Best Cervicobrachial Syndrome Treatment In Delhi NCR.
What is Cervicobrachial Syndrome?
The cervicobrachial syndrome stems from the irritation of the cervicobrachial nerve.
- The roots of this nerve are located at the top of the spine—-> in the cervical area—-> Pain can be felt in —-> large area:-
- From the clavicle ——> to the top of the chest ——> back——> into the arm——> up to your hands.
- As for the other neuralgias, in addition to pain one can feel
- Tingling
- Numbness
- Swelling as well.
Causes of Cervicobrachial Syndrome
The most common causes are
- Cervical arthrosis
- Herniated discs at the cervical level.
- Facet joints,
- Upper quarter muscular imbalances
- Associated trigger or tender points
- Inflamed neural tissues
- Poor posture or lengthy periods with the neck at an awkward angle, such as when sleeping or working at a desk.
- Injuries that involve a sudden neck movement, such as whiplash from a car crash or an impact sport.
- Long-term stress that causes clenching of neck and shoulder muscles, leading to a strain on the neck.
- Bone conditions,arthritis or osteoporosis. As these conditions are more common in older people, age is a risk factor for cervicalgia.
- Diseases or conditions that affect the spine, such as spinal infections or meningitis
Signs and Symptoms of Cervicobrachial Syndrome
- Active movements of cervical spine (extension, lateral flexion to either side and ipsilateral rotations) and arm movements reproducing pain.
- Headaches, migraines
- Symptom reproduction on passive movements.
- In terms of range of movement and reproduction of symptoms
- Tenderness at transverse processes of cervical spine (nerve roots), nerve trunks of median, ulnar and radial nerves at different anatomical locations in the course of respective neural tissue.
- Tender-point
- +ve spurling test
Treatment
Manual physical therapy is a part of a conservative treatment, which is effective in managing pain, joint restrictions and disability, certainly if this is combined with therapeutic exercises.
- Education and advice
- Manual Therapy –
- PAIVMs (Passive Accessory Intervertebral Movements)
- PPIVMs (Passive Physiological Intervertebral Movements)
- NAGs (Natural Apophyseal Glides)
- SNAGs (Sustained Natural Apophyseal Glides)
- Exercise Therapy – AROM, stretching and strengthening
- Postural re-education
- Mechanical traction
- Manual traction
- MET Muscle Energy Technique
- EXERCISE THERAPY :- has the most positive and lasting effects for the condition.
This treatment approach focuses on :-
- passive mobilization of mechanically sensitized neural tissue structures with a primary objective
- restoring appropriate neurodynamics.
- cervicobrachial pain utilizing
- strength and motor control training in the cervical region.