Neck Pain Case Study

EFFICACY OF MANUAL THERAPY IN TREATMENT OF MECHANICAL NECK PAIN Introduction Everybody once in their life feel some kind of neck pain. Neck pain is one the potential disabling condition which has a high chance of relapsing. Recent research found that neck pain is one of the top five leading causes for disability (Cohen, 2015). It also found that more than 30% of the global population suffers from this condition. The prevalence of chronic neck pain is similar in developed as well as developing countries with women being affected more than men (Tsang, et al., 2008).

Neck pain is a common occurrence affecting 10% of general population at least once during their lifetime(1). The occurrence rate of neck pain is 50-70% among individuals and 5 years after the onset of symptoms approximately 60% of patients experience chronic pain which lead to severe disability(2,3).Mechanical neck pain is a common classification of neck pain also called non- specific neck pain without specific underlying cause(4).Mechanical neck pain is defined as generalized pain in cervical spine or shoulder area with musculoskeletal and functional symptoms( e.g. decreased ROM, decreased work tolerance, impaired muscle coordination, stiff joint , pain and tenderness in neck region) exacerbated by neck postures, neck movement, or palpation of cervical muscles(5)(6).Mechanical neck pain affects 30-50% of both male and female at any given times leading to muscular, joint and neural impairments(7)(8).

The prevalence of Negative symptoms in first-episode psychosis is high. Estimates range from 50-90% at first episode, with 20-40% persisting negative symptoms (e.g., Makinen et al., 2008). These symptoms usually include psychomotor retardation, avolition, apathy, anhedonia, attentional impairment, and decreased emotional expression when at first episode (Potkin, 2014). The prevalence of negative symptoms in chronic schizophrenia is inconclusive. It varies considerably (35–90%) possibly due to the use of different measurement instruments, research in heterogeneous populations, and measurement during different stages of illness (Lyne et al., 2012).

One in four people in the world will be affected by mental or neurological disorder at some point in their lives. 450 million people are currently suffering from a mental disorder according to the World Health Organization (WHO). The nature vs. nurture debate within psychology is worried with the extent of particular behavior, whether or not it is caused by the way you were raised, or if it was inherited through disease. In Cold Blood, they take us on a journey of how Dick and Perry made November 15th, 1959 the Clutters last day on earth. Dick and Perry are both troubled men.

DISCUSSION The use of a pneumatic tourniquet may be associated with local complications including limb paralysis, nerve, muscle, vessel, skin damages and other injuries such as compartment syndrome (1-3). Clinical and experimental studies showed that nerve conduction abnormalities and muscle dysfunctions occur after 30-45 minutes of tourniquet application in more than 70 % of lower extremity surgeries which persisted up to 6 months and correlated with impaired postoperative function and delayed recovery after tourniquet use. Moreover, it has been suggested that incidence of these abnormalities may be underreported (4).These abnormalities have been attributed to length of ischemia period as well as excessive inflation pressures used. As a goal,

According to Buzzle (2012), some common complaints from the patients after the surgery are headache, vomiting, prolonged pain, nausea and more. This is because patients underwent change in their body chemistry during the process which causes the body system to react negatively to the outcome. Another reason is that the process of the surgery requires the use of Anesthesia, which is a temporary state of one’s unconsciousness and this is very risky as Anesthesia is responsible for 34 deaths in United States annually reported by the National Center for Biotechnology Information (Cherney, 2014). The second side-effect of

The patient was discharged after 24 hours, to be followed up for the next 2 months at the first, second, and fourth weeks, then at the end of the second month. Statistical analysis Data were analyzed using Statistical Package for Social Science (SPSS version 16). Values are shown as mean ± SD, range, percentage, and number. Statistical analysis was performed with the use of the Mann-Whitney test and Wilcoxon Signed Ranks test for the VAS and morphine consumption changed from the baseline. Statistical significance was assigned as P value less than 0.05.

