What is the best treatment for Ehlers-Danlos syndrome?
Physical therapy Exercises to strengthen the muscles and stabilize joints are the primary treatment for Ehlers-Danlos syndrome. Your physical therapist might also recommend specific braces to help prevent joint dislocations.
How is cranial instability treated?
There are 4 standard treatments for cervical instability:
- Physical therapy.
- Strengthening exercises.
How do you fix C1 C2 instability?
Surgery is often aimed at fixing the instability by fusing vertebral segments together. In the case of C1-C2 instability, these two vertebrae are fused posteriorly to limit their amount of movement. However, it may limit motion so much that patients become completely unable to move that portion of their neck.
Does EDS affect the neck?
Segmental Kyphosis and Instability Those with EDS can also have unusual curves in the spine, which affects susceptibility to these problems. Generally, an overly moveable spine in EDS patients can lead to worsening symptoms related to damage to the spinal cord, as well as neck and chest pain.
What kind of doctor manages Ehlers-Danlos?
Successful treatment of this complex syndrome requires a team with extensive knowledge of genetics, orthopedics, pediatrics, neurology, neuroradiology, neuropsychology, and neuroendocrinology, in addition to skilled surgeons who specialize in neurosurgery and cerebrovascular surgery.
What are the symptoms of atlantoaxial instability?
Neurologic manifestations include clumsiness, lack of coordination, abnormal gait, difficulty walking, easy fatigability, neck pain, limited next mobility, torticollis, sensory deficits, neurogenic bladder, upper motor neuron signs (spasticity, hyperreflexia, clonus, Babinski sign), paraplegia, hemiplegia, and …
What does cranial instability feel like?
Common symptoms of Cranial Cervical Instability include painful, heavy head, headache, rapid heart rate, brain fog, neck pain, visual problems, dizziness, and chronic fatigue. Trauma is the most common cause of CCI however patients with hypermobility are at risk.
How is atlantoaxial instability treated?
Posterior cervical spinal fusion can successfully treat symptomatic AAI in many cases. Surgery is most successful for treating patients with ligamentous instability and less successful in treating patients with osseous instability. Optimal results have been obtained in patients with severe pain and mild myelopathy.
Does EDS show on MRI?
Apart from a physical examination, skin biopsies, and genetic testing, imaging tests such as X-rays, computerized tomography (CT), and magnetic resonance imaging (MRI) can also help to confirm a diagnosis of EDS.
How is atlantoaxial instability diagnosed?
The ADI is determined by measuring the distance between the posterior edge of the anterior arch of C1 and the anterior edge of the dens. A value less than three mm is considered normal in adults and a value less than 4.5 mm is considered normal in children.
What is atlanto-axial instability and what causes it?
“Atlanto-axial instability is common in the connective tissue disorders, such as rheumatoid arthritis, and increasingly recognized in the heritable disorders of Stickler, Loeys-Dietz, Marfan, Morquio, and Ehlers-Danlos (EDS) Syndromes, where it typically presents as a rotary subluxation due to incompetence of the alar ligament.
What are the clinical practice guidelines for Ehlers Danlos syndrome (EDS)?
Clinical practice guidelines, based upon stronger epidemiological and pathophysiological evidence, are needed for the diagnosis and treatment of the various neurological and spinal manifestations of EDS. Adib N, Davies K, Grahame R, Woo P, Murray K. 2005.
What are the treatment options for Ehlers-Danlos Syndrome Hypermobility type/hypermobility syndrome?
Multidisciplinary treatment of disability in ehlers-danlos syndrome hypermobility type/hypermobility syndrome: A pilot study using a combination of physical and cognitive-behavioral therapy on 12 women. Am J Med Genet 161: 3005 – 3011 .
Can Ehlers-Danlos syndrome-related craniocervical instability be treated?
Treatment of Ehlers-Danlos syndrome-related craniocervical instability is challenging enough. Not having an initial, accurate diagnosis can make it more challenging. A lack of a diagnosis can send patients on a many-year journey searching for help that they cannot get because they and their doctors are chasing the wrong problem.