TAILIEUCHUNG - Chapter 016. Back and Neck Pain (Part 16)

Shoulder Pain arising from the shoulder can on occasion mimic pain from the spine. If symptoms and signs of radiculopathy are absent, then the differential diagnosis includes mechanical shoulder pain (tendonitis, bursitis, rotator cuff tear, dislocation, adhesive capsulitis, and cuff impingement under the acromion) and referred pain (subdiaphragmatic irritation, angina, Pancoast tumor). Mechanical pain is often worse at night, associated with local shoulder tenderness and aggravated by abduction, internal rotation, or extension of the arm. Pain from shoulder disease may radiate into the arm or hand, but sensory, motor, and reflex changes are absent. Neck Pain: Treatment There are few well-designed. | Chapter 016. Back and Neck Pain Part 16 Shoulder Pain arising from the shoulder can on occasion mimic pain from the spine. If symptoms and signs of radiculopathy are absent then the differential diagnosis includes mechanical shoulder pain tendonitis bursitis rotator cuff tear dislocation adhesive capsulitis and cuff impingement under the acromion and referred pain subdiaphragmatic irritation angina Pancoast tumor . Mechanical pain is often worse at night associated with local shoulder tenderness and aggravated by abduction internal rotation or extension of the arm. Pain from shoulder disease may radiate into the arm or hand but sensory motor and reflex changes are absent. Neck Pain Treatment There are few well-designed clinical trials that address optimal treatment of neck pain or cervical radiculopathy. Relief of pain prevention of recurrence and improved neurologic function are reasonable goals. Symptomatic treatment includes the use of analgesic medications and or a soft cervical collar. Most treatment recommendations reflect anecdotal experience case series or conclusions derived from studies of the lumbar spine. Controlled studies of oral prednisone or transforaminal glucocorticoid injections have not been performed. Reasonable indications for cervical disk surgery include a progressive radicular motor deficit pain that fails to respond to conservative management and limits activities of daily living or cervical spinal cord compression. Surgical management of herniated cervical disks usually consists of an anterior approach with diskectomy followed by anterior interbody fusion. A simple posterior partial laminectomy with diskectomy is an acceptable alternative approach. Another surgical approach involves implantation of an artificial disk in one prospective trial outcomes after 2 years favored the implant over a traditional anterior cervical discectomy with fusion. The artificial disk is not yet approved for general use in the United States. The risk of .

• Y học thường thức
• Back and Neck Pain
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu học ngành y
• Harrisons Internal Medicine
• BMC Musculoskeletal Disorders
• Neck pain
• Low back pain
• Concomitant neck
• Spinal pain
• Musculoskeletal pain
• Serial cross sectional design
• Neck and shoulder pain
• Back pain
• Body composition
• General population
• Primary care
• Psychological factors
• Population based study
• Ural eye
• Thoracic spine pain
• Appropriateness of care
• Spinal mobilization
• Spinal manipulation
• Chronic low back pain
• Chronic neck pain
• Patient preferences
• Treatment response
• Treatment disability
• Fear avoidance beliefs
• Work disability
• Return to work
• Brief intervention
• Proprioceptive training
• Systematic review
• Chiropractic care
• Visit frequency
• Behavioral model of health services use
• Muskuloskeletal manipulations
• Sports club participation
• Health promotion
• Fear–avoidance beliefs
• Psychosocial work factor
• 7 Steps to a Pain
• health education
• health knowledge
• health
• health care
• medical research