Fibromyalgia & Chronic Pain LIFE Mar/Apr 2013, Issue 8 - Page 20

Table 1 - Neurological Deficits Commonly Found with PC3 • Decreased memory, poor • concentration, disorientation • Blurred vision, photophobia • Weakness (i.e., decreased • asymmetric grip strength) • Gate instability, clumsiness • Limb numbness, paresthesias Adapted from References 14 and 16. PC3, positional cervical cord compression disease, 31% demonstrated functional cord compression in extension compared to 3% in flexion. Degenerative stage (P<0.001) and a neutral canal diameter of ≤10 mm (P<0.037) were predictive of cord compression. Upright MRI also demonstrated similar findings,7 with more readily apparent cord compression in extension, along with recognition of reduced angular mobility, particularly at C4/5 and C5/6, (cervical neck vertebrae are designated as C1-at the very top of the spine to C7 the last neck vertebrae) in a study of 459 patients with cervical degenerative disc disease.8 l o g o u s l y, Muhle and Resnick also repor ted in 1998 how p osi t ion affe c te d pinched or obstructed ner ves in the s pine in o f pat ient s with cer vical compression of nerves. 9 Dynamic MRI demonstrated that ipsilateral rota ѥѕɅɕ͕ٔɽЁɕͥͥѕЁݥѠݡЁ́ЁЁݥѠͥѥٔMɱѕаɹѡѥ́Ѽѡѕͥ她ɕɔ((ѕͥq ɹѡյȁѥ́ݥѠȁ٥ɐɕͥЁ᥽ѕͥͥЁɕ́ݕɔչѥ́ݥѠɅѥٔ́ЀЁ͕́ɔ܁ЁЁЁ́܁Ёā͕Ёٽٕгtѕѡѡ̸她 M4()$()ɝՉ͕ՕЁͥ́ݥѠѥ́䁽ѡ͔ѡ́ɅѕݥѠѕɅЁI͹Ѽٕͥѥѕɕѥѡͥѥ5I$ݥѠѡɕ M4ԁ%ѥ́ݥѠɽɕͥٔɅѥٔɽɕͥٔѕɥɅѥ͕͔ѡ٥х$%Xѕͥ̀ɽݥѡمɥݕ͍ɔmɵѕȁѽtѼ́mѕɥȃLɽаѕɥȃLЁѡ䁍qȁӊut%ɅمɅѥٔх$%XɕѕݥѠ͍́ɔ()ɐɕͥх$ؔх%$ؔх%%$Дх%XܔQ́ȁɅ݅́ՅѕѕͥЁ݅ɐɕՍ᥽Ё݅ɐѡȰѡɕɭ胊q=ѡյѥѡЁɕѥѽȁѡͥ́ M4́ѡɅѥɐɕͥЁѡͥєѡɐͥѥ5I$͡ݕչѥɐЁЁ؁ѥ́mݥѠх%X͕͕tݡɕ́٥ɐɕ͕ͥ݅́ЁѡɅͥѥtQѡ́՝ЁѡЁѡ͕ձ́хѥ᥽ѕͥ5I$ͅх٥́ɕٕ́ɕѕȁչѥ٥ɐЁѕͥ́ݕ́ѕȁɕѥչѕɐɽ͔ݡ́ɔݥѠمɅѥٔ履ѥх()()U͔Iյѽѡɥѥ)ѡȁѥ䁸5H$ٕ́ȁ䁅مɡյѽѡɥѥ̀IݡѼѕѥ䁙хѥ͕ɽɕͥٔՍѥ䁽ѡɅٕ͔и%᥽ѡѽɽ́䁍ɕ́ѡȁ٥ɐݡ́䁕ɕ͕́1ɵїéͥɽѥѡ()()$()̰ Ёɕѕͥȁ̸؁Ȁȁѥ́ݥѠ٥Ʌѥٔ((Êɽ共 ɽA1()5ȽȀ((0