SlideShare uma empresa Scribd logo
1 de 37
Recognition and Treatment of Cervical Disorders in Baseball Professionals Donald S. Corenman, M.D., D.C. Steadman Clinic- Vail, Colorado Neckandback.com
General Spine Trauma Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Baseball has a very low percentage of traumatic spinal injuries- so what disorders do they develop?
Aggravation of Degenerative Disc Disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cervical Spine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Annular Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Circulatory Changes in the Disc ,[object Object],[object Object],[object Object],[object Object]
Biochemical Changes to the  Intervertebral Disc ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanical Changes to the Disc ,[object Object],[object Object],[object Object],[object Object],[object Object]
Discal Changes with Aging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Degenerative Cascade ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Enthesopathy ,[object Object],[object Object],[object Object],[object Object]
Pain Origination
Why do we need pain receptors in the first place? ,[object Object],[object Object],[object Object]
Smyth and Wright, JBJS(B) 40A intraoperative connection of nylon threads to spinal structures with post-operative stimulation  ,[object Object],[object Object],[object Object],[object Object]
Kuslich, OCNA April 91 pain response to tissue stimulation under local anesthesia ,[object Object],[object Object],[object Object]
Kuslich,  OCNA  April 91 pain response to tissue stimulation under local anesthesia ,[object Object],[object Object],[object Object]
Cortical Pain Identification ,[object Object],[object Object]
Referral Pain ,[object Object],[object Object],[object Object],[object Object]
Physical Examination
Sensory Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Motor Innervation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Myelopathic Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Myelopathy Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Myelopathy- Spinal Canal Measurements ,[object Object],[object Object],[object Object]
Central Cord Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cervical HNP ,[object Object],[object Object],[object Object],[object Object]
Selective Motor Root Compression ,[object Object],[object Object],[object Object],[object Object]
Selective Motor Root Compression
Facet Blocks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ACDF ,[object Object],[object Object],[object Object]
Decompressing Canal
Post Op ACDF
Successful Artificial Disc Characteristics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Artificial Disc Problems ,[object Object],[object Object],[object Object],[object Object]
Thank You

Mais conteúdo relacionado

Mais de Dr. Donald Corenman, M.D., D.C.

Patient is 63 year old with “stiffening” LB ache and Type I DM
Patient is 63 year old with “stiffening” LB ache and Type I DMPatient is 63 year old with “stiffening” LB ache and Type I DM
Patient is 63 year old with “stiffening” LB ache and Type I DMDr. Donald Corenman, M.D., D.C.
 
68 year old patient had a mild fall and complains of lower back pain
68 year old patient had a mild fall and complains of lower back pain68 year old patient had a mild fall and complains of lower back pain
68 year old patient had a mild fall and complains of lower back painDr. Donald Corenman, M.D., D.C.
 
50 year old female with 10 years increasing pain in lower back
50 year old female with 10 years increasing pain in lower back50 year old female with 10 years increasing pain in lower back
50 year old female with 10 years increasing pain in lower backDr. Donald Corenman, M.D., D.C.
 
19 year old fell on buttocks and complains of sacral pain
19 year old fell on buttocks and complains of sacral pain19 year old fell on buttocks and complains of sacral pain
19 year old fell on buttocks and complains of sacral painDr. Donald Corenman, M.D., D.C.
 
Spinal cord injuries | spine fracture | thoracolumbar fracture | colorado spi...
Spinal cord injuries | spine fracture | thoracolumbar fracture | colorado spi...Spinal cord injuries | spine fracture | thoracolumbar fracture | colorado spi...
Spinal cord injuries | spine fracture | thoracolumbar fracture | colorado spi...Dr. Donald Corenman, M.D., D.C.
 
Scheuermann’s disease | sagittal plane deformity | curvature of the spine | v...
Scheuermann’s disease | sagittal plane deformity | curvature of the spine | v...Scheuermann’s disease | sagittal plane deformity | curvature of the spine | v...
Scheuermann’s disease | sagittal plane deformity | curvature of the spine | v...Dr. Donald Corenman, M.D., D.C.
 

Mais de Dr. Donald Corenman, M.D., D.C. (20)

Neurogenic claudication symptoms
Neurogenic claudication symptomsNeurogenic claudication symptoms
Neurogenic claudication symptoms
 
66 year old male with pain in buttocks for one year
66 year old male with pain in buttocks for one year66 year old male with pain in buttocks for one year
66 year old male with pain in buttocks for one year
 
Marrow findings
Marrow findingsMarrow findings
Marrow findings
 
What causes this pattern?
What causes this pattern?What causes this pattern?
What causes this pattern?
 
