This post was originally published on Feb 19, 2017 and updated on January 12, 2021 and February 8, 2023. Activities of Daily Living After . 3. Do you even want to consider that and wait for it to get so bad? Cardiac, Cervical, Chemo, Craniotomy, Fall, Mastectomy, Pacemaker, and more. 0000005419 00000 n Cervical radiculopathy is often referred to as a pinched nerve in the neck, where the pain that may radiate down from the neck to the shoulder, shoulder blade, arm, or hand. If youre still feeling stuck or if you need more information on a particular joint or protocol from an OT lens, be sure to dig into your Pedrettis Physical Dysfunctiontextbook or yourRadomsky Physical Dysfunctiontextbook, or whichever phys dys textbook your school required. Trauma (e.g., car or skiing accidents), infection, and cancer can also cause spinal fractures. Sit or stand with your back and head leaning against the wall. endobj endobj A cervical fracture is a break in a vertebra (bone) in your neck. . Finding a great therapist that will give you the time and attention to ask you questions, and get to the root cause of where the problem is, prescribe you to corrective movements that help, and follow up to progress you is key to getting rid of cervical radiculopathy pain. Just like anything else, not all therapy and therapists are created equal. Please do not use it to ask about your care. The goal is to foster independence . If you choose to keep wearing the sling, take it off every 2 hours and stretch your elbow and shoulder. I appreciate you! Knowing things like cardiac precautions, hip precautions, cervical precautions is essential. PDF Standard of Care: Post-Operative Spine Surgery endstream endobj startxref Identify the element and draw orbital diagrams for elements with these atomic numbers: - Typically performed to decompress the spinal cord or to change the contour of the spine by cutting through the overlying muscle, connective tissue and ligaments to excise one or both lamina, facet joint, and/or spinous process, - May be indicated and must be used according to MD orders, - There may be orders limiting the amount of time a client is allowed to sit, - Difficulty with mobility and ambulation, - ADL retraining including dressing, bathing, G & H, toileting and mobility for self care with spine precautions. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are as essential for the working of basic functionalities of the website. A physical therapist and an occupational therapist may exercise your arms, legs, and hands. Physical Therapy / Occupational Therapy. For a list of detailed pictures of these hip precautions and home safety measures, you can print out any needed pages from this helpfulHip Precautions and Hip Safety Handout from St. Vincents Medical Center. endstream endobj 65 0 obj <>stream You may feel weakness in the shoulder, arm, or hand. But, y ou may want to keep wearing your sling for comfort. Push your shoulders down and away from your ears. hbbd```b``^"H0{Ht09X*t`"[V9H2>MSq@Q L%H`Y`"*`@v{ >b/"yjA$0H~ul2%30 ` Shrug your shoulders up toward your ears, then push your shoulders backward (see Figure 7). These cookies will be stored in your browser only with your consent. $udJMC !G Most often, its in the clinical questions that a doctor or a skilled occupational therapist or physical therapist can ask that will rule in or rule out the diagnosis of cervical radiculopathy. If you have been diagnosed with cervical radiculopathy or you have neck pain and you THINK this sounds like you request a free discovery visit to speak to our specialist after reading this blog if you are looking for answers on how therapy can help you specifically. endobj PDF POSTOPERATIVE ACTIVITIES AND PRECAUTIONS - Town & Country Crossing No low toilet seats, etc. 2023 All rights reserved Hands on Therapy. Place the tip of your tongue behind your top teeth. This movement may release some tension on the spinal nerve. 