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Monday, November 26, 2012

Neck Pain

Neck pain is less common than back pain and is significant problem in the elderly. It is more common in female than male. Most prolapse (70 %) affect the C6 disc, compressing the C7 root: 20 % affects C5.

Causes of Neck Pain:

a.      Mechanical:

·         Postural
·         Disc prolapse
·         Whiplash injury
·         Cervical spondylosis

b.      Inflammatory:

·         Rheumatoid arthritis
·         Spondylitis
·         Infection
·         Polymyalgia rheumatica

·         Juvenile idiopathic arthritis

c.       Metabolic bone diseases:

·         Osteoporosis
·         Paget’s disease
·         Osteomalacia

d.      Neoplasia:

·         Metastasis
·         Myeloma

e.       Referred pain:

·         Pharynx problems
·         Aortic aneurysm
·         Cervical lymph nodes
·         Myocardial infarction
·         Teeth pain
·         Angina pectoris

Sign and symptoms:

·         Pain: Pain is aggravated by turning head, up or down. The pain may radiate to the upper limb.
·         Limited cervical ROM
·         Stiffness of neck
·         Parasthesis due to Radicular pain

Investigations:

X – Ray:
o   To know osteophytes
o   Disc compression

MRI: Cervical spine

Treatment:

Non specific pain:

Analgesics
Physiotherapy
Cervical colar

Acute strain: (Musculo – tendinous)

Immobilization
Analgesic
Cervical colar
Physiotherapy

Herniated disc:

Cervical traction
Analgesic
Physiotherapy
Surgery

Arthritis:

DMARDs
Analgesics
Physiotherapy
Surgery

5 comments:

Praveen Pandey said...

thanx for sharing your post, i just tell you, if you are worried about any kind of pain, then u must try some cervical supports for ur pain. Cervical Support are the best solution for cervical pain, Healthgenie is providing ortho supports of various brands such as lp, tynor, paramount at huge discount.

Wheelchair said...

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Wheelchair India said...

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Wheelchair India said...

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Keep Posting:)

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