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Related Experiment Videos

Chronic neck syndromes: an update.

R P Pawl1

  • 1Center for Rehabilitation and Pain Treatment, Lake Forest Hospital, Ill., USA.

Comprehensive Therapy
|July 3, 1999
PubMed
Summary
This summary is machine-generated.

Chronic neck pain is often a myofascial disorder, frequently following trauma. Psychological factors and secondary gain significantly influence therapy outcomes, differing from cervical radicular syndromes.

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Area of Science:

  • Pain Medicine
  • Neurology
  • Rheumatology

Background:

  • Chronic neck pain syndromes are primarily myofascial disorders.
  • These conditions often arise subsequent to physical trauma.
  • Psychological elements and secondary gain significantly complicate treatment.

Purpose of the Study:

  • To characterize chronic neck pain syndromes as myofascial disorders.
  • To explore the impact of psychological factors and secondary gain on therapeutic outcomes.
  • To differentiate chronic neck pain from cervical radicular syndromes.

Main Methods:

  • Clinical case review.
  • Comparative analysis of patient cohorts.
  • Review of psychological and socioeconomic factors.

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Main Results:

  • Myofascial origin confirmed in most chronic neck pain cases.
  • Psychological distress and secondary gain negatively correlated with treatment success.
  • Distinct clinical presentations between myofascial neck pain and cervical radicular pain.

Conclusions:

  • Chronic neck pain is predominantly a myofascial issue.
  • Therapeutic strategies must address psychological and secondary gain aspects for improved outcomes.
  • Distinguishing myofascial neck pain from radicular pain is crucial for appropriate management.