Diagnostic Corollaries

Dan Kurth, DC

Parker College of Chiropractic

Cervical Region

Major/Primary Diagnosis 723.2 Cervicocranial Syndrome 739.1 Cervical Segmental

Dysfunction 839.00-08 for Cervical vertebra,

closed 722.0 Displacement of cervical

IVD, nerve compression-discogenic

Modifying the diagnosis Patient complains of neck pain Objective exam shows

Cervical muscles tender Reduced ROM

Modifying Diagnoses 729.1 Myalgia, Myositis 723.1 Cervicalgia 847.0 Cervical Sprain/strain 905.7 Late effects of Cervical

Sprain/Strain

Acute Neck Pain with radiation Objective exam findings:

Pain (radiating) on motion, foramina compression test, Soto Hall test, Cervical distraction test, Sensory testing

Modifying diagnoses 729.2 Neuralgia, Neuritis 723.4 Cervical radiculitis, non disc

related, Brachial radiculitis/Neuritis 353.0 Scalenus Anticus Syndrome

Persistent neck pain Pain on motion Pain, swelling, redness, limited ROM,

difficult motion, foramina compression test, Soto Hall test, cervical distraction, sensory testing, muscle strength testing.

Modifying diagnoses 723.4 Cervical radiculitis 721.0 Cervical spondylosis w/out

myelopathy 729.2 Neuralgia, Neuritis 905.7 Late effects of sprain/strain injury

Headache Positive nerve trajectory findings,

foramina compression test, Soto Hall’s test, cervical distraction.

Cervical muscle tenderness/spasm w/absence of ortho signs

Modifying diagnoses: 784.0 Headache, occipital neuralgia 346.9 Headache, Migraine 307.81 Headache, Tension

Neck Pain With Swelling 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.

Modifying diagnoses 353.0 Brachial Plexus Lesions,

Cervical rib syndrome, Costoclavicular syndrome, Scalenus Anticus syndrome

353.2 Cervical root lesions 847.0 Cervical Sprain & Strain 729.2 Radicular Neuralgia 724.9 Compression of Spinal

Nerve Root

Neck Pain radiating into lower spine with target pain (lower back) Cervical pain produces target pain

in lower back. No objectivity in low back. Soto Hall’s test, Hyndman’s test

Modifying diagnoses 847.0 cervical Sprain/Strain 729.2 Radicular neuralgia 724.9 Compression of Spinal

Nerve root

Radiographic Findings

Spondylosis Changes in Lordotic curve

Loss of, decreased, increased, reversal of

Displacement of vertebral bodies- Anatomically

Hypertrophic Bone Generation lipping & Spurring

foraminal encroachment Abnormal Disc Spacing

Osseous Pathology

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

Reduced Cervical Motion Limited ROM, malingering test Modify diagnosis

729.1 Myositis 710.4 Polymyositis 739.1 Cervical Segmental

Dysfunction 724.9 Stiffness of spine

Severe Stiff Neck

Muscles contracted, spasm,neck fixed in extreme stress, malingering tests, distraction tests 728.85 Spasm of muscle 723.5 Torticollis, unspecified 754.1 Torticollis, congenital 710.4 Polymyositis 723.1 Cervicalgia 780.9 General symptoms, generalized

pain

Stiff & Painful Neck

Cervical pain, swelling, limited ROM, prolonged contractio of cervical musculature, reduced ROM 729.1 Cervical Myofascitis 738.4 Cervical Spondylosis

(acquired) 721.0 Cervical Spondylosis (w/out

myelopathy

Vertigo with Neck Pain on Motion Positive Scalenus anticus test,

positive spinal accessory nerve test, Adson’s Test, hyperabduction, costoclavicular test 780.4 Vertigo (neuropathic) 353.0 Scalenus Anticus Syndrome

(cervical rib)

Deep Boring Pain

Deep pain localized over a specific vertebra, pain on palpation, percussion tests 847.0 Cervical Sprain or Strain 905.7 Late Effects Sprain or Strain

Unrelenting Neck Problems, Radicular neuralgia, Neck pain with Insomnia (+) neuro & ortho findings,

Naffziger tests, foramina compressio test, Sprain/strain, hyper-kinesia, visual disturbances,