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At least 19 recordsLinked to original sources
PubMed1994

Successful treatment of low back pain and neck pain after a motor vehicle accident despite litigation.

OBJECTIVE: This prospective study evaluated 39 consecutive patients with low back pain (LBP) or neck pain that resulted from a motor vehicle accident who had litigation pending. METHODS: Patients completed a McGill Pain Questionnaire (MPQ) to quantify pain and an Oswestry Low Back Disability Questionnaire (OSW) to quantify function and were interviewed regarding medications and work status at initial and final visits. RESULTS: Thirty-three patients completed an MPQ at initial and final visits. Pain decreased in 29 (88%) and increased in four (12%). Thirty-eight patients completed an OSW at initial and final visits. Function improved in 34 and worsened in four. The authors observed statistically significant improvements in pain, function, and medication use. CONCLUSION: Patients with low back pain or neck pain resulting from a motor vehicle accident showed a statistically significant improvement with treatment despite ongoing litigation.

Accidents, Traffic↗
PubMed1994

The Northwick Park Neck Pain Questionnaire, devised to measure neck pain and disability.

Neck pain is common in rheumatological practice. Assessment of outcome is difficult without objective measures. A neck pain questionnaire using nine five-part sections has been devised to overcome this problem. Forty-four rheumatology out-patients with neck pain were studied. Questionnaires were completed on days 0 and 3-5, and at 1 and 3 months. There was good short-term repeatability (r = 0.84, kappa = 0.62). Mean scores of each of the nine sections tended to rise with that of the pain section showing internal consistency. Questions on duration and intensity of pain were good indicators of a patient's global assessment. The questionnaire is easy for patients to complete, simple to score and provides an objective measure to evaluate outcome in patients with acute or chronic neck pain.

Adult↗
PubMed1984

The medical treatment of head and neck pain.

Head and neck pain are extremely common and in any year, four of five people will experience a headache. In one out of two the headache will be severe enough to interfere with daily activity. In this article the multiple clinical syndromes of head and neck pain are presented and the current medical therapies reviewed.

Cluster Headache↗
PubMed1996

The prevalence of and risk factors for neck pain in Hong Kong Chinese.

BACKGROUND: Neck pain has been found to be a prevalent musculoskeletal complaint among Caucasians living in Europe and North America. The prevalence of and risk factors for this condition have not been studied among Chinese living in urbanised cities. The objective of this study was to describe the prevalence of and risk factors for neck pain in Hong Kong Chinese. METHODS: A household survey was conducted in two housing blocks, one being government-subvented housing and the other being private housing. Eight hundred men and women who were 30 years and older were interviewed on the occurrence and characteristics of neck pain, occupations and recreational activities. The life-time and one-year prevalence of neck pain were calculated, and the odds ratio (OR) and 95 per cent confidence intervals (95 per cent CI) for various risk factors were derived by logistic regression. RESULTS: The one-year prevalence of neck pain was 15 per cent and 17 per cent in men and women, respectively. The OR was 1.6 (95 per cent CI = 1.2-2.4) for living in private housing and 2.1 (95 per cent CI = 1.1-4.0) for working as managers and professionals. Subjects with neck pain spent more time reading and a history of trauma to the neck was a significant risk factor for subsequent pain (OR = 5.6, 95 per cent CI = 3.3-9.4). CONCLUSION: Neck pain is a prevalent problem in Hong Kong Chinese, particularly among subjects of a high socioeconomic status. There was little association between life-style and neck pain, although subjects with neck pain spent more time in reading.

Adult↗
PubMed1991

Prevalence, determinants, and consequences of chronic neck pain in Finland.

Chronic neck pain is a relatively mild musculoskeletal condition, but common enough to be a possible public health problem. The distribution, determinants, and consequences of chronic neck pain have hitherto been described inadequately. In the Mini-Finland Health Survey, a representative population sample of 8,000 Finns aged greater than or equal to 30 years was invited to participate in a comprehensive health examination comprising an interview and a clinical examination; 90.2% complied. Predetermined criteria were used to diagnose major cardiovascular, musculoskeletal, respiratory, mental, and other disorders, regardless of other simultaneous disorders. Chronic neck syndrome was diagnosed in 9.5% of the men and 13.5% of the women. When adjusted for age and sex, the prevalence of the neck syndrome was associated with a history of injury to the back, neck, or shoulder and with mental and physical stress at work. Among those aged 30 to 64 years, overweight and parity were also significant determinants. