TY  - CHAP
M1  - Book, Section
TI  - Chapter 27. Neck Pain
A1  - Romanoff, Mark E.
A1  - Gilbert, Richard L.
A1  - Warfield, Carol A.
A2  - Warfield, Carol A.
A2  - Bajwa, Zahid H.
PY  - 2004
T2  - Principles & Practice of Pain Medicine, 2e
AB  - Neck  pain  is  a  common  complaint.  The  prevalance  is  approximately  75%  to  80%  in  the  U.  S.  population.  The  neck  is  composed  of  many  pain-sensitive  tissues  in  a  small  area,  including  tendons,  ligaments,  muscle  insertions,  vertabrae,  zygopophyseal  joints,  nerve  roots,  nerves,  and  plexi.  The  cervical  spine  is  mobile  and  situated  between  an  immobile  thorax  and  a  relatively  weighty  head;  therefore,  it  is  subject  to  varying  degrees  of  trauma  with  body  movement.  Neck  pain  ranges  from  minor  self-limited  aches  to  severe  pain  associated  with  signs  and  symptoms  of  nerve  root  impingement.  Patients  with  minor  neck  pain  may  not  consult  a  physician.  Those  who  see  a  primary  care  physician  often  can  be  helped  by  conservative  management.  A  patient  with  severe  chronic  symptoms  may  be  best  served  in  a  comprehensive  pain  management  clinic.  Treatment  options  can  range  from  the  conservative  (transcutaneous  electrical  nerve  stimulation  [TENS]  unit,  physical  therapy  and  stretching)  to  the  interventional  (facet  joint  injection  and  cervical  nerve  root  block).  In  all  cases,  a  knowledge  of  the  anatomy  and  the  etiology  of  neck  pain  is  required  for  definitive  treatment.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=3412499
ER  -