What can be said of the paired motion of the upper and lower cervical complexes?
Answer: They are always opposite- ie. If lower cervical is rotating to the left, it is also lateral bending to the left. At the same time, the upper cervical is rotating to the left, but it is lateral bending to the right Upper cervical will also go into extension
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Biomechanics
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- In the most classical presentation of a herniated L4-L5 lateral disk herniation, the most common reflex change present is:
- A 54-year-old male construction worker has had low back pain for about two months. He has had previous episodes of low back pain. Now, the pain is more intense than it was on prior episodes and seems to be getting worse rather than improving over time. He does remember lifting very heavy steel beams and the pain is now unbearable. He complains of numbness in both legs and across his buttocks. He is embarrassed to report that he was incontinent of urine and stool this morning. You should plan on:
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- A 57-year-old physician presents to his doctor complaining of neck pain that radiates down the lateral aspect of his right arm. He also complains of numbness in his right thumb with weakness on resisted thumb extension. You suspect a herniated disc compression which nerve root?
- A 54-year-old male construction worker has had low back pain for about two months. He has had previous episodes of low back pain. Now, the pain is more intense than it was on prior episodes and seems to be getting worse rather than improving over time. He does remember lifting very heavy steel beams and the pain is now unbearable. He complains of numbness in both legs and across his buttocks. He is embarrassed to report that he was incontinent of urine and stool this morning. You should plan on:
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- What are the 4 A's for pain management?
- Which of the following are side effects from chronic opioid use?
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- Which of the following is correct about the various pain types?
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