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The neck

Bogduk1

  • 1Newcastle Bone and Joint Institute, University of Newcastle, Royal Newcastle Hospital, NSW, Australia.

Bailliere'S Clinical Rheumatology
|August 13, 1999
PubMed
Summary
This summary is machine-generated.

Neck pain is usually benign, with most cases stemming from unknown origins or whiplash. Occupational factors are key risks, and while most cases resolve, some develop chronic symptoms despite limited effective treatments.

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Area of Science:

  • Orthopedics
  • Neurology
  • Pain Management

Background:

  • Neck pain is a prevalent condition with diverse etiologies.
  • While often benign, a subset of patients experience chronic, severe symptoms.
  • Identifying risk factors and effective management strategies remains crucial.

Purpose of the Study:

  • To review the epidemiology, risk factors, diagnosis, and management of neck pain.
  • To evaluate the evidence supporting current therapeutic interventions.
  • To provide guidance on the appropriate approach to patients with neck pain.

Main Methods:

  • Systematic review of existing literature on neck pain.
  • Analysis of epidemiological data and identified risk factors.
  • Evaluation of diagnostic accuracy and treatment efficacy.

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Main Results:

  • Rare causes include tumors, infections, and aneurysms; most cases are idiopathic or whiplash-associated disorders.
  • Occupational factors are primary risk factors; initial symptom severity predicts chronicity in whiplash.
  • History is paramount for diagnosis; physical examination and imaging have limited utility.
  • Most current therapies lack robust evidence; confident reassurance is key for acute cases.

Conclusions:

  • Neck pain management should prioritize accurate diagnosis through history taking.
  • Evidence-based treatments for chronic neck pain are limited, emphasizing conservative approaches.
  • Further research is needed to develop effective interventions for persistent neck pain.