Shoulder-neck-head (CRS, CS/CVS, CSS, TVS)
Cervical Syndrome/Cervico vertebral syndrome
The terms cervical syndrome and cervico vertebral syndrome summarize neck problems. It is presumed that these are caused by functional disorders of muscles and/or degenerative changes of the intervebral discs in the different sections of the cervical spine (segments) and the movable connections of the spine.
Cervico-spondylogenic syndrome means a non-radicular (no nerve root involvement) pain radiating from the neck in either direction of the head or arm. Pains of mechanical nature occur mostly durind daytime and are reliefed in special positions, for example when lying down. Usually they can be triggered by clinical examination. Spondylogenic pain do not radiate in a certain area in the arm ort he back and often they are located alternately.
Cervico-radicular syndrome (dermatome-orientated pain radiation) usually arises from a nerve root compression (narrowing) due to a herniated disc. Usually the pain is unilateral, cleaely radiating to limited areas (dermatomes) and they can be triggered mechanically. The actual pain neck can be missing.
A pain in the thoracic spine characterizes this syndrome. Often the pain starts in the costovertebral (rip-spinal joints) or facet joints of the thoracic spine.