Neck pain: causes, diagnosis, treatment
https://doi.org/10.14412/2074-2711-2011-354
Abstract
Neck pain is frequently encountered in clinical practice. In most cases, it is unassociated with a serious problem and ends with complete recovery. Nonspecific (mechanical, axial) pain is most common; posttraumatic pain associated with whiplash injury is less frequently encountered; compression (radicular and myelopathic) syndromes are much less frequent. Analysis of complaints and medical histories and neuroorthopedic and neurological examinations allow one to define the major source of pain. Additional studies are indicated in cases of suspected serious pathology, ineffective standard medical therapy, elective manual therapy or neurosurgery. Paracetamol, nonsteroidal anti-inflammatory agents, and myelorelaxants are the drugs of choice in treating acute pain. If these are ineffective, blocks with local anesthetics and glucocorticoids, including diprospan, are used. Early activation and manual therapy are effective. Psychotherapy, therapeutic exercises, manual therapy, and the use of antidepressants and anticonvulsants are indicated for chronic pain. Surgical treatment has limited indications.
About the Author
A. I. Isaikin
I.M. Sechenov First Moscow State Medical University
Russian Federation
Department of Nervous Diseases
Russian Federation
Department of Nervous Diseases
References
1. <div><p>Левин О.С. Диагностика и лечение боли в шее и верхних конечностях. РМЖ 2006;9:713-8.</p><p>Douglass А., Bope E. Evaluation and Treatment of Posterior Neck Pain in Family Practice. J Am Board Fam Med 2004;17(Suppl.1):S13-S22.</p><p>Binder A. Neck pain. BMJ 2008;4:1103.</p><p>Подчуфарова Е.В., Яхно Н.Н. Боль в спине. М.: ГЭОТАР-Медиа, 2010;368 с.</p><p>Алексеев В.В. Неврологические аспекты диагностики и лечения острых вертеброгенных болевых синдромов. Consilium medicum 2008;1:56-63.</p><p>Подчуфарова Е.В., Алексеев В.В., Черненко О.А. и др. Вертеброгенная цервикокраниалгия. Неврол журн 2005;4:44-8.</p><p>Casey E. Natural history of radiculopathy. Phys Med Rehabil Clin N Am 2011;22(1):1-5. Epub 2010 Dec 3.</p><p>Eubank J.D. Cervical Radiculopathy: Nonoperative Management of Neck Pain and Radicular Symptoms. Am Fam Physic 2010;81(1):33-40.</p><p>Gross A.R., Goldsmith C., Hoving J.L. et al. Conservative management of mechanical neck disorders: a systematic review. J Rheum 2007;34(5):1083-102. Epub 2007 Jan 15.</p><p>Manchikanti L., Singh V., Falco F.J. et al. Comparative outcomes of a 2-year follow-up of cervical medial branch blocks in management of chronic neck pain: a randomized, doubleblind controlled trial. Pain Physic 2010;13(5):437-50.</p><p>Kolstad F., Leivseth G., Nygaard O.P. Transforaminal steroid injections in the treatment of cervical radiculopathy. A prospective outcome study. Acta Neurochir (Wien) 2005;147(10):1065-70.</p><p>Valle J.N., Feydy A., Carlier R.Y. еt аl. Chronic cervical radiculopathy: lateralapproach periradicular corticosteroid injection. Radiology 2001;218(3):886-92.</p><p>Алексеев В.В. Бетаметазон (дипроспан) в лечении болевых синдромов. Клин фармакол и тер 2003;5:94-6.</p></div><br />
Review
For citations:
Isaikin AI. Neck pain: causes, diagnosis, treatment. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2011;3(4):94-98. (In Russ.) https://doi.org/10.14412/2074-2711-2011-354
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