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| Diagnosis |
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| Sprain vs Strain Differential Diagnosis |
| Author: William Cockburn, D.C. |
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| It is very important to differentiate sprain injuries from strain injuries, unless of course, when they appear in tandem, which is most often the case. A great source of confusion and conjecture, the use of the term sprain as related to a simple "soft tissue injury" is not appropriate and can severely reduce the impact of recognition that a serious injury has been produced. |
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| How Do You Determine The Severity of a Spinal Sprain? |
| Author: Jeffrey A Cronk, DC |
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| Sprains of the cervical spine are injuries that involve the intervertebral soft tissues (discs and ligaments). The incidence of these injuries is very high. The sprains are caused by craniocervical trauma in flexion, in extension, or in a pattern where flexion follows extension (whiplash injury). Depending on the severity of the ligamentous lesions, sprains may be classified as either benign or severe. Benign sprains are due to a stretching or minimal tearing of the ligaments; they do not cause instability at the affected level. Severe sprains, on the other hand, are due to ligamentous tears, which cause instability. The diagnosis is based upon radiographic criteria. The distinction between the two grades of sprain may be difficult. |
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| Differential Diagnosis Using Loss of Motion Segment Integrity |
| Christopher J. Connelly, DC |
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| The scientific literature clearly indicates that cervical facet joints are the cause of chronicpain in 54% to 67% of chronic neck pain patients. Despite the high prevalence of pain, the clinicaldiagnosis of the cervical facet joint as a primary source of pain is often overlooked. Undiagnosedpatients typically go through unproductive treatments such as physical therapy, chiropractic, injec-tions, and other procedures to relieve their pain. With a proper diagnosis, these patients may benefitfrom specific interventions designed to manage cervical facet joint pain. The purpose of this paper isto lay the ground work for the diagnosis of cervical facet pain in a clinical setting. A specific history,.physical examination, motion x-ray examination, and diagnostic facet block are instrumental in thediagnosis of chronic cervical facet joint dysfunction. With sound clinical judgment, a firm diagnosis canbe made as to the probable level and structure of the generator of the pain complaint. |
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| Predicting Chronic Whiplash in MVC Neck and Back Trauma Patients |
| Author: E. Paul Giersch |
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| A recently published study by researchers in Ontario offers a clinical decision rule for early prediction of long-term whiplash associated disorder following rear end motor vehicle collisions.* It also includes supporting data which quantifies potential risk factors for chronic Whiplash associated disorder. This study has several features which add to its usefulness to those who deal with injury claims from automobile whiplash cases in insurance, medical and legal settings. |
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| How To Determine The Severity of the Spinal Sprain |
| Author: Jeffrey A Cronk, DC |
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| Our profession is that best in the world at all aspects of handling spinal trauma that is within our scope to handle, and co-treating those trauma conditions that are not totally within our scope to handle. Let’s define generally the injuries that can occur to the spine. This will be by no means a comprehensive listing but rather a general listing. |
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| Normal Spinal Segmental Inetgrity Defined |
| Author: Ruey-Mo Lin, MD, Kuen-Horng Tsai, PhD, Lee-Ping Chu, MS, and Po-Quang Chang, MD‡ |
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| Qualitative changes from extension to flexion and quantitative values of intervertebral differences in flexion radiographs help define the normal flexibility of the cervical spine more accurately. |
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Spine and Joint Institute of Waukegan - Dr. Kelly G. Worth | 2634 West Grand Avenue, Suite 100 Waukegan , IL 60085 | Tel: (847) 775-0800
*Claim based on professional experience of lead physician and proprietor, Dr. Kelly G. Worth
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