0000030207 00000 n My therapist's name is:_____ Date:_____ Spinal Fusion Safety Measures: NO hip flexion past 90 degrees No fat couches that you sink into. 458 0 obj <>stream PDF ADLs after getting pacemaker defibrillator - Health Online Na2CO3(aq)+CaCl2(aq)CaCO3(s)+2NaCl(s). Please do not write your name or any personal information on this feedback form. 0000036341 00000 n As mentioned above, this is always depending on the doctor's orders, but is the general rule. Breathe in slowly and deeply through your nose. The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. After a full assessment, we develop a customized treatment program to meet each client's specific goals. cervical postural strengthening -prone on elbows/quadruped - cervical retraction, add neck rotation and look forward -wall ball - (small playball) neck side bend -seated retraction with theraband 2 phase 2 - 4 to 8 weeks - strengthening objectives: improve scar tissue mobility and review body mechanics to minimize head forward position. Watch your movements in a mirror to make sure you have good posture. If you are worried but scared to do anything because you are afraid of what therapy or surgery may do, consider talking to us first. k@X EjQ>jcM$&!T( The condition. C6 Spinal Cord Injury: What to Expect & How to Recover - Flint Rehab If it was in your back, don't bend your back. After 24 hours, you may take it off. Place your right hand on your left cheek and jaw. Having an MRI or CT can confirm neurologic compression and the extent of the compression. What would be most helpful for you? The bending will depend on where in the spine the surgery took place. This prevents you from pulling at your shoulder. hWrF}WfBTR]6>lI#I>8=\+i--d9{>>gW0tp}f[rsNS^ avf%sl1=y tg\21>LM7&x*l= So, for this post, I wanted to make the transition easier for you by covering the biggest aspects occupational therapists encounter when working in orthopedics settings. C4 Breathe more, shrug my shoulders to ignore. LsL2/Ja%#L4kv. - Sock aid E0&LfwAC)MDggggr2&c]N3lWz0 PDF CERVICAL FUSION POST-SURGICAL REHABILITATION PROTOCOL - OrthoNC Neurostimulation is an effective, proven therapy for reducing chronic pain. Shoulder replacements/arthroplastiesare less commonly seen in the rehab setting since many of these patients go home shortly after the surgery. <> . Elizabeth Luske - Occupational Therapist - John Muir Health - LinkedIn Gently pull down your head toward your left shoulder, to stretch the muscles on the right side of your neck (see Figure 3). Your nerves are like the electrical system of your body and when the wires get cut, the signals to the muscles to work, no longer work. All rights owned and reserved by Memorial Sloan Kettering Cancer Center, 2023 Memorial Sloan Kettering Cancer Center, Human Oncology & Pathogenesis Program (HOPP), Gerstner Sloan Kettering Graduate School of Biomedical Sciences, High school & undergraduate summer programs, Diaphragmatic (DY-uh-fra-MA-tik) breathing. hU[o0+~l51I8RH.)$(qwC A ##qp}JIwKpJ@x- C0O+zjn#6hvd8C%)hIhTW3k1yVIN39tC$4|):5D^+ `tj9D-z6n7{/IeaX0ZbuAUziyj "k3_,_=x$we _DnloLK+vUQt-tI^l P$P&1*vr endobj Cervical Traction - StatPearls - NCBI Bookshelf There are three natural curves in the spine. An anterior cervical discectomy is the most common surgical procedure to treat damaged cervical discs. Place your hands and forearms at shoulder level on the sides of the doorway (see Figure 4). With our method of evaluation and treatment, we can test which corrective movements give us the best results, so that we can give you a prescribed amount of exercises during the week. 1. `Z&5 xR^g%!OqCK8b*S,@. They may also teach you new ways to do things around the house. Recovering from Surgery - SpineUniverse Physical Rehabilitation OT: Laminectomy Protocol Flashcards - Quizlet %PDF-1.6 % 0000036456 00000 n Post-Operative Cervical Spinal Fusion Department of Neurosurgery Lahey Hospital & Medical Center, Burlington 781-744-7580 . Get the latest news and updates on MSKs cancer care and research breakthroughs sent straight to your inbox with our e-newsletters. If it was in the cervical spine, don't bend your neck. And that is the worse case scenario. 0 Occupational Therapy | Box 356490 1959 N.E. %%EOF If you are worried but scared to do anything because you are afraid of what therapy or surgery may do, consider talking to us first. PDF Cervical Collar Guidelines - Ministry of Health Spinal Stenosis Physical Therapy: What to Expect - Verywell Health Postoperative precautions and wearing a brace can make some self-care activities and activities of daily living difficult, if not impossible. 