Management of patients with neck pain
https://doi.org/10.14412/2074-2711-2016-1-4-8
Abstract
Neck pain (cervicalgia) occupies one of the leading places among the reasons for outpatient visits, 75% of people have experienced neck pain at least once in their lives. In most cases, neck pain regresses; however, it recurs in almost one half of patients. The paper gives data on the risk factors, mechanisms, course, and prognosis of cervicalgia. It discusses the issues of differential diagnosis, examination, and approaches to treating this condition in these patients. Nonsteroidal anti-inflammatory drugs are most effective in treating patients with acute cervicalgia. Therapeutic exercises and manual therapy are indicated in patients with chronic cervicalgia. There is evidence on the efficacy and safety of meloxicam for the management of acute and chronic cervicalgia.
About the Authors
E. A. Chechet
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia 11, Rossolimo St., Moscow 119021
Russian Federation
Department of Nervous System Diseases and Neurosurgery
Russian Federation
Department of Nervous System Diseases and Neurosurgery
V. A. Parfenov
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia 11, Rossolimo St., Moscow 119021
Russian Federation
Department of Nervous System Diseases and Neurosurgery
Russian Federation
Department of Nervous System Diseases and Neurosurgery
References
1. Murray CJ, Atkinson C, Bhalla K, et al. The state of US health, 1990-2010: burden of diseases, injuries, and risk factors. JAMA. 2013 Aug 14;310(6):591-608. doi: 10.1001/jama.2013.13805.
2. Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc. 2015 Feb;90(2):284-99. doi: 10.1016/j.mayocp.2014.09.008.
3. Son KM, Cho NH, Lim SH, Kim HA. Prevalence and risk factor of neck pain in elderly Korean community residents. J Korean Med Sci. 2013 May;28(5):680-6. doi: 10.3346/jkms. 2013.28.5.680. Epub 2013 May 2.
4. Carroll LJ, Hogg-Johnson S, van der Velde G. Course and prognostic factors for neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. J Manipulative Physiol Ther. 2009 Feb;32(2 Suppl):S87-96. doi: 10.1016/j.jmpt.2008.11.013.
5. Vincent HK, Adams MC, Vincent KR, Hurley RW. Musculo- skeletal pain, fear avoidance behaviors, and functional decline in obesity: potential interventions to manage pain and main-tain function. Reg Anesth Pain Med. 2013 Nov-Dec;38(6):481-91. doi: 10.1097/AAP.0000000000000013.
6. Cote P, van der Velde G, Cassidy JD, et al. The burden and determinants of neck pain in workers: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. J Manipulative Physiol Ther. 2009 Feb;32(2 Suppl):S70-86. doi: 10.1016/j.jmpt.2008.11.012.
7. Подчуфарова ЕВ, Яхно НН. Боль в спине. Москва: ГЭОТАР-Медиа; 2010. 368 с. [Podchufarova EV, Yakhno NN. Bol' v spine [Back pain]. Moscow: GEOTAR-Media; 2010. 368 p.]
8. Gore DR, Sepic SB, Gardner GM, Murray MP. Neck pain: a long-term follow-up of 205 patients. Spine (Phila Pa 1976). 1987 Jan-Feb;12(1):1-5.
9. Maigne JY, Deligne L. Computed tomographic follow-up study of 21 cases of nonoperatively treated cervical intervertebral soft disc herniation. Spine (Phila Pa 1976). 1994 Jan 15;19(2):189-91.
10. Mochida K, Komori H, Okawa A, et al. Regression of cervical disc herniation observed on magnetic resonance images. Spine (Phila Pa 1976). 1998 May 1;23(9):990-5; discussion 996-7.
11. Saal JA. Natural history and nonoperative treatment of lumbar disc herniation. Spine (Phila Pa 1976). 1996 Dec 15;21(24 Suppl): 2S-9S.
12. Dreyfuss P, Michaelsen M, Fletcher D. Atlanto-occipital and lateral atlanto-axial joint pain patterns. Spine (Phila Pa 1976). 1994 May 15;19(10):1125-31.
13. Rubinstein SM, Pool JJ, van Tulder MW, et al. A systematic review of the diagnostic accuracy of provocative tests of the neck for diagnosing cervical radiculopathy. Eur Spine J. 2007 Mar;16(3):307-19. Epub 2006 Sep 30.
14. Malanga GA, Landes P, Nadler SF. Provocative tests in cervical spine examination: historical basis and scientific analyses. Pain Physician. 2003 Apr;6(2):199-205.
