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Rheumatic Disease
Published in John S. Axford, Chris A. O'Callaghan, Medicine for Finals and Beyond, 2023
The causes of neck pain are similar to those of low back pain and may be summarized as in LOW BACK PAIN AT A GLANCE, except that mechanical pain is limited to OA or prolapsed cervical disc or is non-specific in nature (e.g. posture) and referred pain commonly relates to visceral or cardiovascular disease (e.g. cardiac ischaemia).
A to Z Entries
Published in Clare E. Milner, Functional Anatomy for Sport and Exercise, 2019
General poor posture, in either everyday life or specific sports, can lead to neck pain. The cervical spine tends to be overloaded when other parts of the body are in poor alignment, because it is flexible and directly responsible for the position of the head.
Neck and shoulder pain
Published in Gill Wakley, Ruth Chambers, Paul Dieppe, Musculoskeletal Matters in Primary Care, 2018
Gill Wakley, Ruth Chambers, Paul Dieppe
Neck symptoms are often diffuse and can spread into the trapezii and scapula regions. Neck pain can be divided into uncomplicated pain, whiplash, and pain with radiculopathy.15 The causes are poorly understood. Most uncomplicated pain is caused by poor posture, anxiety and depression, neck strain or sport- or work-related injuries. When pain becomes chronic, the boundaries between ageing changes and causative changes to the joints are difficult to define. Just as with osteoarthritis in other areas, consider carefully whether structural changes (usually referred to as cervical spondylosis) have any relevance to the symptomatology. Cervical spondylosis is more common with increasing age of the patient, and the degree of structural change does not correlate with neck symptoms. Soft tissue injury may occur in whiplash. Rare causes of neck pain include disc prolapse and inflammatory, infective or malignant conditions with or without neurological involvement. Pain that is referred to the arm may indicate irritation or entrapment of a nerve root.
The effect of ultrasound or phonophoresis as an adjuvant treatment for non-specific neck pain: systematic review of randomised controlled trials
Published in Disability and Rehabilitation, 2022
Kinley Dorji, Nadine Graham, Luciana Macedo, Janelle Gravesande, Charles H. Goldsmith, Geoffrey Gelley, Maureen Rice, Patricia Solomon
Neck pain is a common musculoskeletal disorder in adults and a major cause of impairment and disability [1]. Neck pain has been identified as a fourth leading cause of disability worldwide and is considered a major public health issue, affecting physical, psychological, and overall well-being [1–4]. Neck pain also results in a substantial socioeconomic burden escalating the cost to society and contributing to loss of work productivity [1–3]. Approximately two-thirds of the population will experience neck pain at some point in their lifetime [5] with an annual prevalence rate of 15–50% [2,5–7]. It has been suggested that the prevalence of neck pain will grow dramatically in the coming decades as sedentary work positions rise and the ageing populations of low and medium-income countries increase [1]. Contrary to traditional beliefs, signs, and symptoms of neck pain do not resolve on their own in a relatively high percentage of individuals [8] and many will require short-term or long-term treatment.
Radiographic predictive findings of neck pain in patients with ankylosing spondylitis
Published in British Journal of Neurosurgery, 2021
Jae Young Cho, Wonseok Park, Dong Suk Kim, Seung Min Son, Jung Sub Lee
In recent years, demands for active treatments to improve the quality of life for AS patients have increased due to an increasing number of elderly individuals. Many studies have addressed fixed sagittal imbalances and surgical treatments. Although a previous study has reported the relationship between cervical sagittal alignment and the quality of life in AS patients,8 it did not reveal radiographic predictors of neck pain in an upright standing lateral radiograph. Thus, we hypothesized that a more comprehensive understanding of relationships between neck pain and radiological findings was needed in AS, which would be useful for early detection and treatment planning in AS patients. Accordingly, the purpose of this study was to evaluate the relationships between neck pain and radiological findings in AS patients.
The effectiveness of general physical exercise for individuals with chronic neck pain: a systematic review of randomised controlled trials
Published in European Journal of Physiotherapy, 2020
Rutger M. J. de Zoete, Lauren Brown, Katie Oliveira, Liam Penglaze, Rachelle Rex, Bronte Sawtell, Tegan Sullivan
To be included, studies had to report on a randomised controlled trial investigating an intervention including any type of general physical exercise (e.g. yoga, Pilates, walking, and whole body exercises) in individuals with chronic neck pain. Any reported control group was included as long as it did not include general, whole-body physical exercise (i.e. a control intervention consisting of neck-specific exercises was included). In this review, physical exercise is used as an umbrella term incorporating any general whole-body exercise that is not specific to the neck. Chronic neck pain was defined as neck pain lasting longer than 12 weeks [34]. The physical exercise intervention had to be compared to interventions including usual care such as manual therapy, specific neck exercises, pharmacology or education and outcome measures of interest were primarily pain intensity measured on a Visual Analogue Scale (VAS), neck disability assessed with the Neck Disability Index (NDI) or Neck Pain and Disability scale (NPAD), and secondary quality of life assessed on the Short Form Health Survey (SF-36). Any study setting appropriate for the delivery of an exercise intervention was included, whereas settings such as intensive care units and other inpatient wards were excluded. Studies reporting individuals with inflammatory causes of neck pain were excluded.