Medicinal and Injection therapies for mechanical neck disorders

Peloso, Paul M.; Gross, AR; Haines, Ted; Trinh, Kien; Goldsmith, C. H.; Aker, Peter

doi:10.1002/14651858.cd000319.pub3

Cited by 9 publications

(5 citation statements)

References 94 publications

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“…Recent research suggests that muscle relaxants show no evidence of benefit and so would not have an interactive effect. 76,77 It is our clinical belief, substantiated by evidence from the section below on mobilization, that a sham mobilization would have minimal to no clinical effect. Two further trials showed a similar negative effect but were not included in the meta-analysis due to the type of outcomes and disorder subtype: Howe et al (1983) 62 compared manipulation plus azapropazone with azapropazone in patients with chronic radicular findings or headache, whereas Cassidy (1993) 37 compared manipulation to a muscle energy technique for acute, subacute, and chronic MND.…”

Section: Methodologic Quality Of Included Studiesmentioning

confidence: 99%

A Cochrane Review of Manipulation and Mobilization for Mechanical Neck Disorders

Gross¹,

Hoving²,

Haines³

et al. 2004

Spine

261

146

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Mobilization and/or manipulation when used with exercise are beneficial for persistent mechanical neck disorders with or without headache. Done alone, manipulation and/or mobilization were not beneficial; when compared to one another, neither was superior. There was insufficient evidence available to draw conclusions for neck disorder with radicular findings. Factorial design would help determine the active agent(s) within a treatment mix.

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Section: Methodologic Quality Of Included Studiesmentioning

confidence: 99%

A Cochrane Review of Manipulation and Mobilization for Mechanical Neck Disorders

Gross¹,

Hoving²,

Haines³

et al. 2004

Spine

261

146

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“…22,31 Discussing the treatment protocols or regimes anti-inflammatories and oral analgesics were found to be ineffective in reducing neck pain intensity. 12,24 Also we know that neck pain is the most common symptom of Text Neck Syndrome and hence this above-mentioned evidence of medical management will show the same effect on these individuals in terms of pain, range of motion and function.…”

Section: Resultsmentioning

confidence: 91%

“…Text neck, if ignored and untreated, can result in serious longterm consequences, such as flattening of the spinal curvature, early onset of arthritis, spinal misalignment, spinal degeneration, disc compression, disc herniation, nerve or muscle damage, inflammation of cervical ligaments, nerve irritation, and an increase in spine curvature. 5,10,11 When it comes to the treatment of 24 Peloso P, Gross A, Haines T, Trinh K, Goldsmith CH, Aker P, Cervical Overview Group, 2004 32 randomized controlled trials were included that examined the effects of oral NSAIDs, psychotropic agents, injections of steroids, and anesthetic agents…”

Section: Introductionmentioning

confidence: 99%

Evidence Based Treatment Strategies For “Text Neck Syndrome ”: A Review

Shinde

Bhende

2023

Int J Occup Saf Health

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Introduction: Text neck syndrome is an overuse condition or repetitive stress injury in which the cervical spine is flexed forward or down for extensive stretch while gazing at the smartphone or other electronic device. Individual with this Syndrome usually present with neck pain, restricted cervical range of motion, reduced muscle strength and endurance, altered cervical joint position error along with postural alterations like forward head posture and rounded shoulders as well. Methods: We performed a systematic review on the Text Neck Syndrome and discussed the evidence-based studies. For the purpose of the review, an electronic search for relevant articles using PUBMED, MEDLINE, Pedro, Research Gate, Google Scholar and CINHAL databases up to March 2022 was done wherein MeSH search terms and free words were used. In addition to the electronic search, articles were searched manually for relevant studies. Articles were selected based on authors expertise, self- knowledge and reflective practice. Results:The current study included 17 articles that fulfilled the inclusion criteria suggesting that Text Neck Syndrome is an upcoming concern and requires attention .The above reviewed studies provided evidence that physiotherapy as a mode of treatment is definitely effective in treating the Text Neck Syndrome. Conclusion: This review spoke about the text neck syndrome and its rising consequences and also about the treatment approaches available in treating and minimizing the symptoms of this syndrome. Further research is required over what more preventive strategies can be adopted in case of the Text neck syndrome.

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“…For instance, there is no evidence that nonsteroidal anti-inflammatory drugs are effective in the treatment of neck pain. 86 Our summaries of the evidence suggest that the use of botulinum toxin alone is ineffective. 18,30,31,96,117,118 It has not been studied in combination with other therapies such as mobilization and exercise, a context in which some clinicians believe there may be promise.…”

Section: Evidence-based Neck Carementioning

confidence: 96%

“…40 In spite of the widespread use of many medications for neck pain, such as nonsteroidal anti-inflammatory drugs, acetaminophen, and opiates, the evidentiary database is inadequate, with many of these medications simply not reported as tested in controlled trials in neck pain. 86 The evidence suggests that parenteral routes of administration are effective. Use of corticosteroids and local anesthetic agents has shown intermediate-to long-term benefit for both pain and function.…”

Section: Evidence-based Neck Carementioning

confidence: 99%