0000018164 00000 n The mid-back (thoracic spine) curves slightly outward. Educating Patients on Home Safety Following Orthopedic Surgery, Activities of Daily Living After Spinal Injury or Surgery, (Cleveland Shoulder Total Shoulder Arthroplasty/Hemiarthroplasty Protocol), The Best Splinting Guide for Occupational Therapists, 6 of the Best Occupational Therapy Forums, 10 Reasons Why OTs Should Be Using Occupation-Based Interventions. Cervical radiculopathy left untreated will get worse over time. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> For example, use a bedside commode over the toilet or next to the bed as low toilets are more difficult to get up from following a knee replacement. . One thing Ive encountered in fieldwork is patients of high cognition who even after being given much instruction consistently break their precautions (primarily weight bearing). Though it can lead to temporary symptomatic relief, there is limited data on its long-term safety and therapeutic efficacy. One way to minimise these effects is to properly support, position, and align the body. A C6 spinal cord injury is a type of cervical spinal cord injury, the most severe type of injury. For a single-level ACDF a soft collar is used for 2 weeks. Lift your arms up and circle them backward (see Figure 8). PDF Spinal Precautions After Cervical Surgery - Aurora Health Care Laminectomy | Johns Hopkins Medicine Use common sense, follow your precautions, and do not be afraid to ask for advice from your doctor. PDF James Patient Education Handouts (A - Z) - osumc.edu Some resources state to wear the sling for 4-6 weeks while sleeping and while entering the community, but this will depend on the surgeons orders. Hold each stretch for 30 seconds, then relax. Before we go into how occupational/physical therapy can help with cervical radiculopathy, its important to explain what cervical radiculopathy is. 0000021819 00000 n .,\)yG'~t8m \]p~gkj |w&\mO9O ?'1w[(8.O?Ss_Lgf[(Ged27UKEJ/S're`od2KRj)-AvQQZRuf "-/'36*)I1cU+Yhp{q 3'$$,BrURHP]BTZ;Lx9*c iGA!u!9_jAG/EM" bNG&!^;5IM{I=T:6. -2f~tvL? X#Kd p%hPiP&Ih~OF;}X^-{'qElRrY&W#LX[IMnpYD1]$kIVQC_=l*Y v(=2 2h xM`=%_}U4WW2J(#vJ+SW7eIb9_})ld"RGVyv&^rIRlR9R0s6CL ;0!'0q{^eU\'3p|~9bu~yT_@476*5D+6VWf%l+XWl~x L*^lbVgT&c>N.M 3dJogY09 qNNo7/Tns'if.y|D/&'_:7y%%I\.Hd]%:(_ey6C2BYL7uQ)Y". 480 42 Herniated or bulging discs from trauma or degeneration (decline over time). . ``OV45@#TX\4s ca:3EE@B,u@X,(` { Talk with your healthcare provider before lifting or carrying things over 3 pounds. The goals of physical therapy for someone with spinal stenosis include: Improving range of motion of the lumbar spine. If you have any questions, contact a member of your care team directly. [1][2][3] The segment of the spine most susceptible to injury is the cervical spine based on its anatomy and flexibility. Place your left hand on top of your head. Repeat this 5 times on each side. Cervical spinal nerves send signals from the brain to the arms to move and enable sensation in the arm and hands. x}xTjBQjHB{3f(#$!6[I>c'-wW PDF Spine Surgery Patient Guide: Your Path to Recovery - NorthShore Figure 3. Pb/x$pg*>!Sir1{x `]o#p`vEf$WP'!.9YCz! How many milliliters of 0.125M0.125~M0.125M sodium carbonate solution would be needed to precipitate the calcium ion from 37.2mL37.2 \mathrm{~mL}37.2mL of 0.105MCaCl20.105~M\mathrm{~CaCl}_20.105MCaCl2 solution? occupational therapy practice in the Miami, area is to bring patients back to full functionality, without pills, injections or surgery. Precautions: No lifting greater than 5 pounds until cleared by surgeon (usually by 4-6 weeks after procedure). PDF Protocol for Cervical Fusion Surgeries - Ortho Bethesda /Tx BMC (front and side planks) at 1012 weeks. When the spinal nerves have pressure put on them, they cannot properly transmit messages from the brain to the muscles. Since then, she is able to sleep, get in and out of bed without pain and numbness, works the computer without suffering, her arms going numb, and countless other activities that she was missing out on because of fear. 0000016859 00000 n Telehealth and online sessions are available! If you have questions about your care, contact your healthcare provider. 