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Neck

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Pain Medicine

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Abstract

Careful examination of the neck begins with a thorough history and physical examination including strength and sensory testing as well as observation of gait to exclude neurologic involvement. Obtaining a history of aggravating factors is helpful in narrowing down the etiology of pain. For example, pain worse with prolonged neck flexion may signify a disc issue as opposed to pain worse with neck extension, which may suggest facet-mediated pain. Pain worse with lateral flexion causing ipsilateral neck pain may indicate neural compression due to narrowing of the ipsilateral neuroforamen.

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Author information

Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, 2201 Children’s Way Suite 1318, Nashville, TN, 37212, USA

    Aaron Jay Yang MD & Nitin B. Jain MD, MSPH

Authors
  1. Aaron Jay Yang MD
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  2. Nitin B. Jain MD, MSPH
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Corresponding author

Correspondence to Aaron Jay Yang MD .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    R. Jason Yong

  2. Department of Anesthesia and Perioperative Medicine, Brigham and Women’s Hospital/Harvard Medical School, Boston, Massachusetts, USA

    Michael Nguyen

  3. Department of Anesthesiology Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    Ehren Nelson

  4. Harvard Medical School, Brigham and Women’s Health Care Center at Chestnut Hill, Center for Perioperative Research, Sedation for Interventional Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    Richard D. Urman

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© 2017 Springer International Publishing Switzerland

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Yang, A.J., Jain, N.B. (2017). Neck. In: Yong, R., Nguyen, M., Nelson, E., Urman, R. (eds) Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-43133-8_11

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  • DOI: https://doi.org/10.1007/978-3-319-43133-8_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43131-4

  • Online ISBN: 978-3-319-43133-8

  • eBook Packages: MedicineMedicine (R0)

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