Neck pain differential diagnosis: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
m (Bot: Removing from Primary care)
 
(28 intermediate revisions by the same user not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Neck pain}}
{{Neck pain}}
Please help WikiDoc by adding content here.  It's easy!  Click  [[Help:How_to_Edit_a_Page|here]]  to learn about editing.
==Overview==
There is extensive  differential diagnosis for neck pain.Varity of diseases manifest as neck pain.The most causes are biomechanical
axial neck pain, whiplash associated disorder (WAD),radiculopathy, cervical myelopathy, infection, neoplasm, rheumatic causes, trauma, referred pain and fibromyalgia.
 
==Differentiating neck pain from other Diseases==
 
There is extensive  differential diagnosis for neck pain.Varity of diseases manifest as neck pain.The most causes are biomechanical
axial neck pain, whiplash associated disorder (WAD),radiculopathy, cervical myelopathy, infection, neoplasm, rheumatic causes, trauma, referred pain and fibromyalgia.<ref name="pmid15575026">{{cite journal| author=Douglass AB, Bope ET| title=Evaluation and treatment of posterior neck pain in family practice. | journal=J Am Board Fam Pract | year= 2004 | volume= 17 Suppl | issue=  | pages= S13-22 | pmid=15575026 | doi=10.3122/jabfm.17.suppl_1.s13 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15575026  }} </ref>
 
 
 
 
===Differentiating neck pain from other diseases ===
 
 
{| class="wikitable"
|+
! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases
! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |symptoms
! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |physical examination
|-
   
|+
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cervical strain]]
|Pain , stiffness on neck movement
|Tenderness on palpation of neck and [[Trapezius muscle|trapezius]] muscles
|-
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Whiplash injury|"Whiplash" injury]]
|Pain on neck movement following an abrupt extension–flexion type injury ,headache, shoulder or back pain, dizziness, [[Paresthesia|paresthesias]], fatigue
|Decreased range of motion associated with neck spasm
|-
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cervical disc disease|Cervical discogenic pain]]
|Pain , stiffness on neck movement,cervical radicular symptoms
|Decreased range of motion with pain
|-
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cervical myofascial pain]]
|Focal pain and pressure sensitivity;accompanied by a sensation of burning or stinging
|Localized tenderness
|-
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cervical radiculopathy]]
|Pain, numbness,tingling in a dermatomal distribution,weakness in upper extremity
|Decreased or altered sensation, diminished [[Deep tendon reflex|deep tendon reflexes]]
|-
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cervical spondylotic myelopathy]]
|Lower extremity weakness, gait or coordination difficulties, and bowel or bladder dysfunction
|Focal neurologic signs in upper and/or lower, Lhermitte's sign
|-
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Ossification of the posterior longitudinal ligament]]
|neck pain, progressive [[radiculopathy]], [[myelopathy]] symptoms
|Focal neurologic signs in upper and/or lower extremities
|-
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Tension headache]]
|Bilateral headache, which may be associated with neck pain; no other neurologic symptoms
|Localized tenderness on palpation of scalp and neck,no neurologic abnormalities
|
|-
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Coronary artery disease]]
|Chest pain with radiation to neck
|Normal
|-
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Infection]]
|Fever,depending on nature of infection
|depending on nature of infection
|-
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Malignancy]]
|Unexplained weight loss
|Localized tenderness on palpation of spine
|-
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Referred shoulder pain ]]
|Shoulder pain with radiation to neck
|Localized tenderness on shoulder exam
|-
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Polymyalgia rheumatica]]
|morning stiffness in shoulders
|Decreased range of motion of joints
|-
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Fibromyalgia]]
|Diffuse musculoskeletal pain with fatigue
|Multiple soft tissue "tender points
|-
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Thoracic outlet syndrome]]
|Upper extremity neurologic paresthesias,swelling, pain in the hand
|Focal neurologic signs in upper extremities, sensory deficits, swelling, cyanosis or pallor
|-
 
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Esophageal obstruction]]
|[[Dysphagia]]
|Normal
|}<ref name="pmid15575026">{{cite journal| author=Douglass AB, Bope ET| title=Evaluation and treatment of posterior neck pain in family practice. | journal=J Am Board Fam Pract | year= 2004 | volume= 17 Suppl | issue=  | pages= S13-22 | pmid=15575026 | doi=10.3122/jabfm.17.suppl_1.s13 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15575026  }} </ref><ref name="pmid19445809">{{cite journal| author=Binder AI| title=Neck pain. | journal=BMJ Clin Evid | year= 2008 | volume= 2008 | issue=  | pages= | pmid=19445809 | doi= | pmc=2907992 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19445809  }} </ref><ref name="pmid17369782">{{cite journal| author=Binder A| title=The diagnosis and treatment of nonspecific neck pain and whiplash. | journal=Eura Medicophys | year= 2007 | volume= 43 | issue= 1 | pages= 79-89 | pmid=17369782 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17369782  }} </ref>
<ref name="pmid25963463">{{cite journal| author=Capó-Juan MA| title=[Cervical myofascial pain syndrome. Narrative review of physiotherapeutic treatment]. | journal=An Sist Sanit Navar | year= 2015 | volume= 38 | issue= 1 | pages= 105-15 | pmid=25963463 | doi=10.23938/ASSN.0058 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25963463  }} </ref>
 
