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Neck pain: a clinical analysis of causes and therapy priorities

https://doi.org/10.14412/2074-2711-2019-2S-69-75

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Abstract

Neck pain is one of the common causes of maladjustment. Acute neck pain in most cases regresses independently in the period of a few weeks to months; however, it recurs in half of cases. Although the potential specific causes of cervicalgia are rare; nevertheless, in some cases the patient should undergo a detailed examination that is based on the identification of red flags and can optimize a search for the cause of pain syndrome. A consideration of the important principles of classifying pain in acute and chronic, neuropathic and nociceptive pain can serve as an important landmark in choosing the optimal treatment strategy for a patient. Unlike low back pain, neck pain has been investigated in an insufficient number of randomized controlled studies, which makes this analysis extremely relevant. The paper discusses the use of nonsteroidal anti-inflammatory drugs for back pain and the efficacy and safety of celecoxib.

About the Author

G. R. Tabeeva
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine, 

11, Rossolimo St., Build. 1, Moscow 119021



References

1. US Burden of Disease Collaborators. The state of US health, 1990–2010: burden of diseases, injuries, and risk factors. JAMA. 2013;310(6):591-608. doi: 10.1001/jama.2013.13805

2. Hoy DG, Protani M, De R, Buchbinder R. The epidemiology of neck pain. Best Pract Res Clin Rheumatol. 2010;24:783-92. doi: 10.1016/j.berh.2011.01.019

3. Hackett GI, Bundred P, Hutton JL, et al. Management of joint and soft tissue injuries in three general practices: value of on-site physiotherapy. Br J Gen Pract. 1993;43:61-4.

4. Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc. 2015;90(2):284-99. doi: 10.1016/j.mayocp.2014.09.008

5. May S, Gardiner E, Young S, KlaberMoffett J. Predictor variables for a positive long-term functional outcome in patients with acute and chronic neck and back pain treated with a McKenzie approach: a secondary analysis. J Man Manip Ther. 2008;16(3):155-60. doi: 10.1179/jmt.2008.16.3.155

6. Vasseljen O, Woodhouse A, Bjorngaard JH, Leivseth L. Natural course of acute neck and low back pain in the general population: the HUNT study. Pain. 2013;154(8):1237-44. doi: 10.1016/j.pain.2013.03.032

7. Gore DR, Sepic SB, Gardner GM, Murray MP. Neck pain: a long-term followup of 205 patients. Spine (Phila Pa 1976). 1987;12(1):1-5. doi: 10.1097/00007632-198701000-00001

8. 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(pt 2):325-35. doi: 10.1093/brain/117.2.325

9. Vinas FC. Wilner H, Rengachary S. The spontaneous resorption of herniated cervical discs. J Clin Neurosci. 2001;8(6):542-6. doi: 10.1054/jocn.2000.0894

10. Cohen SP, Hooten WM. Advances in the diagnosis and management of neck pain. BMJ. 2017;358:j3221. doi: 10.1136/bmj.j3221

11. Sari H, Akarirmak U, Uludag M. Active myofascial trigger points might be more frequent in patients with cervical radiculopathy. Eur J Phys Rehabil Med. 2012;48:237-44.

12. Isaikin AI. Neck pain: causes, diagnosis, treatment. Nevrologiya, Neiropsikhiatriya, Psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2011;3(4):94-8 (In Russ.). doi: 10.14412/2074-2711-2011-354

13. Chechet EA, Parfenov VA. Management of patients with neck pain. Nevrologiya, Neiropsikhiatriya, Psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2016;8(1):4-8 (In Russ.). doi: 10.14412/2074-2711-2016-1-4-8

14. Teichtahl AJ, McColl G. An approach to neck pain for the family physician. Aust Fam Physician. 2013 Nov;42(11):774-7.

