RT Book, Section
A1 Romanoff, Mark E.
A1 Gilbert, Richard L.
A1 Warfield, Carol A.
A2 Warfield, Carol A.
A2 Bajwa, Zahid H.
SR Print(0)
ID 3412499
T1 Chapter 27. Neck Pain
T2 Principles & Practice of Pain Medicine, 2e
YR 2004
FD 2004
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071443494
LK accessanesthesiology.mhmedical.com/content.aspx?aid=3412499
RD 2024/04/19
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.