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Latest revision as of 15:49, 23 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 differential diagnosis On the Web

Most recent articles

Most cited articles

Review articles

Programs

Powerpoint slides

[1]

American Roentgen Ray Society Images of Neck pain differential diagnosis

All Images
[2]
Echo & Ultrasound
CT Images
MRI

Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA onNeck pain differential diagnosis

CDC on Neck pain differential diagnosis

pain differential diagnosis in the news

Blogs on Neck pain differential diagnosis

Directions to Hospitals Treating Neck pain

Risk calculators and risk factors for Neck pain differential diagnosis

Overview

There is extensive differential diagnosis for neck pain.Varity of diseases manifest as neck pain.The most causes are biomechanical axial neck pain, whiplash associated disorder (WAD),radiculopathy, cervical myelopathy, infection, neoplasm, rheumatic causes, trauma, referred pain and fibromyalgia.

Differentiating neck pain from other Diseases

There is extensive differential diagnosis for neck pain.Varity of diseases manifest as neck pain.The most causes are biomechanical axial neck pain, whiplash associated disorder (WAD),radiculopathy, cervical myelopathy, infection, neoplasm, rheumatic causes, trauma, referred pain and fibromyalgia.[1]



Differentiating neck pain from other diseases

Diseases symptoms physical examination
Cervical strain Pain , stiffness on neck movement Tenderness on palpation of neck and trapezius muscles
"Whiplash" injury Pain on neck movement following an abrupt extension–flexion type injury ,headache, shoulder or back pain, dizziness, paresthesias, fatigue Decreased range of motion associated with neck spasm
Cervical discogenic pain Pain , stiffness on neck movement,cervical radicular symptoms Decreased range of motion with pain
Cervical myofascial pain Focal pain and pressure sensitivity;accompanied by a sensation of burning or stinging Localized tenderness
Cervical radiculopathy Pain, numbness,tingling in a dermatomal distribution,weakness in upper extremity Decreased or altered sensation, diminished deep tendon reflexes
Cervical spondylotic myelopathy Lower extremity weakness, gait or coordination difficulties, and bowel or bladder dysfunction Focal neurologic signs in upper and/or lower, Lhermitte's sign
Ossification of the posterior longitudinal ligament neck pain, progressive radiculopathy, myelopathy symptoms Focal neurologic signs in upper and/or lower extremities
Tension headache Bilateral headache, which may be associated with neck pain; no other neurologic symptoms Localized tenderness on palpation of scalp and neck,no neurologic abnormalities
Coronary artery disease Chest pain with radiation to neck Normal
Infection Fever,depending on nature of infection depending on nature of infection
Malignancy Unexplained weight loss Localized tenderness on palpation of spine
Referred shoulder pain Shoulder pain with radiation to neck Localized tenderness on shoulder exam
Polymyalgia rheumatica morning stiffness in shoulders Decreased range of motion of joints
Fibromyalgia Diffuse musculoskeletal pain with fatigue Multiple soft tissue "tender points
Thoracic outlet syndrome Upper extremity neurologic paresthesias,swelling, pain in the hand Focal neurologic signs in upper extremities, sensory deficits, swelling, cyanosis or pallor
Esophageal obstruction Dysphagia Normal

[1][2][3]

[4]

References

  1. ↑ 1.0 1.1 Douglass AB, Bope ET (2004). "Evaluation and treatment of posterior neck pain in family practice". J Am Board Fam Pract. 17 Suppl: S13–22. doi:10.3122/jabfm.17.suppl_1.s13. PMID 15575026.
  2. ↑ Binder AI (2008). "Neck pain". BMJ Clin Evid. 2008. PMC 2907992. PMID 19445809.
  3. ↑ Binder A (2007). "The diagnosis and treatment of nonspecific neck pain and whiplash". Eura Medicophys. 43 (1): 79–89. PMID 17369782.
  4. ↑ Capó-Juan MA (2015). "[Cervical myofascial pain syndrome. Narrative review of physiotherapeutic treatment]". An Sist Sanit Navar. 38 (1): 105–15. doi:10.23938/ASSN.0058. PMID 25963463.

Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Neck_pain_differential_diagnosis&oldid=1691585"