201 0 obj <> endobj But the no pain no gain mentality does not work with this type of issue. A physical therapist and an occupational therapist may exercise your arms, legs, and hands. you otherwise, follow the safety guidelines (precautions) in this handout. The spinal cord is like a tree trunk, and the spinal nerves are like the tree branches. Nitric oxide and bromine at initial partial pressures of 98.4 torr and 41.3 torr, respectively, were allowed to react at 300. - Bed transfers 0000033307 00000 n The condition affects about 85 out of 100,000 people, and most often start presenting with symptoms in people in their 40-50s. It also prevents you from having tightness in your chest muscles and from straining your neck and shoulder muscles. After a spinal cord injury, muscles can be affected in various ways, causing pain, spasticity, and problems with speed and range of motion. Pacific St., Seattle, WA 98195 | 206-598-4830 . Qy=.tOB\JcMKh They will have the most in-depth information on occupational therapy in the orthopedics setting and will ensure youll feel even more confident working with these patients. <> Spinal surgeries, whether elective or not, may also be extremely painful for your patient the first few days. If there is abnormal pressure on a branch near the trunk, everything along that branch will be affected. endstream endobj 382 0 obj <>stream Cervical AROM in pain-free range - No PROM (NO Stretching) Gentle 2-finger isometrics Scapular retraction, shoulder shrugs, chin tucks Stationary bike Treadmill - Walking progression program as tolerated Lifting to tolerance with proper body mechanics - Pain free Ice as needed GOALS Pain control 0000000016 00000 n <> One way that we are unique in our approach to treating cervical radiopathy, is how we address the above and below to actually get you relief. PDF Activities of Daily Living After Spinal Injury or Surgery You also have the option to opt-out of these cookies. 0000001587 00000 n Patients with upper . 1 0 obj Impinged nerves also will cause altered or absent sensation (feeling) in the arm along the route the nerve travels. Fear that she would become paraylzed at the slightest injury. Brachial Plexus Injury | Johns Hopkins Medicine 0000026068 00000 n No passive stretching. - Walker Numbness, weakness and pain can happen throughout the arm and hand. 0000002612 00000 n 6Y'6s\1p^M1} P"sEOpt8Os6>omr k~O\bVx+oMj NU\o$2M+{JVw!1/[aH6OoS.!f }^%.-e{sz6}b#o d2+Uo%Pg)=h#_#S?;KGY~r <> - Use of walker Following a total hip replacement/arthroplasty, or other hip surgery following a fracture, your patient may have several precautions. This is why you have the neck brace, or cervical collar Do not lift, push, or pull anything heavier than a gallon of milk (about 8 pounds) Do not drive until cleared by your doctor 4. We will look at your shoulders and hands to see where there is tension and the nerves may be stuck causing you more aggravation. Upper body dressing is generally the most challenging task after this surgery. Activities of Daily Living Back/Spinal Precautions This handout gives general guidelines to follow after spinal injury or surgery. 7NP }D']ks$3xPip9jSEB*VVvY=4d6)NPXeH%8Bl#*gH7hH`xbl#t-7Z"- Dbx>X]yYVF&%|p#.V Precautions - OT Dude Use the mirror to make sure youre opening your mouth evenly, and not moving your jaw from side to side. - Long-handled sponge `)WwHBX ;1dVKO%s%I[`YXKe/xhd2W@ZZa~4TxBhhx`X9P3VS R5z"cxp%F?{;"Rd*}l^V%|sLPC"LN&D*II5I)+G-d=>zN>d[wHvN"8ES`m,ijd/]@;,2zcCA7 1|{HA[#]]","(~El%GlGU]VxlPq Ghhp;RXdx-~,u6-:%$yH^6{:H;Qg0}g zT[w&@;w&z% Do not hold your breath during the exercises. Toe-touching weight-bearing: Up to 20% of body weight. If there are precautions in place, these are the main ones you will see. cervical precautions occupational therapy Please consult your physician for a complete list of indications, warnings, precautions, adverse events, clinical results . For more in-depth home safety information, check out our article, No stepping backwards with surgical leg (lead with non-surgical leg when backing up to toilet, chair, etc. The condition affects about 85 out of 100,000 people, and most often start presenting with . As you breathe out, slowly and gently pull your abdomen toward your spine. Ov'R:6o!