Neck Pain
Association between Cervical Lordotic Curvature and Cervical Muscle cross‐sectional area in patients with Loss of Cervical Lordosis
PUBLISHED: Clin Anat. 2018 Jul;31(5):710-715. doi: 10.1002/ca.23074. Epub 2018 Apr 14. Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/29575212
AUTHORS: Yoon SY1, Moon HI1, Lee SC2, Eun NL3, Kim YW2.
CONCLUSION: There is a significant relationship between cervical muscle imbalance, including extensor muscle weakness, and loss of cervical lordosis.
Spinal Centre Note: Muscular strengthening needs to be combined with structural correction of the cervical lordosis to obtain the best outcome.
Determining the relationship between Cervical Lordosis and Neck Complaints
PUBLISHED: J Manipulative Physiol Ther. 2005 Mar-Apr;28(3):187-93. Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/15855907
AUTHORS: McAviney J, Schulz D, Bock R, Harrison DE, Holland B.
RESULTS: Patients with lordosis of 20 degrees or less were more likely to have cervicogenic symptoms.
The association between cervical pain and lordosis of 0 degrees or less was significant.
Patients with cervical pain had less lordosis and this was consistent over all age ranges.
CONCLUSION: We found a statistically significant association between cervical pain and lordosis < 20 degrees and a “clinically normal” range for cervical lordosis of 31 degrees to 40 degrees.
Maintenance of a lordosis in the range of 31 degrees to 40 degrees could be a clinical goal for chiropractic treatment.
Decreased Vertebral Artery Haemodynamics in Patients with Loss of Cervical Lordosis
Published: Med Sci Monit. 2016 Feb 15;22:495-500. Referenced in Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/26876295
Authors: Bulut MD, Alpayci M, Şenköy E, Bora A, Yazmalar L, Yavuz A1, Gülşen İ.
BACKGROUND: Because loss of cervical lordosis leads to disrupted biomechanics, the natural lordotic curvature is considered to be an ideal posture for the cervical spine. The vertebral arteries proceed in the transverse foramen of each cervical vertebra.
CONCLUSIONS: The present study revealed a significant association between loss of cervical lordosis and decreased vertebral artery hemodynamics, including diameter, flow volume, and peak systolic velocity.
And…. This Is Why We Check Kids
Scoliosis and Postural Screening Assessment
Is it Time To Have Your Child’s Spine and Posture Checked?
These are the results of a spinal, postural and scoliosis assessment of one of the children we assessed during the holiday period.
Back in the day scoliosis and growth checks where done by doctors and nurses who visited schools to screen children. It was a valuable service provided by the government to screen all primary age children for genetic, growth or developmental disorders.
But who is performing this service now?
Congratulations To Ilja
It is not just about the pain you are in; it is the impact it has on your life.
One of our fantastic patients, Ilja placed first in a recent golf tournament. Braving some terrible conditions he won first place in +3 par competition. Still a fair bit of work to do but happy with how he played.
The smiling chap above is a long way from the severely stressed patient that first attended the Practice with chronic neck pain and disability.
It is not just about the pain you are in; it is the impact it has on your life. You become the limitations of your injury as opposed to living a life you want to live.
Correcting American Posture
Mr. F. is a 28 year old male garden worker who attended the Practice with what we call ‘American Posture’.
This is a real patient within the Clinic, with untouched photographs.
And yes, he was only 26 when he started care. He was suffering with chronic low back pain (CLBP). He had been enduring spinal pain for 10 years and things were getting progressively worse.
In terms of postural distortion; Mr. F. had what we affectionally call an ‘American Posture’. American Posture is a very common structural disturbance we see in a clinic. And as the name suggests it is very common postural problem within America.
American posture can come in different shapes and sizes. It is a driver of many lower back and neck conditions. As well chronic pain and disability.
Cervical Spine Sagittal Alignment and clinical outcome after Anterior Cervical Discectomy and Fusion
PUBLISHED: Am J Orthop (Belle Mead NJ). 2012 Jun;41(6):E81-4. Referenced Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/22837996
AUTHORS: Gum JL1, Glassman SD, Douglas LR, Carreon LY.
RESULTS: Receiver operating characteristic curve analysis showed that a postoperative cervical lordosis of at least 6° predicted achievement of MCID for NDI (8 point change in NDI).
This suggests that maintenance or restoration of overall cervical lordosis is important in achieving a successful result after Anterior Cervical Discectomy and Fusion (ACDF).
