Neck pain: What if it is not musculoskeletal?

Vijiaratnam, Nirosen; Williams, David R.; Bertram, Kelly

doi:10.31128/afp-10-17-4358

Cited by 8 publications

(7 citation statements)

References 23 publications

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“…54 Red flags are signs or symptoms noted in the history or clinical examination that suggests the possibility of serious pathology or illness requiring immediate referral, more extensive evaluation, or co-management, or present a contraindication to an aspect of the proposed treatment plan. 55,56 Self-care: An active practice that a person can perform at home independently after being provided with appropriate instruction. 57 SMT: Spinal manipulative therapy: usually practiced by DC, doctors of osteopathy (DO), or physical therapists (PT).…”

Section: Chronic Pain Terminologymentioning

confidence: 99%

Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline

Hawk

Whalen

Farabaugh³

et al. 2020

The Journal of Alternative and Complementary Medicine

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Objective: To develop an evidence-based clinical practice guideline (CPG) through a broad-based consensus process on best practices for chiropractic management of patients with chronic musculoskeletal (MSK) pain. Design: CPG based on evidence-based recommendations of a panel of experts in chronic MSK pain management. Methods: Using systematic reviews identified in an initial literature search, a steering committee of experts in research and management of patients with chronic MSK pain drafted a set of recommendations. Additional supportive literature was identified to supplement gaps in the evidence base. A multidisciplinary panel of experienced practitioners and educators rated the recommendations through a formal Delphi consensus process using the

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Section: Chronic Pain Terminologymentioning

confidence: 99%

Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline

Hawk

Whalen

Farabaugh³

et al. 2020

The Journal of Alternative and Complementary Medicine

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“…Red flags suggest the possibility of a more serious underlying illness that may need immediate referral, additional evaluation, or comanagement. 6,27 The history and clinical examination findings are the primary source used to rule out serious potential pathology in patients presenting with neck pain. See Figure 1 for a list of red flags.…”

Section: Red Flagsmentioning

confidence: 99%

“…Patients presenting with signs suggestive of potential evolving stroke, such as a patient reporting "the worst headache ever," may require emergent referral to a hospital for definitive evaluation and care. [27][28][29][30] Most DCs, and some patients, are aware of the potential for vertebral artery dissection (VAD) and potential stroke. Cassidy et al 31 concluded that the association between chiropractic care and vertebral basilar arteryerelated stroke found in previous studies was likely explained by presenting symptoms attributable to evolving VAD and found similar risks between primary care physicians and chiropractors, which might be explained by the fact that patients with evolving VAD typically have headaches and neck pain.…”

Section: Red Flagsmentioning

confidence: 99%

Best-Practice Recommendations for Chiropractic Management of Patients With Neck Pain

Whalen

Farabaugh²,

Hawk

et al. 2019

Journal of Manipulative and Physiological Therapeutics

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Objective: The purpose of this study was to develop best-practice recommendations for chiropractic management of adults with neck pain. Methods: A steering committee of experts in chiropractic practice, education, and research drafted a set of recommendations based on the most current relevant clinical practice guidelines. Additional supportive literature was identified through targeted searches conducted by a health sciences librarian. A national panel of chiropractors representing expertise in practice, research, and teaching rated the recommendations using a modified Delphi process. The consensus process was conducted from August to November 2018. Fifty-six panelists rated the 50 statements and concepts and reached consensus on all statements within 3 rounds. Results: The statements and concepts covered aspects of the clinical encounter, ranging from informed consent through diagnosis, assessment, treatment planning and implementation, and concurrent management and referral for patients presenting with neck pain. Conclusions: These best-practice recommendations for chiropractic management of adults with neck pain are based on the best available scientific evidence. For uncomplicated neck pain, including neck pain with headache or radicular symptoms, chiropractic manipulation and multimodal care are recommended.

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“…Dysesthesia, paresthesia, and allodynia are associated with it [7,8]. It can be acute, subacute, and chronic CPS with symptoms that last more than 12 weeks concerning the duration of pain [9,10].…”

Section: Introductionmentioning

confidence: 99%

The effect of physical therapy in daily life and work activities for people with chronic cervical pain syndrome

Kaljić

Hadžipašić

Jaganjac

et al. 2021

JHSCI

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Introduction: Cervical pain syndrome (CPS), or pain in the neck, is defined as a set of symptoms that limit performing movements in the upper part of the back and last more than 1 day. When the mentioned symptoms last for more than 12 weeks, we talk about chronic CPS. It often represents the condition that results from disability. It is associated with poor posture, work in sitting position, stress, and long-lasting and repetitive movements. The aim of the study was to examine the effect of physical therapy on the degree of disability, pain intensity, and daily life and work activities of persons with chronic CPS.Methods: The research was conducted in the health spa center “Reumal” Fojnica from June 2020 until July 2020. It included 50 subjects of both genders, more than 18 years old, and of all occupations, treated with physiotherapy procedures (transcutaneous electrical nerve stimulation, magnetotherapy, therapeutic ultrasound, and kinesitherapy in the form of McKenzie exercises). In addition, a pre- and post-treatment study analyzed the condition of the respondents at the first examination and the control examination after completion of treatment.Results: By analyzing the results, we established that of the total number of respondents, 74% were female, and the average age was 57.36 years. At the end of the study, the degree of disability caused by neck pain was significantly lower (p < 0.05) than the degree of disability before the therapy. Discomfort caused by symptoms of CPS that occurred and interference with work before the therapy was significantly lower (p < 0.05) after the treatment program. Therapeutic procedures have reduced the pain intensity and improved the activities of everyday life.Conclusion: The treatment with physical therapy procedures effectively reduces the degree of disability and pain intensity and improves people’s daily life and work activities with chronic CPS.

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Neck pain: What if it is not musculoskeletal?

Cited by 8 publications

References 23 publications

Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline

Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline

Best-Practice Recommendations for Chiropractic Management of Patients With Neck Pain

The effect of physical therapy in daily life and work activities for people with chronic cervical pain syndrome

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