Patient is 63 year old with “stiffening” LB ache and Type I DM
Patient is 63 year old with “stiffening” LB ache and Type I DMPatient is 63 year old with “stiffening” LB ache and Type I DM
Patient is 63 year old with “stiffening” LB ache and Type I DM
 
68 year old patient had a mild fall and complains of lower back pain
68 year old patient had a mild fall and complains of lower back pain68 year old patient had a mild fall and complains of lower back pain
68 year old patient had a mild fall and complains of lower back pain
 
What is it?
What is it?What is it?
What is it?
 
50 year old female with 10 years increasing pain in lower back
50 year old female with 10 years increasing pain in lower back50 year old female with 10 years increasing pain in lower back
50 year old female with 10 years increasing pain in lower back
 
Lower back pain increasing over 5 years.
Lower back pain increasing over 5 years.  Lower back pain increasing over 5 years.
Lower back pain increasing over 5 years.
 
Which One Needs Treatment Based Upon Images?
Which One Needs Treatment Based Upon Images?Which One Needs Treatment Based Upon Images?
Which One Needs Treatment Based Upon Images?
 
43 year complains of back pain.
43 year complains of back pain.43 year complains of back pain.
43 year complains of back pain.
 
40 year old has chronic lower back pain
40 year old has chronic lower back pain40 year old has chronic lower back pain
40 year old has chronic lower back pain
 
Patient has mild LBP
Patient has mild LBPPatient has mild LBP
Patient has mild LBP
 
78 year old with flat back posturing
78 year old with flat back posturing78 year old with flat back posturing
78 year old with flat back posturing
 
19 year old fell on buttocks and complains of sacral pain
19 year old fell on buttocks and complains of sacral pain19 year old fell on buttocks and complains of sacral pain
19 year old fell on buttocks and complains of sacral pain
 
Cervical Hematoma Airway Obstruction
Cervical Hematoma Airway ObstructionCervical Hematoma Airway Obstruction
Cervical Hematoma Airway Obstruction
 
Neck hematoma Venous Congest Blood Flow
Neck hematoma Venous Congest Blood FlowNeck hematoma Venous Congest Blood Flow
Neck hematoma Venous Congest Blood Flow
 
O Arm Benefits, Uses, Techniques and Pearls
O Arm Benefits, Uses, Techniques and PearlsO Arm Benefits, Uses, Techniques and Pearls
O Arm Benefits, Uses, Techniques and Pearls
 
Spinal cord injuries | spine fracture | thoracolumbar fracture | colorado spi...
Spinal cord injuries | spine fracture | thoracolumbar fracture | colorado spi...Spinal cord injuries | spine fracture | thoracolumbar fracture | colorado spi...
Spinal cord injuries | spine fracture | thoracolumbar fracture | colorado spi...
 
Scheuermann’s disease | sagittal plane deformity | curvature of the spine | v...
Scheuermann’s disease | sagittal plane deformity | curvature of the spine | v...Scheuermann’s disease | sagittal plane deformity | curvature of the spine | v...
Scheuermann’s disease | sagittal plane deformity | curvature of the spine | v...
 

Último

call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Presentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPresentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPrerana Jadhav
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdfDolisha Warbi
 
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners
 
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisVarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisGolden Helix
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAAjennyeacort
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxDr.Nusrat Tariq
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...saminamagar
 
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...saminamagar
 
POST NATAL EXERCISES AND ITS IMPACT.pptx
POST NATAL EXERCISES AND ITS IMPACT.pptxPOST NATAL EXERCISES AND ITS IMPACT.pptx
POST NATAL EXERCISES AND ITS IMPACT.pptxvirengeeta
 
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Basic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfBasic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfDivya Kanojiya
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptxDr.Nusrat Tariq
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformKweku Zurek
 
Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?bkling
 
Radiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptxRadiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptxDr. Dheeraj Kumar
 
epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptxMohamed Rizk Khodair
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxDr. Dheeraj Kumar
 
call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 

Último (20)

call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Presentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPresentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous System
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
 
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
 
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisVarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptx
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
 
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
 
POST NATAL EXERCISES AND ITS IMPACT.pptx
POST NATAL EXERCISES AND ITS IMPACT.pptxPOST NATAL EXERCISES AND ITS IMPACT.pptx
POST NATAL EXERCISES AND ITS IMPACT.pptx
 
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Basic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfBasic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdf
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptx
 
Epilepsy
EpilepsyEpilepsy
Epilepsy
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy Platform
 
Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?
 
Radiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptxRadiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptx
 
epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptx
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptx
 
call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 

Spine injuries in baseball players | cervical spine injuries | Colorado Spine Surgeon