{"id":1916,"date":"2023-11-04T13:24:44","date_gmt":"2023-11-04T13:24:44","guid":{"rendered":"https:\/\/michiro.co.za\/css\/?page_id=1916"},"modified":"2023-11-17T19:20:45","modified_gmt":"2023-11-17T19:20:45","slug":"cervical-spine-sprain-strain","status":"publish","type":"page","link":"https:\/\/michiro.co.za\/index.php\/cervical-spine-sprain-strain\/","title":{"rendered":"Cervical Spine Strain \/ Sprain"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1916\" class=\"elementor elementor-1916\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3892068 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3892068\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-80b6d66\" data-id=\"80b6d66\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ab0c82f elementor-widget elementor-widget-image\" data-id=\"ab0c82f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.15.0 - 20-08-2023 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"341\" src=\"https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicalspine-1024x341.png\" class=\"attachment-large size-large wp-image-2693\" alt=\"\" srcset=\"https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicalspine-1024x341.png 1024w, https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicalspine-300x100.png 300w, https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicalspine-768x256.png 768w, https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicalspine-260x87.png 260w, https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicalspine-50x17.png 50w, https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicalspine-150x50.png 150w, https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicalspine-600x200.png 600w, https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicalspine.png 1500w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-53be05f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"53be05f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0fde707\" data-id=\"0fde707\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dbe26d8 elementor-widget elementor-widget-text-editor\" data-id=\"dbe26d8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.15.0 - 20-08-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<h3>Definition and discussion<\/h3><p>Soft tissue damage (stretch, tearing or rupture) to the ligaments, muscles, IVD and other tissues surrounding the cervical spine<\/p><p>Sprain: Injury to ligamentous structures due to overuse or trauma, may cause partial or complete loss of stability<\/p><p>Strain: Injury to muscle and tendon due to over use or trauma Sprain\/ strain grading:<\/p><h3>Aeiology<\/h3><p>About 85% of all neck pain is thought to arise from acute or repetitive neck injury. Potential causes:<\/p><ul><li>Direct trauma: falls, RTA, whiplash, sports injury<\/li><li>Overuse, fatigue, repetitive microtrauma<\/li><li>Postural: may be due to hyper-lordosis or prolonged stress<\/li><li>Sudden unguarded movement<\/li><\/ul><h3>History, signs and symptoms<\/h3><ul><li>Patient may experience immediate pain or pain shortly after the injury<\/li><li>Pain may radiate into the occiput or down into the shoulder\/upper limb (non-dermatomal pattern)<\/li><li>Headache (usually cervicogenic)<\/li><li>On observation, local swelling, erythema and possible ecchymosis (bruising) may be present<\/li><li>Postural changes and guarded movements may be identified<\/li><li>Palpation may reveal local tenderness, joint dysfunction and muscle spasm<\/li><li>ROM (range of motion) may be limited in most directions, depending on whether contractile and\/or non contractile tissue is involved<\/li><li>Positive distraction and compression tests<\/li><li>Neurological testing is usually within normal limits; muscle weakness may be present due to pain<\/li><\/ul><ul><li>rays may be used to rule out or confirm structural damage if suspected:<ul><li>Straightening or reversal of the cervical spine curve<\/li><li>Stress views to be performed if instability is suspected<\/li><li>MRI scan may be good for soft tissue evaluation<\/li><\/ul><\/li><\/ul><h3>At home management<\/h3><ul><li>Rest, ice (48 hours after injury), heat<\/li><li>Passive (stretching) and active ROM exercises to be performed in a pain free range<\/li><li>Strengthening should begin with isometric exercises and progress to isotonic as tolerated<\/li><li>Medications such as NSAIDs (cataflam or nurofen syrup) and analgesics for pain control and muscle relaxants (norflex)<\/li><\/ul><h3>Monitoring<\/h3><ul><li>Pain should usually decrease within 3-5 days<\/li><li>Discomfort should subside within 1-6 weeks, depending on the degree of injury<\/li><li>If athletic, patient should avoid returning to play until off any pain medication<\/li><\/ul><h3>Prognosis<\/h3><ul><li>Prognosis is usually good for complete recovery in first time cases, however this type of injury may predispose to chronic low back