15. Hoving JL, de Vet HC, Koes BW, et al. Manual therapy, physical therapy, or continued care by the general practitioner for patients with neck pain: long-term results from a pragmatic randomized clinical trial. Clin J Pain. 2006;22:370-7. doi: 10.1097/01.ajp.0000180185.79382.3f

16. Kay TM, Gross A, Goldsmith CH. Exercises for mechanical neck disorders. Cochrane Database Syst Rev. 2012 Aug 15;8:CD004250. doi: 10.1002/14651858.CD004250.pub4

17. Driessen MT, Lin CW, van Tulder MW. Cost-effectiveness of conservative treatments for neck pain: a systematic review on economic evaluations. Eur Spine J. 2012;21:1441-50. doi: 10.1007/s00586-012-2272-5

18. Irnich D, Behrens N, Molzen H, et al. Randomised trial of acupuncture compared with conventional massage and «sham» laser acupuncture for treatment of chronic neck pain. BMJ. 2001;322:1574-8. doi: 10.1136/bmj.322.7302.1574

19. Manchikanti L, Helm S, Singh V, et al. An algorithmic approach for clinical management of chronic spinal pain. Pain Phys. 2009;12:E225-64.

20. Falco FJ, Erhart S, Wargo BW, et al. Systematic review of diagnostic utility and therapeutic effectiveness of cervical facet joint interventions. Pain Phys. 2009;12:323-44.

21. Rasu RS, Vouthy K, Crowl AN, et al. Cost of pain medication to treat adult patients with nonmalignant chronic pain in the United States. J Manag Care Pharm. 2014;20(9):921-8. doi: 10.18553/jmcp.2014.20.9.921

22. Babatunde OO, Jordan JL, van der Windt DA, et al. Effective treatment options for musculoskeletal pain in primary care: systematic overview of current evidence. PLoS One. 2017 Jun 22;12(6):e0178621. doi: 10.1371/journal.pone.0178621

23. Machado GC, Maher CG, Ferreira PH, et al. Non-steroidal anti-inflammatory drugs for spinal pain: a systematic review and metaanalysis. Ann Rheum Dis. 2017 Jul;76(7):1269-78. doi: 10.1136/annrheumdis-2016-210597

24. Wong JJ, Cote P, Ameis A, et al. Are nonsteroidal anti-inflammatory drugs effective for the management of neck pain and associated disorders, or non-specific low back pain? A systematic reviews by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Eur Spine J. 2016 Jan;25(1):34- 61. doi: 10.1007/s00586-015-3891-4

25. Karateev AE, Nasonov EL, Ivashkin VT, et al. Rational use of nonsteroidal anti-inflammatory drugs. Clinical guidelines. Nauchno-Prakticheskaya Revmatologiya = Rheumatology Science and Practice. 2018;56(Suppl. 1):1-29 (In Russ.). doi: 10.14412/1995-4484-2018-1-29

26. Moore A, Makinson G, Li C. Patient-level pooled analysis of adjudicated gastrointestinal outcomes in celecoxib clinical trials: metaanalysis of 51,000 patients enrolled in 52 randomized trials. Arthritis Res Ther. 2013 Jan 8;15(1):R6. doi: 10.1186/ar4134

27. Nissen SE, Yeomans ND, Solomon DH, et al. Cardiovascular safety of Celecoxib, Naproxen, or Ibuprofen for arthritis. N Engl J Med. 2016 Dec 29;375(26):2519-29. doi: 10.1056/NEJMoa1611593

28. Walker C. Are All Oral COX-2 Selective Inhibitors the Same? A Consideration of Celecoxib, Etoricoxib, and Diclofenac. Int J Rheumatol. 2018;2018:1302835. doi: 10.1155/2018/1302835

29. Enthoven WT, Roelofs PD, Deyo RA, et al. Non-steroidal anti-inflammatory drugs for chronic low back pain. Cochrane Database Syst Rev. 2016 Feb 10;2:CD012087. doi: 10.1002/14651858.CD012087


For citation:


Tabeeva G.R. Neck pain: a clinical analysis of causes and therapy priorities. Neurology, Neuropsychiatry, Psychosomatics. 2019;11(2S):69-75. (In Russ.) https://doi.org/10.14412/2074-2711-2019-2S-69-75

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)