Name of the Condition

• Subluxation Complex (Vertebral) of Upper Extremity

Summary

Subluxation complex refers to a misalignment or partial dislocation of the vertebrae in the upper extremity, affecting the skeletal, nervous, and muscular systems. It can disrupt normal movement and cause discomfort or other symptoms in the affected area.

Causes

• Poor posture
• Traumatic injuries such as falls or accidents
• Repetitive strain or overuse of the upper extremity
• Degenerative changes in the spine

Risk Factors

• Engaging in sports or physical activities with a risk of injury
• Occupations or hobbies requiring repetitive arm movements
• Age-related spinal changes
• Previous history of spinal or vertebral injuries

Symptoms

• Pain or tenderness in the neck or upper back
• Limited range of motion in the arms or shoulders
• Muscle stiffness or spasms
• Tingling or numbness in the arms or hands

Diagnosis

• Physical examination to check for misalignment or reduced mobility
• Imaging techniques like X-rays or MRI to visualize the spine and surrounding tissues

Treatment Options

• Chiropractic adjustments to realign the vertebrae
• Physical therapy to improve mobility and strength
• Pain management with medications such as NSAIDs
• Lifestyle modifications to reduce strain on the upper extremity

Prognosis and Follow-Up

• With appropriate treatment, many individuals experience relief and restored function.
• Regular follow-up appointments are recommended to monitor progress and prevent recurrence.

Complications

• Chronic pain or discomfort if left untreated
• Potential nerve damage leading to long-term numbness or weakness

Lifestyle & Prevention

• Maintain good posture during daily activities
• Incorporate exercises that strengthen the neck and upper back muscles
• Use ergonomic equipment to reduce strain

When to Seek Professional Help

• Persistent or severe pain in the neck or upper back
• Unexplained numbness or weakness in the arms or hands
• Symptoms that do not improve with home care measures

Additional Resources

• American Chiropractic Association (ACA): [link to resources]
• National Institute of Neurological Disorders and Stroke (NINDS): [link to resources]

Tips for Medical Coders

• Verify the specific location and nature of the subluxation.
• Ensure correct coding of associated symptoms or disorders for comprehensive documentation.
• Avoid confusion with similar conditions by verifying the ICD code and clinical descriptions in medical records.