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Neck pain from a rheumatologic perspective
Elana M Oberstein1, Maria Carpintero, Aviva Hopkins
1Arthritis and Rheumatic Disease Specialties, Aventura, FL 33180, USA. eoberstein@med.miami.edu
Physical Medicine and Rehabilitation Clinics of North America
|August 10, 2011
Summary
When evaluating neck pain (cervicalgia), clinicians should consider both structural spine issues and systemic rheumatic diseases like rheumatoid arthritis. Recognizing underlying rheumatic conditions can alter patient treatment strategies.
Area of Science:
- Rheumatology
- Orthopedics
- Internal Medicine
Background:
- Neck pain (cervicalgia) is a common complaint with diverse etiologies.
- Evaluation often focuses on cervical spine anatomy, but systemic causes are crucial to consider.
Purpose of the Study:
- To review rheumatologic conditions that may present with neck pain.
- To guide clinicians in identifying systemic causes of cervicalgia.
Main Methods:
- Comprehensive literature review of rheumatologic diseases associated with neck pain.
- Discussion of clinical presentations and diagnostic considerations.
Main Results:
- Neck pain can be a primary symptom of systemic rheumatic diseases.
- Conditions discussed include rheumatoid arthritis, ankylosing spondylitis, diffuse idiopathic skeletal hyperostosis, myositis, and fibromyalgia.
- Identifying rheumatic causes necessitates different therapeutic approaches.
Conclusions:
- Clinicians must consider rheumatologic etiologies in patients with neck pain.
- Systemic rheumatic diseases can manifest as cervicalgia, requiring specific diagnostic and management strategies.
- Integrating rheumatologic assessment improves patient care for neck pain.
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