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Chronic neck pain and cervicogenic headache.

P R Wilson1

  • 1Department of Anesthesiology, Mayo Clinic and Foundation, Rochester, Minnesota 55905.

The Clinical Journal of Pain
|March 1, 1991
PubMed
Summary

Neck pain and headaches are significant problems with unknown causes, leading to disability disproportionate to physical findings. A rational approach is needed for diagnosis and management when pathology is unclear.

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Area of Science:

  • Neurology
  • Pain Management
  • Musculoskeletal Disorders

Background:

  • Neck pain and headaches represent a substantial medical and economic burden.
  • The underlying causes (pathophysiology) of many neck pain and headache cases remain unknown.
  • Disability experienced by patients often exceeds observable tissue damage or physiological impairment.

Purpose of the Study:

  • To emphasize the need for a rational and comprehensive diagnostic and management strategy for neck pain and cervicogenic headaches.
  • To address the challenges posed by cases with unknown pathophysiology and significant functional impairment.

Main Methods:

  • This study reviews the current understanding and challenges in diagnosing and managing neck pain and cervicogenic headaches.
  • It highlights the discrepancy between clinical findings and patient-reported disability.

Main Results:

  • Many instances of neck pain and headaches lack identifiable pathological origins.
  • Despite medical interventions, persistent pain and disability are common in these cases.

Conclusions:

  • A systematic and evidence-based approach is crucial for effectively managing neck pain and cervicogenic headaches.
  • Further research is needed to elucidate the pathophysiology of unexplained neck pain and headache conditions.

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