A pain in the neck

Sinha, Parul; Grindler, David J.; Haughey, Bruce H.

doi:10.1002/lary.24419

Cited by 8 publications

(8 citation statements)

References 8 publications

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“…38 Inflammation of this ligament can be caused by frequent coughing, high vocal demands, and strenuous neck movement. 39 Interestingly, these symptoms all parallel common complaints in patients with pMTD. The close proximity of laryngeal sensory afference in the area of the anterior neck that had the most significant movement pattern differences between groups is also of interest considering we previously found that paralaryngeal sensation may play a role in pMTD 29 and that pMTD can manifest as Irritable Larynx Syndrome.…”

Section: Greater Movement Displacement In the Thyrohyoid Space In The...mentioning

confidence: 89%

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Use of Motion Capture Technology to Study Extrinsic Laryngeal Muscle Tension and Hyperfunction

et al. 2023

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ObjectivesPatients with primary muscle tension dysphonia (pMTD) commonly report paralaryngeal pain and discomfort, and extrinsic laryngeal muscle (ELM) tension and hyperfunction are commonly implicated. However, quantitative physiological metrics to study ELM movement patterns for the characterization of pMTD diagnosis and monitoring of treatment progress are lacking. The objectives of this study were to validate motion capture (MoCap) technology to study ELM kinematics, determine whether MoCap could distinguish ELM tension and hyperfunction between individuals with and without pMTD, and investigate relationships between common clinical voice metrics and ELM kinematics.MethodsThirty subjects (15 with pMTD and 15 controls) were recruited for the study. Sixteen markers were placed on different anatomical landmarks on the chin and anterior neck. Movements across these regions were tracked during four voice and speech tasks using two three‐dimensional cameras. Movement displacement and variability were determined based on 16 key‐points and 53 edges.ResultsIntraclass correlation coefficients demonstrated high intra‐ and inter‐rater reliability (p's < 0.001). Other than greater movement displacements around the thyrohyoid space during longer phrasing (reading passage, 30‐s diadochokinetics) and more movement variability in patients with pMTD, kinematic patterns between groups were similar across the 53 edges for the four voice and speech tasks. There were also no significant correlations between ELM kinematics and standard voice metrics.ConclusionResults demonstrate the feasibility and reliability of MoCap for the study of ELM kinematics.Level of Evidence3 Laryngoscope, 2023

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Section: Greater Movement Displacement In the Thyrohyoid Space In The...mentioning

confidence: 89%

“…Pain in the lateral thyrohyoid ligament can cause unilateral neck tenderness with touch, odynophonia and odynophagia, and globus and foreign body sensation 38 . Inflammation of this ligament can be caused by frequent coughing, high vocal demands, and strenuous neck movement 39 …”

Section: Discussionmentioning

confidence: 99%

Use of Motion Capture Technology to Study Extrinsic Laryngeal Muscle Tension and Hyperfunction

et al. 2023

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“…Patients with lateral thyrohyoid ligament syndrome present with lateralized cervical pain (which can last >12 months) and odynophagia, with characteristic tenderness over the lateral thyrohyoid ligament axis, evidenced by wincing and withdrawal on palpation. A combination of steroid injections and local anesthetics is a viable and effective therapeutic option that reduces pain [ 13 ].…”

Section: Thyroid Cartilage Fracture and Thyrohyoid Ligament Syndromementioning

confidence: 99%

Odynophagia in individuals with neck pain: the importance of differential diagnosis in physiotherapy practice

Polastri,

Di Marco,

Andreoli

2023

JYMS

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Odynophagia refers to painful swallowing caused by various underlying factors that must be excluded to determine the best treatment approach. Neck pain is a debilitating condition requiring treatment in rehabilitative settings. There are several circumstances in which odynophagia and neck pain coexist, such as tendinitis of the longus colli muscle and paravertebral calcification, prevertebral and retropharyngeal abscess, esophageal perforation, aortic dissection, thyroid cartilage fracture, thyrohyoid ligament syndrome, pneumomediastinum and subcutaneous emphysema, and after physical exercise. Physiotherapists are professionals most likely to encounter individuals with neck pain and provide interventions such as massage, manual therapy, exercise, and electrotherapy. Therefore, it is important to recognize that neck pain can stem from different clinical conditions that require interventions other than physiotherapy. A differential diagnosis is crucial to ensure appropriate referrals for therapeutic interventions.

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“…The thyrohyoid syndrome presents as such and is a little-known inflammatory condition of the lateral thyrohyoid ligament and nearby tissues. It is distinctive from the well-known hyoid- or eagle syndrome [ 1 ]. We chose to present this little-known condition as a case report to promote awareness among health care workers with the goal of increasing correct diagnosis and treatment.…”

Section: Introductionmentioning

confidence: 99%

“…In regards to its pathogenesis, irritative inflammation of the ligamentous, cartilaginous or bursa-related anatomical structures of the thyrohyoid region is believed to be the cause of the symptoms and can be triggered by overuse or factors such as a cough, voice abuse or strenuous neck and upper limb movements [ 1 ]. The first mention of this syndrome in the literature cannot be defined because imprecise and unstandardized nomenclature has been used in the past.…”

Section: Introductionmentioning

confidence: 99%

The Thyrohyoid Syndrome: Promoting Awareness with a Case Report and Systematic Review of the Literature

Jeker,

März,

Horvath

2024

Diagnostics

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Objective: Neck pain is commonly referred to an ENT specialist and can be caused by the little-known inflammatory condition of the lateral thyrohyoid ligament. The pathophysiology of this condition is believed to be inflammation subsequent to over-exertion or cervical trauma. Typically, patients present with chronic unilateral neck pain. Elicitation of localized tenderness over the axis of the lateral thyrohyoid ligament on palpation is a key finding for its diagnosis. We present an unusual case with an acute course and subcutaneous inflammation and discuss its management in an effort to raise awareness for this often-misdiagnosed syndrome. Methods: A systematic literature research on PubMed was performed selecting patients with a definitive diagnosis of thyrohyoid syndrome or lateral thyrohyoid ligament syndrome. Results: We collected 54 cases from three studies. This condition is an important differential diagnosis for acute or chronic antero-lateral or unilateral neck pain. Conclusion: No specific radiological findings are defined and a CT scan is therefore not necessary for its diagnosis, but ultrasound is a useful tool to primarily assess any neck lesion. Once the diagnosis is made, a local infiltration of steroids is the most sustainable treatment option and relapse prevention.

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A pain in the neck

Cited by 8 publications

References 8 publications

Use of Motion Capture Technology to Study Extrinsic Laryngeal Muscle Tension and Hyperfunction

Use of Motion Capture Technology to Study Extrinsic Laryngeal Muscle Tension and Hyperfunction

Odynophagia in individuals with neck pain: the importance of differential diagnosis in physiotherapy practice

The Thyrohyoid Syndrome: Promoting Awareness with a Case Report and Systematic Review of the Literature

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