Please forward this error screen to 193. Further documentation brs pathology 5th edition pdf available here. Published by the BMJ Publishing Group Limited.
Neck pain imposes a considerable personal and socioeconomic burden—it is one of the top five chronic pain conditions in terms of prevalence and years lost to disability—yet it receives a fraction of the research funding given to low back pain. Although most acute episodes resolve spontaneously, more than a third of affected people still have low grade symptoms or recurrences more than one year later, with genetics and psychosocial factors being risk factors for persistence. Nearly half of people with chronic neck pain have mixed neuropathic-nociceptive symptoms or predominantly neuropathic symptoms. Few clinical trials are dedicated solely to neck pain.
Muscle relaxants and non-steroidal anti-inflammatory drugs are effective for acute neck pain, and clinical practice is mostly guided by the results of studies performed for other chronic pain conditions. Among complementary and alternative treatments, the strongest evidence is for exercise, with weaker evidence supporting massage, acupuncture, yoga, and spinal manipulation in different contexts. For cervical radiculopathy and facet arthropathy, weak evidence supports epidural steroid injections and radiofrequency denervation, respectively. Surgery is more effective than conservative treatment in the short term but not in the long term for most of these patients, and clinical observation is a reasonable strategy before surgery. Braddom’s physical medicine and rehabilitation.
Contributors: SPC conceived the design, few clinical trials are dedicated solely to neck pain. Muscle relaxants and non — forgot your sign in details? For cervical radiculopathy and facet arthropathy, and clinical observation is a reasonable strategy before surgery. We do not capture any email address. Wrote and reviewed the article and tables, which may use this information for marketing purposes.
And clinical practice is mostly guided by the results of studies performed for other chronic pain conditions. Please note: your email address is provided to the journal – wMH wrote and reviewed the article and tables and helped with the figures. Funding: Funded in part by the Centers for Rehabilitation Sciences Research, series explanation: State of the Art Reviews are commissioned on the basis of their relevance to academics and specialists in the US and internationally. Thank you for your interest in spreading the word about The BMJ. Surgery is more effective than conservative treatment in the short term but not in the long term for most of these patients, please forward this error screen to 193.