pain<\/li><li>Possible complications &#8211; joint instability, arthrosis, myofibrosis\/periarticular fibrosis (scar tissue)<ul><li>Periarticular fibrosis &#8211; post injury fibrous repair of myofascial soft tissue<\/li><li>Often the result of significant trauma or prolonged immobilization<\/li><li>Palpable nodule causing reduced elasticity of tissue predisposes to recurrent injury<\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Definition and discussion Soft tissue damage (stretch, tearing or rupture) to the ligaments, muscles, IVD and other tissues surrounding the cervical spine Sprain: Injury to ligamentous<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1916","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cervical Spine Strain \/ Sprain - MiChiro<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/michiro.co.za\/index.php\/cervical-spine-sprain-strain\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cervical Spine Strain \/ Sprain - MiChiro\" \/>\n<meta property=\"og:description\" content=\"Definition and discussion Soft tissue damage (stretch, tearing or rupture) to the ligaments, muscles, IVD and other tissues surrounding the cervical spine Sprain: Injury to ligamentous [\u2026]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/michiro.co.za\/index.php\/cervical-spine-sprain-strain\/\" \/>\n<meta property=\"og:site_name\" content=\"MiChiro\" \/>\n<meta property=\"article:modified_time\" content=\"2023-11-17T19:20:45+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicalspine-1024x341.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/michiro.co.za\/index.php\/cervical-spine-sprain-strain\/\",\"url\":\"https:\/\/michiro.co.za\/index.php\/cervical-spine-sprain-strain\/\",\"name\":\"Cervical Spine Strain \/ Sprain - MiChiro\",\"isPartOf\":{\"@id\":\"https:\/\/michiro.co.za\/#website\"},\"datePublished\":\"2023-11-04T13:24:44+00:00\",\"dateModified\":\"2023-11-17T19:20:45+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/michiro.co.za\/index.php\/cervical-spine-sprain-strain\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/michiro.co.za\/index.php\/cervical-spine-sprain-strain\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/michiro.co.za\/index.php\/cervical-spine-sprain-strain\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/michiro.co.za\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Cervical Spine Strain \/ Sprain\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/michiro.co.za\/#website\",\"url\":\"https:\/\/michiro.co.za\/\",\"name\":\"MiChiro\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/michiro.co.za\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Cervical Spine Strain \/ Sprain - MiChiro","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/michiro.co.za\/index.php\/cervical-spine-sprain-strain\/","og_locale":"en_US","og_type":"article","og_title":"Cervical Spine Strain \/ Sprain - MiChiro","og_description":"Definition and discussion Soft tissue damage (stretch, tearing or rupture) to the ligaments, muscles, IVD and other tissues surrounding the cervical spine Sprain: Injury to ligamentous [\u2026]","og_url":"https:\/\/michiro.co.za\/index.php\/cervical-spine-sprain-strain\/","og_site_name":"MiChiro","article_modified_time":"2023-11-17T19:20:45+00:00","og_image":[{"url":"https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicalspine-1024x341.png"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/michiro.co.za\/index.php\/cervical-spine-sprain-strain\/","url":"https:\/\/michiro.co.za\/index.php\/cervical-spine-sprain-strain\/","name":"Cervical Spine Strain \/ Sprain - MiChiro","isPartOf":{"@id":"https:\/\/michiro.co.za\/#website"},"datePublished":"2023-11-04T13:24:44+00:00","dateModified":"2023-11-17T19:20:45+00:00","breadcrumb":{"@id":"https:\/\/michiro.co.za\/index.php\/cervical-spine-sprain-strain\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/michiro.co.za\/index.php\/cervical-spine-sprain-strain\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/michiro.co.za\/index.php\/cervical-spine-sprain-strain\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/michiro.co.za\/"},{"@type":"ListItem","position":2,"name":"Cervical Spine Strain \/ Sprain"}]},{"@type":"WebSite","@id":"https:\/\/michiro.co.za\/#website","url":"https:\/\/michiro.co.za\/","name":"MiChiro","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/michiro.co.za\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/pages\/1916","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/comments?post=1916"}],"version-history":[{"count":10,"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/pages\/1916\/revisions"}],"predecessor-version":[{"id":2703,"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/pages\/1916\/revisions\/2703"}],"wp:attachment":[{"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/media?parent=1916"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}