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Updated: Sep 15, 2025

Chuzhen Therapy as a Non-Invasive Traditional Chinese Therapy for Neck Pain
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Clinical Practice Guideline: Nonspecific Neck Pain.

Ahmad El-Allawy1, Nils Hecht, Kerstin Luedtke

  • 1University Medical Center Schleswig-Holstein, Campus Lübeck, Institute of Family Medicine, Lübeck, Germany; Department of Neurosurgery, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany; University of Lübeck, Institute of Health Sciences, Lübeck, Germany; BG Trauma Center Frankfurt am Main, Center for Spinal Surgery and Neurotraumatology, Frankfurt am Main, Germany; Heidelberg University Hospital, Clinic for Paraplegiology-Paraplegia Center, Heidelberg, Germany.

Deutsches Arzteblatt International
|July 16, 2025
PubMed
Summary
This summary is machine-generated.

Neck pain affects many adults and incurs significant societal costs. New German guidelines emphasize active self-management and patient education for effective neck pain treatment, especially when structural causes are absent.

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Area of Science:

  • Medicine
  • Orthopedics
  • Physical Therapy

Background:

  • Neck pain is a prevalent condition in Germany, affecting nearly half of adults annually.
  • It imposes a significant burden on individuals and society, necessitating a multidisciplinary approach to care.
  • The German Society for General Medicine and Family Medicine has updated guidelines for managing neck pain.

Purpose of the Study:

  • To present upgraded recommendations for the rational diagnosis and treatment of neck pain.
  • To provide evidence-based guidance for healthcare professionals involved in neck pain management.

Main Methods:

  • Development of recommendations through interdisciplinary and interprofessional collaboration.
  • Systematic literature searches in Medline (updated November 2024) and a structured consensus process.
  • Practical testing of the guideline in general medical and physiotherapy settings.

Main Results:

  • Diagnostic evaluation prioritizes medical history and physical examination.
  • Routine imaging is discouraged for acute neck pain without structural red flags.
  • Activating therapeutic measures, including self-management and patient education, demonstrate high effectiveness for acute neck pain.
  • Exercise therapy is recommended for chronic neck pain, while analgesics offer limited short-term relief.

Conclusions:

  • Activation is the cornerstone of treatment for neck pain when no structural cause is identified through history and examination.
  • Emphasis on self-management and patient education is crucial for successful outcomes.