15. Cook CE, Hegedus E, Pietrobon R, Goode A. A pragmatic neurological screen for patients with suspected cord compressive myelopathy. Phys Ther. 2007 Sep;87(9): 1233-42. Epub 2007 Jul 17.
16. Fast A, Parikh S, Marin EL. The shoulder abduction relief sign in cervical radiculopathy. Arch Phys Med Rehabil. 1989 May;70(5):402-3.
17. Freischlag J, Orion K. Understanding thoracic outlet syndrome. Scientifica (Cairo). 2014;2014:248163. doi: 10.1155/2014/248163. Epub 2014 Jul 20.
18. Matsumoto M, Okada E, Ichihara D, et al. Prospective ten-year follow-up study comparing patients with whiplash-associated disorders and asymptomatic subjects using magnetic resonance imaging. Spine (Phila Pa 1976). 2010; 35(18):1684-1690.
19. Котельников ГП, Эйдлин ЕГ, Хабиров ФА и др. Хлыстовая травма шеи. Казанский медицинский журнал . 2011;92(2):240-3. [Kotel'nikov GP, Eidlin EG, Khabirov FA, et al. Whiplash neck injury. Kazanskii meditsinskii zhurnal. 2011;92(2): 240-3. (In Russ.)].
20. Matsumoto M, Fujimura Y, Suzuki N, et al. MRI of cervical intervertebral discs in asymptomatic subjects. J Bone Joint Surg Br. 1998 Jan;80(1):19-24.
21. Gross AR, Goldsmith C, Hoving JL, et al. Conservative management of mechanical neck disorders: a systematic review. J Rheumatol. 2007 May;34(5):1083-102. Epub 2007 Jan 15.
22. Tsakitzidis G, Remmen R, Dankaerts W, Van Royen Р. Non-specific neck pain and evidence-based practice. European Scientific Journal 2013 Jan; 9(3):1857-7881.
23. 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.
24. Bronfort G, Evans R, Anderson AV, et al. Spinal manipulation, medication, or home exercise with advice for acute and subacute neck pain: a randomized trial. Ann Intern Med. 2012 Jan 3;156(1 Pt 1):1-10. doi: 10.7326/0003- 4819-156-1-201201030-00002.
25. Hawkey C, Kahan A, Steinbrü К, et al. Gastrointestinal tolerability of meloxicam compared to diclofenac in osteoarthritis patients. Br J Rheumatol. 1998 Sep;37(9):937-45.
26. Dequeker J, Hawkey C, Kahan A, et al. Improvement in gastrointestinal tolerability of the selective cyclooxygenase (COX)-2 inhibitor, meloxicam, compared with piroxicam: results of the Safety and Efficacy Largescale Evaluation of COX- inhibiting Therapies (SELECT) trial in osteoarthritis. Br J Rheumatol. 1998 Sep;37(9):946-51.
27. Wojtulewsky JA, Schattenkirchner M, Barselo P, et al. A siх-month double-blend trial to compare the efficacy and safety of meloхicam 7.5 and naproхen 750 mg daily in patients with rheumatoid arthritis. Br J Rheumatol. 1996 Apr;35 Suppl 1:22-8.
28. Asghar W, Jamali F. The effect of COX-2- selective meloxicam on the myocardial, vascular and renal risks: a systematic review. Inflammopharmacology. 2015 Feb;23(1):1-16. doi: 10.1007/s10787-014-0225-9. Epub 2014 Dec 17.
29. Aghadavoudi O, Saryazdi HH, Shafa A, et al. Comparison of pre-emptive effect of meloxicam and celecoxib on post-operative analgesia: a double-blind, randomized clinical trial. Middle East J Anaesthesiol. 2015 Oct;23(3):289-94.
30. Rainsford KD, Ying C, Smith FC. Effects of meloxicam, compared with other NSAIDs, on cartilage proteoglican metabolism, synovial prostaglandin E2, and production of interleukin 1, 6, 8, in human and pocine explants in organ culture. J Pharm Pharmacol. 1997 Oct;49(10):991-8.
31. Bogduk N. Neck and headaches. Neurol Clin. 2014 May;32(2):471-87. doi: 10.1016/j.ncl.2013.11.005. Epub 2014 Feb 28.
Review
For citations:
Chechet EA, Parfenov VA. Management of patients with neck pain. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2016;8(1):4-8. (In Russ.) https://doi.org/10.14412/2074-2711-2016-1-4-8
Views:
1784
Email this article 