post laminactomy complications

[shahidheera]

i have a patient having history of laminactomy of C-5,6 since 22 months
he is again having the same problem, alongwith stiffness of shoulder abduction
external rotation and internal rotation restricted ROM same side of symptoms.
now he is having difused stiffness and paresis over the ulner teritary.
What to do next?

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[NARSTR]

Send back to doctor for review and reXR if not already done. Otherwise Gr 1-2 AP mobilisations and rotations while watching for changes in signs.

[perfphysio]

What caused him to need a laminectomy. ie what caused the discal lesion? Was it thoracic hypomobility for example? If so you I would suggest including treatment of the precipitating factors. A laminectomy is really only a temporaty solution, and a waiting game if the causes aren't addressed. Anyway it will give you an area to treat other then the Cx.

hope this helps

richard