Lecture 1 Outline:
I. The pathophysiology of cervical radiculopathy
a. Disc herniation
1. inflammatory mechanisms
2. compression mechanisms
b. Spinal stenosis
1. compression mechanisms
2. adhesion mechanisms
II. Differential diagnosis of cervical radiculopathy using the CRISP (TM) protocols
a. Do the presenting symptoms reflect a visceral disorder or a serious or potentially life-threatening illness?
b. Where is the pain coming from?
c. What is happening to this patient as a whole that would cause the pain experience to develop and persist?
1. dynamic instability
2. nociceptive system sensitization
3. psychological factors
III. Devising a treatment strategy
a. "Red flag" conditions that can cause neck and arm pain
b. Anti-inflammatory measures
c. Manipulation
d. Neural mobilization
e. McKenzie protocols
f. Cervical stabilization exercise
g. Decision making regarding injections and surgery
IV. Outcomes research on the management of patients with cervical radiculopathy using the CRISP (TM) protocols
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