NECK PAIN

Chapter 016. Back and Neck Pain (Part 1) Harrison's Internal Medicine > Chapter 16. Back and Neck Pain Back and Neck Pain: Introduction The importance of back and neck pain in our society is underscored by the following: (1) the cost of[r]

Chapter 016. Back and Neck Pain (Part 6) Congenital Anomalies of the Lumbar Spine Spondylolysis is a bony defect in the pars interarticularis (a segment near the junction of the pedicle with the lamina) of the vertebra; the etiology may be a stress fracture in a congenitally abnormal[r]

Chapter 016. Back and Neck Pain (Part 3) Local pain is caused by stretching of pain-sensitive structures that compress or irritate sensory nerve endings. The site of the pain is near the affected part of the back. Pain referred to the back may arise from a[r]

Chapter 016. Back and Neck Pain (Part 10) Referred Pain from Visceral Disease Diseases of the thorax, abdomen, or pelvis may refer pain to the posterior portion of the spinal segment that innervates the diseased organ. Occasionally, back pain may be the first and[r]

Chapter 016. Back and Neck Pain (Part 7) MRI of lumbar herniated disk; left S1 radiculopathy. Sagittal T1-weighted image on the left with arrows outlining disk margins. Sagittal T2 image on the right reveals a protruding disk at the L5-S1 level (arrows), which displaces the central t[r]

Chapter 016. Back and Neck Pain (Part 11) Psychiatric Disease CLBP may be encountered in patients who seek financial compensation; in malingerers; or in those with concurrent substance abuse, chronic anxiety states, or depression. Many patients with CLBP have a history of psychiatric[r]

Chapter 016. Back and Neck Pain (Part 14) Trauma to the Cervical Spine Trauma to the cervical spine (fractures, subluxation) places the spinal cord at risk for compression. Motor vehicle accidents, violent crimes, or falls account for 87% of spinal cord injuries (Chap. 372). Immediate[r]

Chapter 016. Back and Neck Pain (Part 15) Other Causes of Neck Pain Rheumatoid arthritis (RA) (Chap. 314) of the cervical apophyseal joints produces neck pain, stiffness, and limitation of motion. In advanced RA, synovitis of the atlantoaxial joint (C1-C2;[r]

Chapter 016. Back and Neck Pain (Part 8) Degenerative Conditions Lumbar spinal stenosis describes a narrowed lumbar spinal canal. Neurogenic claudication is the usual symptom, consisting of back and buttock or leg pain induced by walking or standing and relieved by sitting. Sym[r]

Chapter 016. Back and Neck Pain (Part 16) Shoulder Pain arising from the shoulder can on occasion mimic pain from the spine. If symptoms and signs of radiculopathy are absent, then the differential diagnosis includes mechanical shoulder pain (tendonitis, bursitis,[r]

Chapter 016. Back and Neck Pain (Part 12) Algorithms for management of acute low back pain, age ≥18 years. A. Symptoms <3 months, first 4 weeks. B. Management weeks 4–12. 1, entry point from Algorithm C postoperatively or if patient declines surgery. C. Surgical options[r]

Vascular Abdominal aortic aneurysm Vertebral artery dissectionb Other Referred pain from visceral disease Postural Psychiatric, malingering, chronic pain syndromes aLow back pain only. bNeck pain only.

Chapter 016. Back and Neck Pain (Part 9) Neoplasms (See also Chap. 374) Back pain is the most common neurologic symptom in patients with systemic cancer and may be the presenting symptom. The cause is usually vertebral metastases. Metastatic carcinoma (breast, lung, prostate, t[r]

Chapter 016. Back and Neck Pain (Part 2) The posterior portion of the spine consists of the vertebral arches and seven processes. Each arch consists of paired cylindrical pedicles anteriorly and paired laminae posteriorly. The vertebral arch gives rise to two transverse processes late[r]

flexors Axilla and medial arm Abductor pollicis brevis (abduction D1) First dorsal interosseous (abduction D2) Abductor digiti minimi (abduction D5) Medial arm, axilla aThese muscles receive the majority of innervation from this root. Neck pain, which usually arises from diseases of th[r]

* Corresponding author AbstractBackground: Chronic neck pain is a common problem and is often associated with changes insensorimotor functions, such as reduced proprioceptive acuity of the neck, altered coordination ofthe cervical muscles, and increased postural sway. In line wi[r]

In summary, no typical morphological correlatives for thepatient's reproducible pain-symptoms and the limitationof movement of the cervical spine were found, except thebilateral ossification of the stylohyoid ligaments.As the orthopaedic therapies, consisting of physical thera-pies as well as[r]

Chapter 016. Back and Neck Pain (Part 4) The neurologic examination includes a search for focal weakness or muscle atrophy, focal reflex changes, diminished sensation in the legs, and signs of spinal cord injury. The examiner should be alert to the possibility of breakaway weakness,[r]

In the second part of the study, neck pain patients with similar complaints were recruited.These were randomly allocated into real and sham group using block randomization.Both group had 30 patients and they were very much similar to each other in the baselinevalues compared. These pat[r]

Rheumatoid Arthritis in theCervical SpineAbstractThe cervical spine often becomes involved early in the course ofrheumatoid arthritis, leading to three different patterns ofinstability: atlantoaxial subluxation, atlantoaxial impaction, andsubaxial subluxation. Although radiographic changes are commo[r]