transeunt (uncomplicated) cervical injuries are most frequently associated with minimal- to unemotional-severity vehicle crashes, and typically do not involve neurologic symptoms. These injuries most often resolve spontaneously or with a minimum of conservative therapy (physical modalities, manipulation, exercise, and NSAIDs), typically within 3 months. Restoration of normal bm to the spine is of great importance, and to this end cervical collars are more often than not counterproductive and typically contraindicated, as is bed rest. Manipulation has exhibit bene?t for cervical injuries, and exercise to tolerance is important for substantiating therapy. Chiropractic manipulation and referral for physical therapy should be considered, and should be done tercet times a week for 4 weeks. Physical modalities take on home ROM exercises to tolerance (should not cause pain). The unhurried should be re-evaluated for progress from chiropractic or physical therapy (PT) after 4 weeks. Conditioning exercises are contraindicated until the pain level drops. If the patient is otiose to participate in active rehabilitation and if exam indicates, azoic interventional pain consult for facet injections or epidural injections whitethorn be warranted.
Short-term opioid analgesics may be helpful for patients with moderate to high intensity pain, although x-ray study including ?exion/extension views should be performed, to rule out ligament injury or fracture, prior to starting line any treatment in these patients. In patients with headache yet no neurologic symptoms, persistent headache can be associated with a closed head injury, irritation of the greater occipital nerve, cervical facet injury (C2-4 most typically), or cervical muscle tension. A positive response to physical therapy or manipulation would be expected in most cases with a musculoskeletal origin, whereas if the symptoms are associated with a closed head injury, a positive response would not...If you want to get a affluent essay, order it on our website: Orderessay
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