1. Diagnostic Corollaries Dan Kurth, DC Parker College of Chiropractic Cervical Region

2. Major/Primary Diagnosis n 723.2 Cervicocranial Syndrome n 739.1 Cervical Segmental Dysfunction n 839.00-08 for Cervical vertebra, closed n 722.0 Displacement of cervical IVD, nerve compression- discogenic

3. Modifying the diagnosis n Patient complains of neck pain n Objective exam shows u Cervical muscles tender u Reduced ROM n Modifying Diagnoses u 729.1 Myalgia, Myositis u 723.1 Cervicalgia u 847.0 Cervical Sprain/strain u 905.7 Late effects of Cervical Sprain/Strain

4. Acute Neck Pain with radiation n Objective exam findings: u Pain (radiating) on motion, foramina compression test, Soto Hall test, Cervical distraction test, Sensory testing n Modifying diagnoses u 729.2 Neuralgia, Neuritis u 723.4 Cervical radiculitis, non disc related, Brachial radiculitis/Neuritis u 353.0 Scalenus Anticus Syndrome

5. Persistent neck pain Pain on motion n Pain, swelling, redness, limited ROM, difficult motion, foramina compression test, Soto Hall test, cervical distraction, sensory testing, muscle strength testing. n Modifying diagnoses u 723.4 Cervical radiculitis u 721.0 Cervical spondylosis w/out myelopathy u 729.2 Neuralgia, Neuritis u 905.7 Late effects of sprain/strain injury

6. Headache n Positive nerve trajectory findings, foramina compression test, Soto Hall’s test, cervical distraction. n Cervical muscle tenderness/spasm w/absence of ortho signs n Modifying diagnoses: u 784.0 Headache, occipital neuralgia u 346.9 Headache, Migraine u 307.81 Headache, Tension

7. Neck Pain With Swelling n Tenderness, cervical ganglia, cold, sweaty or clammy hands, reduced ROM, foramina compression test, Soto Hall’s test, cervical distraction, radial pulses, reflexes, motor & sensory testing.

8. Modifying diagnoses n 353.0 Brachial Plexus Lesions, Cervical rib syndrome, Costoclavicular syndrome, Scalenus Anticus syndrome n 353.2 Cervical root lesions n 847.0 Cervical Sprain & Strain n 729.2 Radicular Neuralgia n 724.9 Compression of Spinal Nerve Root

9. Neck Pain radiating into lower spine with target pain (lower back) n Cervical pain produces target pain in lower back. No objectivity in low back. Soto Hall’s test, Hyndman’s test n Modifying diagnoses u 847.0 cervical Sprain/Strain u 729.2 Radicular neuralgia u 724.9 Compression of Spinal Nerve root

10. Radiographic Findings n Spondylosis n Changes in Lordotic curve u Loss of, decreased, increased, reversal of n Displacement of vertebral bodies- Anatomically n Hypertrophic Bone Generation lipping & Spurring n foraminal encroachment n Abnormal Disc Spacing

11. Osseous Pathology n 721.0 Cervical arthritis, OA n 737.10 Kyphosis, acquired/postural n 737.20 Lordosis, acquired/postural n 722.4 Degeneration of cervical disc n 722.6 Narrowing of IVD n 722.71 Degeneration with myelopathy n 722.91 Disc calcification, discitis n 756.15 Vertebral fusion, congenital

12. Reduced Cervical Motion n Limited ROM, malingering test n Modify diagnosis u 729.1 Myositis u 710.4 Polymyositis u 739.1 Cervical Segmental Dysfunction u 724.9 Stiffness of spine

13. Severe Stiff Neck n Muscles contracted, spasm,neck fixed in extreme stress, malingering tests, distraction tests u 728.85 Spasm of muscle u 723.5 Torticollis, unspecified u 754.1 Torticollis, congenital u 710.4 Polymyositis u 723.1 Cervicalgia u 780.9 General symptoms, generalized pain

14. Stiff & Painful Neck n Cervical pain, swelling, limited ROM, prolonged contractio of cervical musculature, reduced ROM u 729.1 Cervical Myofascitis u 738.4 Cervical Spondylosis (acquired) u 721.0 Cervical Spondylosis (w/out myelopathy

15. Vertigo with Neck Pain on Motion n Positive Scalenus anticus test, positive spinal accessory nerve test, Adson’s Test, hyperabduction, costoclavicular test u 780.4 Vertigo (neuropathic) u 353.0 Scalenus Anticus Syndrome (cervical rib)

16. Deep Boring Pain n Deep pain localized over a specific vertebra, pain on palpation, percussion tests u 847.0 Cervical Sprain or Strain u 905.7 Late Effects Sprain or Strain

17. Unrelenting Neck Problems, Radicular neuralgia, Neck pain with Insomnia n (+) neuro & ortho findings, Naffziger tests, foramina compressio test, Sprain/strain, hyper-kinesia, visual disturbances,