Cervical Myelopathy Examination (Cluster)

Рет қаралды 19,935

Күн бұрын

In today's video, Cervical Myelopathy Examination (Cluster), I talk about...
✅ Causes of cervical myelopathy.
✅ Signs and symptoms of cervical myelopathy.
✅ What the 5 most common predictive clinical findings are.
✅ How to perform the tests.
✅ How to manage patients with cervical myelopathy and so much more!
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#cervicalmyelopathy #cervicalmyelopathycluster #neckpain #OrthoEvalPal #orthopedics #SpecialTests #physicaltherapy #physicaltherapytests #neck #neck exam #orthopedicvideos #occupationaltherapy #cervicalspinalstenosis #spinalstenosis
00:00 What is cervical myelopathy?
00:34 Hoffman's test
01:15 Inverted supinator test
01:44 Babinski reflex
02:22 Discuss age and unsteady gait

Пікірлер: 21

@anovemberstar Жыл бұрын

I've just undergone emergency surgery for this. None of these tests were positive in my case. My symptoms were that I couldn't walk properly, unsteady on my feet. Then I had severe hyoer reflexia and sustained clonus on my feet. I had patches of altered sensation not just on my arms and legs but on the trunk of my body. This led to Dr's not thinking that it was spinal related as it was atypical. Within a 6 week period, I went from tripping over my feet to numbness and tingling over different areas of my body. In the last 3 days prior to surgery, the numb feeling had spread up the top and side of one leg and into my outer arm and fingers. Spinal MRI showed 9mm signal cord change where a herniated disc (between T1-C7) had started to dig into my spinal cord. I'm day 3 post surgery, and symptoms have improved in 1 leg, but patches of altered sensation across my body as well as tingling and numbness in 1 lower leg. I never lost overall strength in my limbs, which also threw Dr's. Very grateful a neurologist orde4d rhe urgent spinal MRI. I'd had a normal BRAIN MRI when I couldn't walk properly; so Dr's were reassured by that. It's a tricky disease to diagnose as it presents very differently in each person. I was 'lucky' in that mine was rapidly progressing; had the changes occurred over months or years (as is the usual case) it would probably have been missed. Having said that, had it been possible to detect earlier, I'd probably not have the residual loss of function I have now that may very well be permanent. But of course, not having any of the symptoms in this video and a normal MRI made diagnosis difficult.

@OrthoEvalPal Жыл бұрын

Wow, that is an unusual presentation. I’m so glad they were able to find the source. I hope you feel better soon! Thank you for sharing with us!

@kristineterpening1333 3 ай бұрын

I , As well, have gone through this same scenario as yours. Since Surgery, I still have a very hard time with balance and coordination, as we as no feeling. its almost been a complete year since surgery and I am unable to work as I did, best wishes to you.

@SaberHussain-nn1qf Ай бұрын

Very informative

@scrumptious9673 Жыл бұрын

Thank you for this demonstration

@anarosef 8 ай бұрын

Thank you❤

@ptahhotep2 6 ай бұрын

The patient is so beautiful

@trudyboschert4472 2 ай бұрын

How do test distinguish between CSM and ALS?

@kanagarajkumutha3307 Жыл бұрын

Hirayama disease treatment sir

@MrRecica 10 ай бұрын

I have some thingling/aching in my hands that comes and goes. I can no longer text message with one hand and thumb. I sometimes struggle to use a pen to write. Will these tests distinguish between myelopathy and other reasons for these symptoms or would i need mri?

@imveryhungry112 2 ай бұрын

You just need a nice spine fusion 😊