+k}@A GCg_Aiz#IV+l!p>l>6=7 Z2}4hM k\P#xXT''gaR_*Q,+. Occupational Therapy Post-operative precautions and wearing a back brace can make some self-care activities and activities of daily living difficult, if not impossible. Occupational therapy for people with spinal cord injuries. Limit neck motion as instructed by doctor. - Bed mobility Keep your back straight, and your neck and shoulders relaxed. . Occupational Therapy for Spinal Cord Injury | Flint Rehab Sx{qlP^FB[ 0.qPsi4{oE:*avu;$J(B&'IeF0_}P=oYn-E D0IL,\v"r$'uW#V rWfDEooe|x9Q2Wnv}Y_XH2Q[ \fEPXFYp7wBS*yf4 endobj When you start to burn your fingers and not even realize that you have burned your fingers. Physical Therapy Guide to Spinal Compression Fractures Slowly lower your bottom jaw to open your mouth, while keeping your tongue in contact with the roof of your mouth (see Figure 6). An individualized physical therapy treatment plan will be tailored to the patient's needs, addressing strength, flexibility and mobility impairments. endstream endobj startxref dA#x`1&"~ S3 &6= ;p@h,+c.KbfEKCU When ambulating, lead with the walker, then the surgical leg, followed by the non-surgical leg, being sure to keep the walker close, Keep the surgical leg elevated and extended with a towel roll under the heel when sitting or laying down, Avoid sitting in low chairs or surfaces. 0000009299 00000 n d>qH + Exercises After Your Neck Surgery - Memorial Sloan Kettering Cancer Center oF^qQrB#K'#0kIi{`Lb:>?ei*Z" *8chLUK;@KQs{19"ma}/duNh _C`JdYzsmI+o $tRr1&/'#+x~ jdKN2 ]i2& {L2&rl5YSs*I?0BpO9em)v8iC4*e880G=;*gH(Hx+o3]!G^E Positioning is used widely to prevent the development of contracture and to discourage unwanted reflex activity. 2. H9SLeiZD_x}q#?/.NJ_b0 aIw;fq?4![AAAAj2:_/O}V*|C">i~{ S6x+(((tGyS/_>{|JoDo8 '%~ [AAAA#6s?{z?}&?M${O}tuJ=2 FsBQ&g.kL_"]2F"%>uPB`"ClJ0|x?MoSM26P~]l 60 0 obj <> endobj Cervical spondylosis is a chronic degenerative condition of the cervical spine that affects the vertebral bodies and intervertebral disks of the neck (in the form of, for example, disk herniation and spur formation), as well as the contents of the spinal canal (nerve roots and/or spinal cord). Many of these surgeries are seen only 1-2 times in acute care followed by outpatient OT or PT services depending on the surgeons referral. Eating with adaptive utensils and plate guards. For a great resource to provide your patients, you can print out thisActivities of Daily Living After Spinal Injury or Surgeryhandout from the University of Washington Medical Center. Assess the needs of a person with a spinal cord injury. V_YI93T":VMvh{ 0000067920 00000 n You will read about the major joints since they are the most common orthopedic diagnoses you will see in the acute, SNF, home health or inpatient rehab settings. Use of electrical stimulation has in the past been linked to changes in tissue growth, and while it is not always contraindicated, we want to consider if it is wise to use electrical stimulation over that site. Do not carry a heavy shoulder bag or purse on your involved side. But first, let's discuss the reason why occupational therapy . Occupational and/or Physical therapy can improve neck motion, improve muscle imbalances, and get rid of the symptoms. If you are not OK with this, you can opt-out if you wish. %PDF-1.6 % For example, some adaptive utensils can . We will run through a comprehensive clinic testing to determine where the problems are, and find out which corrective movements work the best for you. [1] This can lead to squeezing or compressing of the nerve roots where they leave the spinal cord or it can damage the spinal cord itself. 0000010602 00000 n Be Patient with Yourself . Place one or both of your hands over your abdomen (belly) (see Figure 10). Reference guide for all the Precautions for Occupational Therapy Treatment. <> 0 Occupational therapy for people with spinal cord injuries The low back (lumbar spine) curves slightly inward. Move your arms out to the sides, while squeezing your shoulder blades together (see Figure 9). PDF Anterior Cervical Discectomy and Fusion (ACDF) - MedStar Health Position client in supine and ask to "log roll" to their side, - The brace should be washed with a mild soap and water daily 5.1 Respiration. endobj This is done as an effort to prevent injury to the spinal cord 1. 0000011284 00000 n Occupational Therapy How-To: Upper Body Dressing - YouTube ]' From a side view, the neck (cervical spine) curves slightly inward. What happens if cervical radiculopathy is left untreated? will also be invaluable for donning/doffing socks, shoes and threading pants. How long are these precautions in place for? It is normal to feel frustrated, stressed, tired, or depressed after a major . 