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Pain and the cervical spine.

J Hardin1

  • 1Department of Medicine, University of South Alabama, Mobile, AL, USA.

Bulletin on the Rheumatic Diseases
|November 2, 2001
PubMed
Summary

Persistent neck pain after injuries often improves with early mobilization. Conservative treatments like physical therapy are effective for most neck pain cases without neurological issues.

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Area of Science:

  • Orthopedics
  • Neurology
  • Rheumatology

Background:

  • Persistent neck symptoms are common after flexion-extension injuries.
  • Cervical degenerative disc and joint disease are frequent causes of chronic neck pain.
  • Neural structure compression, particularly nerve roots, often causes neck pain.

Purpose of the Study:

  • To review common causes of persistent neck symptoms.
  • To discuss management strategies for neck pain.
  • To highlight potential serious complications of cervical spine conditions.

Main Methods:

  • Literature review of cervical spine injuries and conditions.
  • Analysis of conservative management options for neck pain.
  • Discussion of inflammatory arthropathies affecting the cervical spine.

Main Results:

  • Early mobilization may alleviate persistent neck symptoms.
  • Degenerative changes and neural compression are primary causes of chronic neck pain.
  • Conservative management, including physical therapy and interrupted traction, is effective for most non-neurologic neck pain.

Conclusions:

  • Most neck pain without neurological signs can be managed conservatively.
  • Physical therapy maneuvers, especially interrupted traction, are beneficial.
  • Awareness of potential complications from inflammatory arthropathies like rheumatoid arthritis is crucial.

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