Women as carers often report poorer physical, mental and emotional health and wellbeing because of their caring responsibilities. This can be associated with disturbed sleep, being physically injured while providing care, and the constant pressure of caring. Time spent caring, and coping strategies, are factors in shaping carer stress. Within the caring population, female carers in particular experienced much lower levels National Women’s Health Policy 2010 of mental health compared to both male carers and the general population. This included increased levels of clinical depression, with over 50 per cent of female carers reporting being depressed for six months or more since they started caring.

Cumming (1996) noted that children’s pain primary source is intravenous catheter insertion but Young (2005) states that placement of intravenous line is second and disease related is the most common source of pain. It’s also been said that needle related procedure in the hospital setting is the most terrifying procedure a child may encounter because it commonly results in pain and distress (Hart & Bossert, 1994). Meanwhile, reports showed that pain does not only bring a

Introduction Kyphosis is a spinal disorder involving an excessive outward curve that causes an abnormal rounding of the upper back. It occurs when the spinal bones (vertebrae) in the upper back (thoracic spine) become wedge-shaped and cause deformity. Kyphosis is sometimes called dowager's hump, hunchback, or roundback. It is most common among elderly people, but can happen at any age. There are four main types of kyphosis: Postural kyphosis.

Patients normally have extremely low blood pressure which results in confusion. (Braumen, 2012, p. 569) Gas gangrene causes intense pain, swelling around the injury, fever with pail skin that will turn gray and end up being dark purple and red. A foul smelling drainage will come from the tissues along with crepitation, the crackly sound documented earlier, and tachycardia. (Braumen, 2012, p. 563) I am diagnosing the patient with Gas gangrene due to the ability for the C. perfringens to have been introduced to the man’s dead tissue from his hip replacement surgery 3 years ago, along with the gas found in his leg most likely causing the

An OMRON automatic monitor measured the systolic blood pressure (SBP) and heart rate (HR) with recording time points: (1) 5 minutes, and (2) 7 minutes after lying supine; (3) during the 1st set, (4) 5th set of one of the glides, (5) 2 minutes after time point #4, and (6) 4 minutes after time point #4. Following time point #6, the assistant gathered a global rating of change (GROC) based on the cervical spine and shoulder motion reexamination. Blinded to the random allocation and collected data, the primary author performed one of the techniques on all participants. Within 1 week, follow-up NPRS, and NDI were

An incomplete injury at the cervical level will invariably cause central cord syndrome. The occurrence of central cord syndrome is much higher amongst people who sustain hyperextension injury with the presence of degenerative change in the cervical spine, much like Mr X. The characteristic weakness in the arms compared to the legs is due to the pattern of lamination of the spinothalamic and corticospinal tracts being more medial to the central canal. Anterior cord syndrome is characterised by loss of pain and temperature sensation, and motor function, below the level of the injury whilst touch and proprioception are preserved. This syndrome is caused by damage inflicted to the anterior aspect of the spinal cord or as a result of decreased vascular supply.

ALS may be suspected if there is gradual muscle weakness to muscle loss in 1 or more areas of the body. 75% of ALS victims usually start with the stiffening of the limbs. The other 25% is presented with blubar symptoms. ALS can be managed through knowledge of the disease, adaptive or supportive treatments, or mechanism-specific treatment. There are many things that can go wrong when the disease process starts attacking the respiratory parts of a person’s body, such as making it difficult to swallow or even breathe.

As a mental disorder, depression may severely impact growth and development as well as peer and family relationships and can be associated with great socio-economic costs (REF 1 & 2). It has been linked to various health risk-related behaviours (HRBs), such as tobacco use, alcoholism and unhealthy eating habits. It has also been found to act as a risk factor for multiple conditions including cardiovascular diseases (REF 2 & 5& 9). Such effects can be extremely pronounced as suggested by statistics reflecting that Major depression affects 3 to 5 percent of children and adolescents (REF 1). Thus, an intervention to reduce such data is required.