Wednesday, June 1, 2011

Cervical sprain - Treatment

All patients involved in road accidents receive cervical collar prior to transport to hospital. Controls therapy relieves pain and inflammation through application of local ice compresses, administration of anti-inflammatory and analgesics, muscle relaxants. Relative rest is recommended the region involved, the specific physical therapy, stabilization.
Pain therapy:Pain and inflammation can be reduced through judicious use of NSAIDs. Antiprostaglandinic their effect controls the inflammatory response to injury and relieve pain. Duration of analgesic effect is different from the duration of inflammation. Muscle relaxants depress the lead in the vestibular cerebellar pathways and their inhibitory effect on the parasympathetic nervous system.
Cryotherapy:If there is no neurological deficit using ice packs for 20 minutes every 2 hours or an ice massage for 10 minutes every 2 hours in the acute phase of therapy twists. This treatment helps to reduce muscle spasms, reduces pain and promotes vasoconstriction. Ice and low temperature shows a number of therapeutic effects.Application of determining local vasoconstriction, decreased cellular metabolism, decreased extensibility of collagen, decreased muscle contractility, nerve conduction velocity decreases and increases resistance to pain. Muscle spasticity is reduced because the low temperature affects the muscles to stretch responsitivitatea.
Physical Therapy:Initiation of active and isometric exercises as soon as possible is very important. After 24 hours of cryotherapy most patients can begin the slow movements of the spine. Isometric exercises are initiated and progress to the neutral position active. Pain should not be exaggerated them. Reactive cervical spasm after an injury can cause loss of range of motion or chronic contracture if not corrected. Relezare increases the potential for chronic contracture.

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