Neck Pain

"One of the most flexible regions of the spine is the neck (cervical) region, which consists of vertebrae, seven shock-absorbing discs, muscles, and vertebral ligaments to hold them in place. The uppermost cervical disc connects the top of the spinal column to the base of the skull. The spinal cord, which sends nerve impulses to every part of the body, runs through a canal in the the cervical vertebrae and continues all the way down the spine. The cervical nerves spread down into the arms; because of this, arm pain is sometimes traceable to a problem in the neck."
Source

Mechanism of Injury

J Neurosurg Spine. 2007 Oct;7(4):408-13.Neck pain in multisport athletes.
J Trauma. 2007 Dec;63(6):1292-5.Isolated thoracolumbar transverse process fractures: call physical therapy, not spine.
Pain Pract. 2008 Mar;8(1):65-87; quiz 88-9.Late whiplash syndrome: a clinical science approach to evidence-based diagnosis and management.

Diagnosis

Power Points - Osteopathic Health and Wellness Institute (OHWI) - Differential Diagnosis of the Headache

Treatment

Cochrane Reviews - Neck Pain/Headache
Mechanical Neck Pain (13)
Herbal medicine for cervical degenerative disc disease HTML
Conservative treatments for whiplash HTML
Acupuncture for neck disorders HTML
Electrotherapy for neck disorders HTML
Exercises for mechanical neck disorders HTML
Manipulation and mobilisation for mechanical neck disorders HTML
Massage for mechanical neck disorders HTML
Mechanical traction for mechanical neck disorders HTML
Medicinal and injection therapies for mechanical neck disorders HTML
Multidisciplinary biopsychosocial rehabilitation for neck and shoulder pain among working age adults HTML
Orthoses for mechanical neck disorders HTML
Patient education for mechanical neck disorders HTML
Radiofrequency denervation for neck and back pain HTML
Work conditioning, work hardening and functional restoration for workers with back and neck pain HTML
Worksite intervention for neck and back disorders in workers HTML
Transcutaneous electrical nerve stimulation for acute pain HTML
Ergonomic and physiotherapeutic interventions for treating work-related complaints of the arm, neck or shoulder in adults Record

Headache and migraine (26)
Behavioral therapies for migraine HTML
Muscle relaxants versus placebo for tension‑type headache prophylaxis HTML
Posture and fluids for preventing post‑dural puncture headache HTML
Non‑invasive physical treatments for chronic/recurrent headache HTML
Acupuncture for idiopathic headache HTML

J Orofac Pain. 2007 Fall;21(4):318-28.A randomized clinical trial assessing the efficacy of adding 6 x 6 exercises to self-care for the treatment of masticatory myofascial pain.
Power Points - Osteopathic Health and Wellness Institute (OHWI)
Muscle Energy I (Introduction & Cervical Spine)
Myofascial Release I (Cervical, Thorax & Ribcage)
Spine. 2007 Dec 15;32(26):2933-40; discussion 2941-2.Artificial disc versus fusion: a prospective, randomized study with 2-year follow-up on 99 patients.
Spine. 2007 Oct 15;32(22):2415-22.Qigong and exercise therapy in patients with long-term neck pain: a prospective randomized trial.
Curr Pain Headache Rep. 2007 Dec;11(6):471-7.Challenges of nonpharmacologic interventions in chronic tension-type headache.
Clin J Pain. 2008 Jan;24(1):5-10.The analgesic effect of botulinum-toxin A on postwhiplash neck pain.
Pain Med. 2008 Mar;9(2):196-203.The nature of neck pain in a private pain clinic in the United States.
Phys Ther. 2008 Mar 13 [Epub ahead of print]
Muscle Activation During Selected Strength Exercises in Women With Chronic Neck Muscle Pain.

Guidelines

Phys Ther. 2001 Oct;81(10):1701-17.Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for neck pain.
Spine. 2008 Feb 15;33(4 Suppl):S199-213.Treatment of neck pain: noninvasive interventions: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Clinical practice implications of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders: from concepts and findings to recommendations.
Spine. 2008 Feb 15;33(4 Suppl):S184-91.Identifying the best treatment among common nonsurgical neck pain treatments: a decision analysis.

Prognosis

Spine. 2008 Feb 15;33(4 Suppl):S93-100.Course and prognostic factors for neck pain in workers: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders.
Cephalalgia. 2008 Mar;28(3):264-75.Predictor variables for identifying patients with chronic tension-type headache who are likely to achieve short-term success with muscle trigger point therapy.
Spine. 2007 Dec 1;32(25):E764-80.A systematic literature review of physical prognostic factors for the development of Late Whiplash Syndrome.
JAMA. 2008 Feb 13;299(6):656-64.Expenditures and health status among adults with back and neck problems.

Sunday, October 19, 2008

October 2008

Eura Medicophys. 2007 Mar;43(1):91-118.
Manual therapy for neck pain: an overview of randomized clinical trials and systematic reviews.
J Manipulative Physiol Ther. 2008 Sep;31(7):525-33.
Clinical assessment of the deep cervical flexor muscles: the craniocervical flexion test.
J Manipulative Physiol Ther. 2008 Sep;31(7):491-502.
The Neck Disability Index: state-of-the-art, 1991-2008.
Am J Phys Med Rehabil. 2008 Sep 10.
Assessment of Chronic Neck Pain and a Brief Trial of Cervical Strengthening.

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