0000038279 00000 n This activity reviews the indications, contraindications, and techniques involved in performing . Partial weight-bearing: 20-50% of body weight. . Some surgeons will say 5 pounds, others will allow 10 . endobj Thats how I usually describe it. 0000017172 00000 n How to Dress with a Neck Brace | Spinal Precautions, Spinal Surgery 9 0 obj Occupational Therapy Toolkit Treatment Guides - Section 1 ADLs and IADLs . 68 0 obj <>/Filter/FlateDecode/ID[<433C4BBF0544361FFCF6118BCBA30B7E>]/Index[60 21]/Info 59 0 R/Length 59/Prev 291553/Root 61 0 R/Size 81/Type/XRef/W[1 2 1]>>stream The numbness causes you to be limited with holding items in your hands without dropping. There are many people who are older and have boney changes who do not live in pain and I want you to know that it is possible for you to explore as well. Sheila Surmeier, OT demonstrates how to put on both a button-up and a pull over shirt with one hand. 0000004501 00000 n Rely on effective 1-2 therapy with your implant. However, even amongst C6 spinal cord injury patients, functional outcomes will be different. Side neck stretch. Non-weightbearing: 0% of body weight. xZKo8i!/joR@#C(r;C;;H"of4//~F m.H]Jp0yINsC Sometimes being very aggressive might feel good but then actually cause you pain later. What are the symptoms of cervical radiculopathy? 4 Function Goals & Emphasis. 0000007204 00000 n <> You may have neck pain, shoulder blade pinching type of pain, shoulder pain. 12 0 obj hb```b``g`c``dd@ AV(G ix}clE/q)=Uv1B~-5*]8z3qAl4F8cJWd8L 0000023418 00000 n . Orthopedic Precautions 101 for New Occupational Therapists Occupational therapists focus on assessing and developing an individual's ability to function day-to-day to their highest level in normal daily activities at home, in school, out in public, and at work. Occupational or Physical Therapy treatment helps to restore full neck movement as early as possible to help reverse or stop the progression of skull deformity, cranial facial asymmetry, and to prevent bony and postural changes that may cause asymmetric motor development. You must have JavaScript enabled to use this form. PDF SPINAL CORD INJURY CASE STUDY 1 - Propel Physiotherapy 15 0 obj One thing we do really well at Hands-on THerapy Services, is to get your clear on what you can do before making any paid appointments. We have 7 cervical bones that make up your entire neck. movements in varying positions) Restricted to 5 lbs with arm exercises (below 90 elevation) Abdominal Exercises (watch cervical spine), perform basic core strengthening of lumbar. Numbness, weakness and pain can happen throughout the arm and hand. This covers the traditional sternal precautions, with information about "Keeping your move in the tube" at end the of the article. 5 0 obj to speak to our specialist after reading this blog if you are looking for answers on how therapy can help you specifically. 0000007267 00000 n There are several different phases that we address during your evaluation with us so that you can get lasting results. 0000003343 00000 n 11 0 obj 2NO(g)+Br2(g)2NOBr(g). therapy visits. For more in-depth home safety information, check out our article, Educating Patients on Home Safety Following Orthopedic Surgery. If you are committed to avoiding taking pills that dont work. Place your left hand on top of your head. 0000069451 00000 n Cervical radiculopathy may cause nerve compression to due: That is, if you want to avoid taking pills, getting injections, and having surgery. are less commonly seen in the rehab setting since many of these patients go home shortly after the surgery. Typically, symptoms occur on the same side of the body as the affected nerve and may include: You may feel pain that is described as sharp, pins and needles, radiating, and burning down the side of the arm. 3. 0000018681 00000 n 0000008462 00000 n 6. 3 Assistance Levels. ]g~Mjm56t9SAS1b3cM Wear your collar at all times or as recommended by your doctor. Walnut Creek. C7 I'm in heaven, transfer myself, independent livin'. Monday to Friday, 8 a.m. to 6 p.m. (Eastern time), Monday to Friday, 9 a.m. to 5 p.m. (Eastern time). hb```f``g`a``fd@ A3P3wg| PDF Activities of Daily Living Back/Spinal Precautions - Seniors Flourish

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