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Neck Pain

Cervicalgia


Presentation

  • We present a case of Eagle syndrome in a 77-year-old woman with associated aneurysm and nontraumatic styloid process fracture, without history of tonsillectomy, who presented to the emergency department.[ncbi.nlm.nih.gov]
  • Initial presentation was consistent with the referral, but further assessment by the physiotherapist revealed findings suggestive of CSM.[ncbi.nlm.nih.gov]
  • Abstract Neck pain is a common cause for presentation to an emergency department. Most causes are benign and often secondary to arthritis or injuries. We present a case of septic cervical facet arthritis, a very rare cause of neck pain.[ncbi.nlm.nih.gov]
  • We discuss the clinical presentation, diagnosis and treatment of ES as well as a review of the literature.[ncbi.nlm.nih.gov]
  • This entity is not well recognized due to its nonspecific presentation such as acute neck pain, neck stiffness, and odynophagia. The importance of this disease with a review of the literature is presented.[ncbi.nlm.nih.gov]
Sputum
  • A 32-year-old Chinese woman sought care from our family medicine clinic because she had a headache, neck pain, and an intermittent cough that had produced white sputum for 7 days.[ncbi.nlm.nih.gov]
Angioedema
  • Her symptoms started with myalgia, arthralgia, fever and neck stiffness, and headache, and then angioedema occurred, which was painful to touch.[ncbi.nlm.nih.gov]
Intracranial Hemorrhage
  • However, this condition is often confused with life-threatening conditions such as infection (meningitis or retropharyngeal abscess), intracranial hemorrhage, trauma, herniation of cervical discs, or malignancy (Estimable et al. (2015) [1]).[ncbi.nlm.nih.gov]

Workup

  • Traditional workup could not identify an anatomic or biomechanical cause. Imaging showed a deep cervical vessel centered in the region of pain. Angiography later identified an aberrant anastomosis of this vessel with the occipital artery.[ncbi.nlm.nih.gov]

Treatment

  • Both treatment groups had high expectations of the assigned treatment. Those with high expectations had better treatment outcomes in pain and disability. The relationship between treatment expectations and credibility, pain, and disability was weak.[ncbi.nlm.nih.gov]
  • Overall, 24.5% of the patients with LBP received a low-risk treatment approach, 73.5% a medium-risk, and 2.0% a high-risk treatment approach.[ncbi.nlm.nih.gov]
  • Participants will be randomly allocated to one of four intervention groups: i) local neck treatment, ii) local treatment plus tailored sensorimotor exercises, iii) local treatment plus balance exercises, and iv) local treatment plus sensorimotor and balance[ncbi.nlm.nih.gov]
  • treatment and 6 sessions (2 per week) of the PMSIT technique.[ncbi.nlm.nih.gov]
  • Measures were assessed at pre-treatment and post-treatment.[ncbi.nlm.nih.gov]

Prognosis

  • Prognosis Most cases of torticollis, including congenital muscular torticollis, resolve spontaneously.[patient.info]
  • It is essential for physicians to be familiar with this condition and the associated imaging findings because early diagnosis of such cases is the key to better prognosis.[ncbi.nlm.nih.gov]
  • Patients typically have a good prognosis, and symptoms usually subside within a few weeks. On the other hand, septic arthritis of the lateral atlantoaxial joint requires early diagnosis and antibiotic treatment.[ncbi.nlm.nih.gov]
  • […] radiculopathy “Red flag” symptoms identify the small number of patients who need magnetic resonance imaging, blood tests, and other investigations The best treatments are exercise, manipulation, and mobilisation, or combinations thereof Radiculopathy has a good prognosis[dx.doi.org]

Etiology

  • Overlooking an etiologic hypothesis in acute neck pain with dysphagia may lead to misdiagnosis.[ncbi.nlm.nih.gov]
  • Nonetheless, other etiologies such as trauma and infections need to be considered by clinicians in this particular care setting.[ncbi.nlm.nih.gov]
  • Trauma and infection represent the most common etiologies of pediatric neck pain in the pediatric emergency department (PED) setting.[ncbi.nlm.nih.gov]
  • AIM: Despite the high prevalence of chronic neck pain, there is limited consensus about the primary etiology, risk factors, diagnostic criteria and therapeutic outcome.[ncbi.nlm.nih.gov]
  • PURPOSE: Development of neck pain (NP) in workers has a multifactorial etiology and depends on both individual and workplace factors. The aim of this study was to investigate risk factors for episodic NP in a large diverse sample of active workers.[ncbi.nlm.nih.gov]

Epidemiology

  • CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands. anke.langenfeld@balgrist.ch. 3 CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands. 4 Department of Epidemiology[ncbi.nlm.nih.gov]
  • ., Chamran Highway, Tehran, Iran. 3 Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Poursina St., Shanzdah-e Azar St., Tehran, Iran. 4 Psychiatric Research Center, Tehran University of Medical[ncbi.nlm.nih.gov]
  • Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc . 2015;90(2):284-299. PMID: 25659245 www.ncbi.nlm.nih.gov/pubmed/25659245 . Najera LV, Alleva JT, Mohr N, Origenes AK, Hudgins TH. Cervical sprain or strain.[medlineplus.gov]
  • Clinical and epidemiological research Non-steroidal anti-inflammatory drugs for spinal pain: a systematic review and meta-analysis Gustavo C Machado 1, Chris G Maher 1, Paulo H Ferreira 2, Richard O Day 3, Marina B Pinheiro 2, Manuela L Ferreira 1, 4[doi.org]
  • Epidemiology Neck pain is one of the most common musculoskeletal complaints. About two thirds of the population will experience neck pain at some point in their lives. Women are affected almost twice as much as men.[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • BACKGROUND: Inconsistencies in the literature concerning the effect of neck pain have led to a lack of understanding concerning the complete pathophysiology of neck pain.[ncbi.nlm.nih.gov]
  • The pathophysiology, clinical and radiographic findings, and dramatic response to corticosteroid therapy are reviewed.[ncbi.nlm.nih.gov]
  • The underlying neoplasm and its dissemination are the foremost pathophysiologic mechanism for the development of pain in patients with advanced cancer.[ncbi.nlm.nih.gov]

Prevention

  • However, prompt recognition of this uncommon presentation is important to prevent unnecessary medical and surgical intervention. A 46-year-old Caucasian man presented with a 1-day history of severe neck pain, headache and odynophagia.[ncbi.nlm.nih.gov]
  • Author information 1 Institut Franco-Européen de Chiropraxie, 72 chemin de la Flambère, 31300, Toulouse, France. nlemeunier@ifec.net. 2 UOIT-CMCC Centre for the Study of Disability Prevention and Rehabilitation, University of Ontario Institute of Technology[ncbi.nlm.nih.gov]
  • The treatment of choice is, therefore, a wide and complete surgical excision of the lesion in order to achieve full recovery and prevent recurrence or, in some cases, malignant transformation.[ncbi.nlm.nih.gov]
  • Up until now, this has prevented economic evaluation results from being statistically pooled in the LBP and NP literature, and strong conclusions about the cost-effectiveness of LBP and NP treatments can therefore not be made.[ncbi.nlm.nih.gov]
  • You should use the suggested exercises for at least 6–8 weeks to help prevent symptoms returning.[csp.org.uk]

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