Cervicobrachial syndrome

Pain in the cervical spine is one of the most frequent problems, which forces people to seek out professional help. Thanks to sedentary lifestyle and slouching in front of a computer, it is no wonder that there is only more and more people with this problem.

Cervicobrachial syndrome is a term for a disorder of the cervical spine with occurrence in the arm as well. Someone suffers from headaches, or migraines, and someone else feels pain the fingers or shoulder. The affected area of the cervical spine is always responsible for the upper arms, which often get affected during pain.

CAUSE

The reasons can be degenerative changes in the intervertebral discs (spondylosis), which consequently presses on the spinal cord and nerve roots. The result is pain in the neck, shoulders, pressure on the head, etc… Another degenerative process affecting not only cervical spine is spondyloarthrosis. That is when the vertebral joints and intervertebral discs are disabled. The effect of lowering the intervertebral disc is change in a pressure on the intervertebral joints and formation of protuberances - osteophytes (bone spurs). Osteophytes then narrow down the spinal canal, and “oppress” the spinal cord. The pain can be also caused by a blockage or herniated intervertebral disc.

DIAGNOSIS

Correct diagnosis will help us to find effective solution to treat the problems. X-ray examination will reveal only degenerative changes on the bone parts of the spine. Soft tissues (ligaments, intervertebral disc, tendon, spinal cord…) are much better visible on MRI. thanks to this imaging method can doctor reveal herniation of the intervertebral disc, or other type of damage. According to the find, we can estimate the magnitude of the problem, and with that also speed of the treatment.

What can you expect by doctor?

Doctors on neurology or orthopedics department will most likely give you drugs soothing the pain, myorelaxant drugs (for relieving muscle tension) or corticosteroid injection against inflamed nerve which forms are a result of herniated intervertebral disc pressure on the nerve. Consequently you need to change your lifestyle - include exercising of the deep stabilizing system, muscle system of the spine, compensation of incorrect movement stereotypes, but also ergonomic adjustment of your working space.

What can you expect by us?

During your first visit by us, our physiotherapist will examine you, alternatively he can assess the images from MRI or X-ray. We are able to help you from muscle pain fairly quickly, with the use of shock wave therapy, which relieves the stiff and painful muscles and lowers the pain. We can apply radial shock wave as well as focused shock wave in our facility, which has anti-inflammatory effect on the soft tissues caused by pressure.it can also have a positive effect on the degenerative changes appearing in the vertebrae and surface of the intervertebral joints.

Physiotherapist can consequently relieve the soft tissues with manual techniques - using acupressure, stretching fascia, and with that the “terrain” is prepared for mobilization of the joint and relieving the blockages and pressure of the intervertebral discs on the nerve.

In another part of the therapy we will recommend you to exercise. You will first try that under supervision of the physiotherapist, and consequently you should be able to exercise at home, work, and as much as possible. The composition of the exercise is determined by physiotherapist, who usually combines different methods (for example: McKenzie, Brunkow, DNS, Mpjžíšová etc…)

We will support the effect of the whole therapy by application of kinesio tape, which is helping to relieve muscles and lymphedema, which occurs simultaneously with pressure on the soft tissues.

Video tutorials of physiotherapeutic methods and techniques:

Releiving scalene musclesYTJemná trakce krční páteře (1)YTRelaxace horních vláken trepézu (1)YTProtaženíí prsních svalů (1)YTpnf pro hlavu



Author:
 Mgr. Iva Bílkova, FYZIOklinika physiotherapy Ltd., Prague, Czech Republic

Source: Clinical experience from private practice in physiotherapeutic field, FYZIOklinika

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