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Related Experiment Videos

Neck pain.

N Bogduk

    Australian Family Physician
    |January 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Neck pain often originates from structures innervated by cervical spinal nerves. Chronic neck pain sources include intervertebral discs and zygapophyseal joints, treatable with fusion or neurotomy, respectively.

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    Area of Science:

    • Pain Medicine
    • Neurosurgery
    • Anatomy

    Background:

    • Cervical spinal nerves innervate structures causing neck and referred pain.
    • Chronic neck pain commonly arises from cervical intervertebral discs and zygapophyseal joints.

    Purpose of the Study:

    • To identify primary sources of neck pain and referred pain.
    • To outline diagnostic methods for discogenic and zygapophyseal joint pain.
    • To present treatment options for these chronic pain conditions.

    Main Methods:

    • Diagnostic techniques include provocative disc stimulation for disc pain.
    • Local anesthetic blocks of cervical dorsal rami diagnose zygapophyseal joint pain.

    Main Results:

    • Cervical intervertebral discs are a likely source of chronic neck pain.
    • Cervical zygapophyseal joints are another common source of chronic neck pain.

    Conclusions:

    • Anterior cervical fusion effectively treats discogenic pain.
    • Percutaneous radiofrequency neurotomy is an effective treatment for zygapophyseal joint pain.