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Intractable neck pain.

P Abbott1, B Rounsefell, R Fraser

  • 1Department of Oral and Maxillofacial Surgery, University of Adelaide, South Australia.

The Clinical Journal of Pain
|March 1, 1990
PubMed
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Intractable neck pain, often following accidents and involving legal issues, frequently lacks physical signs. Psychotherapy and antidepressants offered some relief to over half of patients.

Area of Science:

  • Pain Medicine
  • Psychiatry
  • Orthopedics

Background:

  • Intractable neck pain is a significant clinical challenge.
  • Accident-related injuries frequently lead to chronic pain conditions.
  • The interplay between physical symptoms, psychological factors, and socioeconomic elements is complex in pain management.

Purpose of the Study:

  • To investigate the characteristics of patients presenting with intractable neck pain.
  • To explore the diagnostic findings and patient history in this cohort.
  • To evaluate treatment outcomes and influencing factors.

Main Methods:

  • Retrospective survey of 1,661 patients over 10 years at a pain clinic.
  • Identification of 55 patients with intractable neck pain.

Related Experiment Videos

  • Analysis of precipitating events, legal involvement, pain radiation, diagnostic findings, psychiatric history, and treatment outcomes.

    • Main Results:

    • 89% of cases were precipitated by industrial or motor vehicle accidents.
    • 87% experienced radiating pain, yet 36% had no physical signs and 46% had normal cervical radiographs.
    • A high incidence of prior psychiatric treatment (53%) and intrafamily problems (60%) was noted.

    Conclusions:

    • Intractable neck pain is often associated with accidents, legal proceedings, and psychological comorbidities.
    • Psychotherapy and tricyclic antidepressants provided some benefit to 56% of patients.
    • Legal compensation and occupational changes did not significantly impact treatment outcomes.