Cervical spine rehabilitation
Hello, my mother slipped in the bathroom last month and injured her cervical spine.
Fortunately, the CT scan results from the hospital showed that there was no nerve damage.
The attending physician prescribed medication for my mother for two weeks.
After finishing the medication, the doctor advised her to start rehabilitation.
I would like to ask how she should proceed with the rehabilitation.
Ye Zi, 40~49 year old female. Ask Date: 2014/04/10
Dr. Chen Wayda reply Rehabilitation
The approach to rehabilitation following a cervical spine injury is determined by evaluating both the computed tomography (CT) scan report and the clinical symptoms.
It is recommended to directly visit a rehabilitation clinic.
Reply Date: 2014/04/10
More Info
Neck rehabilitation is crucial for recovery after an injury, such as a cervical spine injury from a fall. Given that your mother has not sustained any nerve damage, the focus will be on restoring mobility, strength, and function to her neck. Here are some essential exercises and tips for effective neck rehabilitation:
1. Consultation with a Physical Therapist
Before starting any rehabilitation program, it is essential to consult with a licensed physical therapist. They can provide a personalized rehabilitation plan based on your mother's specific condition, ensuring that the exercises are safe and effective.
2. Gentle Range of Motion Exercises
Initially, your mother should focus on gentle range of motion exercises to improve flexibility and reduce stiffness. These exercises can include:
- Neck Tilts: Gently tilt the head towards one shoulder and hold for 15-30 seconds, then switch sides.
- Neck Rotations: Slowly turn the head to one side, hold for a few seconds, and then rotate to the other side.
- Chin Tucks: While sitting or standing, gently tuck the chin towards the chest, holding for a few seconds. This helps strengthen the neck muscles and improve posture.
3. Strengthening Exercises
As her range of motion improves, your mother can begin strengthening exercises. These may include:
- Isometric Neck Exercises: Press the forehead into the palm of the hand without moving the head. Hold for a few seconds and repeat. This can also be done by pressing the back of the head into the hands.
- Shoulder Shrugs: Raise the shoulders towards the ears and then relax them down. This helps strengthen the upper trapezius muscles.
4. Posture Training
Good posture is essential for neck health. Encourage your mother to maintain a neutral spine position while sitting, standing, and sleeping. Ergonomic adjustments to her workspace or daily activities can help prevent further strain on her neck.
5. Heat and Cold Therapy
Applying heat or cold packs can help alleviate pain and stiffness. Heat can be applied before exercises to relax the muscles, while cold packs can be used after exercises to reduce inflammation.
6. Gradual Progression
It is important to gradually increase the intensity and duration of exercises as your mother’s strength and flexibility improve. This can include increasing the number of repetitions or the duration of stretches.
7. Avoiding Pain
Your mother should avoid any movements or exercises that cause pain. If she experiences pain during rehabilitation, it is crucial to stop and consult with her healthcare provider.
8. Consistency is Key
Encourage your mother to perform her rehabilitation exercises consistently, ideally daily. Regular practice will lead to better outcomes and faster recovery.
9. Monitoring Progress
Keep track of her progress and any changes in symptoms. If she experiences any new symptoms, such as numbness, tingling, or increased pain, she should seek medical advice promptly.
10. Long-Term Care
Once she has recovered, it is beneficial to incorporate neck exercises into her regular fitness routine to maintain strength and flexibility, preventing future injuries.
In summary, neck rehabilitation after an injury involves a combination of gentle range of motion exercises, strengthening activities, posture training, and consistent practice. By following these guidelines and working closely with a physical therapist, your mother can achieve a successful recovery and regain her neck function.
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