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{{Infobox_Disease |
__NOTOC__
  Name          = {{PAGENAME}} |
{{Neck pain}}
  Image          = |
'''For patient information, click [[Neck stiffness/pain (patient information)|here]]'''
  Caption        = |
  DiseasesDB    = 23260 |
  ICD10          = {{ICD10|M|54|2|m|50}} |
  ICD9          = {{ICD9|723.1}} |
  ICDO          = |
  OMIM          = |
  MedlinePlus    = 003025 |
  eMedicineSubj  = |
  eMedicineTopic = |
  MeshID        = D019547 |
}}
{{SI}}


'''Editor-In-Chief:''' [[User:Bobby Schwartz|Robert G. Schwartz, M.D.]] [mailto:RGSHEAL@aol.com], [http://www.piedmontpmr.com Piedmont Physical Medicine and Rehabilitation, P.A.]
'''Editor-In-Chief:''' [[User:Bobby Schwartz|Robert G. Schwartz, M.D.]] [mailto:RGSHEAL@aol.com], [http://www.piedmontpmr.com Piedmont Physical Medicine and Rehabilitation, P.A.] {{AE}} {{NE}}


{{EJ}}
{{SK}} Cervicalgia, neck ache, cervical pain,cervical ache, spinal pain, spinal ache, back pain,back ache, musculoskeletal pain, musculoskeletal ache
==[[Neck pain overview|Overview]]==


==Overview==
==[[Neck pain historical perspective|Historical Perspective]]==
'''Neck pain''' (or '''cervicalgia''') is a common problem, with two-thirds of the population having neck pain at some point in their lives.<ref name="pmid17347239">{{cite journal |author=Binder AI |title=Cervical spondylosis and neck pain |journal=BMJ |volume=334 |issue=7592 |pages=527-31 |year=2007 |pmid=17347239 |doi=10.1136/bmj.39127.608299.80}}</ref> It is increasing in both intensity, frequency and severity of episodes. As people are increasingly sedentary, live fast-paced and hectic lives, they place more stress and strain on the upper back and neck regions of their spines.


Neck pain, although felt in the neck, can be caused by numerous other spinal issues. Neck pain may arise due to muscular tightness in both the neck and upper back. Joint disruption in the neck creates pain, as does joint disruption in the upper back.
==[[Neck pain pathophysiology|Pathophysiology]]==


The head is supported by the lower neck and upper back, and it is these areas that commonly cause neck pain. The top three joints in the neck allow for most movement of your neck and head. The lower joints in the neck and those of the upper back create a supportive structure for your head to sit on. If this support system is affected adversly, then the muscles in the area will tighten, leading to neck pain.
==[[Neck pain causes|Causes]]==


Neck pain may also arise from many other physical and emotional health issues.
==[[Neck pain differential diagnosis|Differentiating Neck Pain from other Diseases]]==


== Neck Pain Causes==
==[[Neck pain epidemiology and demographics|Epidemiology and Demographics]]==


Reasons for neck pain can be complex. Major and severe causes of neck pain include:
==[[Neck pain risk factors|Risk Factors]]==


*'''[[Spondylosis]]''' - degenerative arthritis and osteophytes
==[[Neck pain natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
*'''[[Spinal stenosis]]''' – a narrowing of the spinal canal
*'''[[Spinal disc herniation]]''' – protruding or bulging discs, or if severe prolapse.
*'''Severe degeneration''' – usually as a result of past injuries or whiplash accidents.


The more common and lesser neck pain causes include:
==Diagnosis==
 
[[Neck pain history and symptoms|History and Symptoms]] | [[Neck pain physical examination|Physical Examination]] | [[Neck pain laboratory findings|Laboratory Findings]] | [[Neck pain x ray|X Ray]] | [[Neck pain CT|CT]] | [[Neck pain MRI|MRI]] | [[Neck pain ultrasound|Ulrasound]] | [[Neck pain other imaging findings|Other Imaging Findings]] | [[Neck pain other diagnostic studies|Other Diagnostic Studies]]
*'''[[Stress (medicine)|Stress]]''' – physical and emotional stresses
*'''Prolonged postures''' – many people fall asleep on sofas and chairs and wake with sore necks
*'''Minor injuries and falls''' – car accidents, sporting events and day to day minor injuries
*'''[[Referred pain]]''' – mostly from upper back problems
*'''Over-use''' – muscular strain is one of the most common causes
 
Although the causes are numerous, most are easily rectified by either professional help or using self help advice and techniques.


==Treatment==
==Treatment==
Neck pain is treated by numerous physical therapies. They range in complexity depending on the severity and underlying causes of the pain. Treatment is administered by chiropractic, osteopathic and physical therapy. All of these specialties treat neck pain issues. The benefit of mobilisation and [[Joint manipulation| manipulation]] is not clear.<ref name="pmid14974063">{{cite journal |author=Gross AR, Hoving JL, Haines TA, ''et al'' |title=Manipulation and mobilisation for mechanical neck disorders |journal=Cochrane database of systematic reviews (Online) |volume= |issue=1 |pages=CD004249 |year=2004 |pmid=14974063 |doi=10.1002/14651858.CD004249.pub2}}</ref><ref name="pmid12020139">{{cite journal |author=Hoving JL, Koes BW, de Vet HC, ''et al'' |title=Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain. A randomized, controlled trial |journal=Ann. Intern. Med. |volume=136 |issue=10 |pages=713-22 |year=2002 |pmid=12020139 |doi=}}</ref> Neck pain can also be eased via many self help techniques such as stretching, strength building exercises. Non-traditional methods such as Acupressure, [[Reflexology]] and therapeutic [[massage]] are commonly used as well.
[[Neck pain medical therapy|Medical Therapy]] | [[Neck pain surgery|Surgery]] | [[Neck pain primary prevention|Primary Prevention]] | [[Neck pain secondary prevention|Secondary Prevention]] | [[Neck pain cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Neck pain future or investigational therapies|Future or Investigational Therapies]]


==Prognosis==
== Case Studies ==
About one-half of episodes resolve within one year.<ref name="pmid17347239"/> About 10% of cases become chronic.<ref name="pmid17347239"/>
[[Neck pain case study one|Case #1]]
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==References==
{{reflist|2}}
==External links==
* http://www.arc.org.uk/arthinfo/patpubs/6024/6024.asp  Pain in the neck
{{Pain}}
{{Diseases of the musculoskeletal system and connective tissue}}
{{SIB}}
[[Category:Pain]]
[[Category:Pain]]
 
[[Category:Symptoms]]
{{WH}}
[[Category:Signs and symptoms]]
{{WS}}

Latest revision as of 16:43, 18 February 2021

Neck pain Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Neck Pain from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Neck pain On the Web

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[1]

American Roentgen Ray Society Images of Neck pain

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[2]
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Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA onNeck pain

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Risk calculators and risk factors for Neck pain

For patient information, click here

Editor-In-Chief: Robert G. Schwartz, M.D. [3], Piedmont Physical Medicine and Rehabilitation, P.A. Associate Editor(s)-in-Chief: Niloofarsadaat Eshaghhosseiny, MD[4]

Synonyms and keywords: Cervicalgia, neck ache, cervical pain,cervical ache, spinal pain, spinal ache, back pain,back ache, musculoskeletal pain, musculoskeletal ache

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Neck Pain from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | X Ray | CT | MRI | Ulrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1 Template:WH Template:WS

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