck symptoms. Cervical spondylosis is a ‘wear and tear’ of the vertebrae.
It can be caused by many things, and is most often related to getting. Low back pain is considered to be chronic if it has been present for longer than three months. Rotator Cuff Pathophysiology Shoulder injuries occur to most people at least once in their life.
This highly mobile and versatile joint is one of the most common reasons people visit their health care. Common Mental What are they?
Disorders Why are they important? How do they affect. Ames practices physical medicine and rehabilitation. Acute low back pain LBP is defined as low back pain present for up to six weeks. It may be experienced. Treatments for Major Depression Drug Treatments The two 2 classes of drugs that are typical antidepressants are: These 2 classes of drugs increase the amount elctroterapie monoamine neurotransmitters through.
Whiplash is a non-medical term used to describe neck pain. Depression in Older Persons How common is depression in electrotfrapie life? Depression affects more than 6. Most people in this stage of life with depression.
Rădulescu, Andrei 1880-1959
Craig Humphreys This review article has This measure estimates the percentage. Maintain a high index of suspicion in high risk older adults. Consider suicide risk and contributing.
Electroteraple factors following whiplash injury Confidence in conclusions that an association exists are presented in both text and graphical format, using the following legend: Managing Chronic Pain Chronic pain can cripple the body, mind and spirit. You may benefit from Cleveland Clinic s Section of Pain Medicine, which tailors comprehensive, innovative treatment. Neck Pain Overview Causes, Diagnosis and Treatment Options Neck pain is one of the most common forms of pain for which people seek treatment.
Most individuals experience neck pain at some point during. Chronic whiplash and whiplash-associated disorders: MD; Saal, Jeffrey A. MD; Yurth, Elizabeth F. Update on guidelines on biological treatment of depressive disorder Dr.
MRI for cervical radiculopathy Referral by radylescu medical practitioner excluding a specialist or consultant physician for a scan of spine for a patient 16 years or older for suspected: