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Part of the book series: Current Clinical Practice ((CCP))

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Abstract

  • Neck pain affects about 15% of children and adults.

  • Abnormal cervical imaging studies occur in about one-third of asymptomatic young adults and the majority of asymptomatic adults 40 years of age or older.

  • Risk factors for developing neck pain include stress, heavy work, prolonged neck flexion, obesity, smoking, depression, and anxiety.

  • Neck pain disorders are distinguished by identifying myofascial, mechanical, and neurological abnormalities on exam.

  • Musculoskeletal neck pain is effectively managed with physical therapy, acupuncture, and other pain management techniques.

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References

  1. Bot AM, van der Waal JM, Terwee CB, et al. Incidence and prevalence of complaints of the neck and upper extremity in general practice. Ann Rheum Dis 2005;64:118–123.

    Article  PubMed  CAS  Google Scholar 

  2. Côté P, Cassidy JD, Carroll LJ, Kristman V. The annual incidence and course of neck pain in the general population: a population-based cohort study. Pain 2004;112:267–273.

    Article  PubMed  Google Scholar 

  3. Webb R, Brammah T, Lunt M, et al. Prevalence and predictors of intense, chronic, and disabling neck and back pain in the UK general population. Spine 2003;28:1195–1202.

    Article  PubMed  Google Scholar 

  4. Gore DR. Roentgenographic findings in the cervical spine in asymptomatic persons. A ten-year follow-up. Spine 2001;26:2463–2466.

    Article  PubMed  CAS  Google Scholar 

  5. Gore DR, Sepic SB, Gardner GM. Roentgenographic findings of the cervical spine in asymptomatic people. Spine 1986;11:521–524.

    Article  PubMed  CAS  Google Scholar 

  6. Boden SD, McCorwin PR, Davis DO, et al. Abnormal magnetic-resonance scans of the cervical spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am 1990;72:1178–1184.

    PubMed  CAS  Google Scholar 

  7. Lehto IJ, Tertti MO, Komu ME, et al. Age-related MRI changes at 0.1 T in cervical discs in asymptomatic subjects. Neuroradiology 1994;36:49–53.

    Article  PubMed  CAS  Google Scholar 

  8. Siivola SM, Levoska S, Ilkko E, Vanharanta H, Keinänen-Kiukaanniemi S. MRI changes of cervical spine in asymptomatic and symptomatic young adults. Eur Spine J 2002;11:358–363.

    Article  PubMed  Google Scholar 

  9. Linton SJ. A review of psychological risk factors in back and neck pain. Spine 2000;25:1148–1156.

    Article  PubMed  CAS  Google Scholar 

  10. Luime JJ, Kuiper JI, Koes BW, et al. Work-related risk factors for the incidence and recurrence of shoulder and neck complaints among nursing-home and elderly-care workers. Scand J Work Environ Health 2004;30:279–286.

    PubMed  Google Scholar 

  11. Palmer KT, Syddall H, Cooper C, Coggon D. Smoking and musculoskeletal disorders: findings from a British national survey. Ann Rheum Dis 2003;62:33–36.

    Article  PubMed  CAS  Google Scholar 

  12. Palmer KT, Walker-Bone K, Griffin MJ, et al. Prevalence and occupational associations of neck pain in the British population. Scand J Work Environ Health 2001;27:49–56.

    PubMed  CAS  Google Scholar 

  13. Andersen JH, Kaergaard A, Mikkelsen S, et al. Risk factors in the onset of neck/ shoulder pain in a prospective study of workers in industrial and service companies. Occup Environ Med 2003;60:649–654.

    Article  PubMed  CAS  Google Scholar 

  14. Nardin RA, Patel MR, Gudas TF, Rutkove SB, Raynor EM. Electromyography and magnetic resonance imaging in the evaluation of radiculopathy. Muscle Nerve 1999;22:151–155.

    Article  PubMed  CAS  Google Scholar 

  15. Radhakrishnan K, Litchy WJ, O’Fallon WM, Kurland LT. Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 through 1990. Brain 1994;117:325–335.

    Article  PubMed  Google Scholar 

  16. Smith DR, Wei N, Zhao L, Wang RS. Musculoskeletal complaints and psychosocial risk factors among Chinese hospital nurses. Occup Med (Lond) 2004;54:579–582.

    Article  Google Scholar 

  17. Mikkelsson M, Salminen J, Kautiainen H. Non-specific musculoskeletal pain in preadolescents. Prevalence and 1-year persistence. Pain 1997;73:29–35.

    Article  PubMed  CAS  Google Scholar 

  18. Ståhl M, Mikkelsson M, Kautiainen H, et al. Neck pain in adolescence. A 4-year follow-up of pain-free preadolescents. Pain 2004;110:427–431.

    Article  PubMed  Google Scholar 

  19. De Queiroz LP, Rapoport AM, Sheftell FD. Clinical characteristics of migraine without aura. Arq Neuropsiquiatr 1998;56:78–82.

    PubMed  Google Scholar 

  20. Marcus DA, Scharff L, Mercer S, Turk DC. Musculoskeletal abnormalities in chronic headache: a controlled comparison of headache diagnostic groups. Headache 1999;39:21–27.

    Article  PubMed  CAS  Google Scholar 

  21. Anttila P, Metsähonkala L, Mikkelsson M, et al. Muscle tenderness in pericranial and neck-shoulder region in children with headache. A controlled study. Cephalalgia 2002;22:340–344.

    Article  PubMed  CAS  Google Scholar 

  22. Rossi LN, Cortinovis I, Menegazzo L, et al. Classification criteria and distinction between migraine and tension-type headache in children. Dev Med Child Neurol 2001;43:45–51.

    Article  PubMed  CAS  Google Scholar 

  23. Smith WS, Johnston SC, Skalabrin EJ, et al. Spinal manipulative therapy is an independent risk factor for vertebral artery dissection. Neurology 2003;60:1424–1428.

    PubMed  CAS  Google Scholar 

  24. Dziewas R, Konrad C, Dräger B, et al. Cervical artery dissection—clinical features, risk factors, therapy and outcome in 126 patients. J Neurol 2003;250:1179–1184.

    Article  PubMed  Google Scholar 

  25. Bin Saeed A, Shuaib A, Al-Sulaiti G, Emery D. Vertebral artery dissection: warning symptoms, clinical features and prognosis in 26 patients. Can J Neurol Sci 2000;27:292–296.

    Google Scholar 

  26. Sjaastad O, Fredriksen TA, Pfaffenrath V. Cervicogenic headache: diagnostic criteria. Headache 1998;38:442–445.

    Article  PubMed  CAS  Google Scholar 

  27. Haldeman S, Dagenais S. Cervicogenic headaches: a critical review. Spine J 2001;1:31–46.

    Article  PubMed  CAS  Google Scholar 

  28. Bassi P, Lattuada P, Gomitoni A. Cervical cerebral artery dissection: a multicenter prospective study (preliminary report). Neurol Sci 2003;24(Suppl 1):S4–S7.

    Article  PubMed  Google Scholar 

  29. Harris GR, Susman JL. Managing musculoskeletal complaints with rehabilitation therapy: summary of the Philadelphia Panel evidence-based clinical practice guidelines on musculoskeletal rehabilitation interventions. J Fam Pract 2002;51:1042–1046.

    PubMed  Google Scholar 

  30. Nabeta T, Kawakita K. Relief of chronic neck and shoulder pain by manual acupuncture to tender points—a sham-controlled randomized trial. Complement Ther Med 2002;10:217–222.

    Article  PubMed  CAS  Google Scholar 

  31. Irnich D, Behrens N, Gleditsch J, et al. Immediate effects of dry needling and acupuncture at distant points in chronic neck pain: results of a randomized, double-blind, sham-controlled crossover trial. Pain 2002;99:83–89.

    Article  PubMed  Google Scholar 

  32. Swenson RS. Therapeutic modalities in the management of nonspecific neck pain. Phys Med Rehabil Clin N Am 2003;14:605–627.

    PubMed  Google Scholar 

  33. Ylinen J, Takala E, Nykänen M, et al. Active neck muscle training in the treatment of chronic neck pain in women. JAMA 2003;289:2509–2516

    Article  PubMed  Google Scholar 

  34. Hou C, Tsai L, Cheng K, Chung K, Hong C. Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Arch Phys Med Rehabil 2002;83:1406–1414.

    Article  PubMed  Google Scholar 

  35. van den Heuvel SG, de Looze MP, Hildebrandt VH, The KH. Effects of software programs stimulating regular breaks and exercises on work-related neck and upper-limb disorders. Scand J Work Environ Health 2003;29:106–116.

    PubMed  Google Scholar 

  36. Kadoya S, Iizuka H, Nakamura T. Long-term outcome for surgically treated cervical spondylotic radiculopathy and myelopathy. Neurol Med Chir (Tokyo) 2003;43:228–241.

    Article  Google Scholar 

  37. Heckmann JG, Lang CJ, Zobelein I, et al. Herniated cervical intervertebral discs with radiculopathy: an outcome study of conservatively or surgically treated patients. J Spinal Disord 1999;12:396–401.

    Article  PubMed  CAS  Google Scholar 

  38. Persson LG, Carlsson C, Carlsson JY. Long-lasting cervical radicular pain managed with surgery, physiotherapy, or a cervical collar: a prospective, randomized study. Spine 1997;22:751–758.

    Article  PubMed  CAS  Google Scholar 

  39. Marcus DA. Chronic Pain: A Primary Care Guide to Practical Management. Totowa, NJ: Humana Press, 2005.

    Google Scholar 

  40. Marcus DA, Scharff L, Mercer S, Turk DC. Nonpharmacological treatment for migraine: incremental utility of physical therapy with relaxation and thermal biofeedback. Cephalalgia 1998;18:266–272.

    Article  PubMed  CAS  Google Scholar 

  41. Saper JR, Lake AE, Cantrell DT, Winner PK, White JR. Chronic daily headache prophylaxis with tizanidine: a double-blind, placebo-controlled, multicenter outcome study. Headache 2002;42:470–482.

    Article  PubMed  Google Scholar 

  42. Mellick GA, Mellick LB. Regional head and face pain relief following lower cervical intramuscular anesthetic injection. Headache 2003;43:1109–1111.

    Article  PubMed  Google Scholar 

  43. Silberstein S, Mathew N, Saper J, Jenkins S. Botulinum toxin type A as a migraine preventive treatment. Headache 2000;40:445–450.

    Article  PubMed  CAS  Google Scholar 

  44. Evers S, Vollmer-Haase J, Schwaag S, et al. Botulinum toxin A in the prophylactic treatment of migraine—a randomized, double-blind, placebo-controlled study. Cephalalgia 2004;24:838–843.

    Article  PubMed  CAS  Google Scholar 

  45. International Classification of Headache Disorders. 2nd Edition. Cephalalgia 2004;24(Suppl 1):115–116.

    Google Scholar 

  46. Martelletti P, van Suijlekom H. Cervicogenic headache. Practical approaches to therapy. CNS Drugs 2004;18:793–805.

    Article  PubMed  Google Scholar 

Download references

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(2007). Pain in the Neck. In: Headache and Chronic Pain Syndromes. Current Clinical Practice. Humana Press. https://doi.org/10.1007/978-1-59745-258-8_4

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  • DOI: https://doi.org/10.1007/978-1-59745-258-8_4

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-745-7

  • Online ISBN: 978-1-59745-258-8

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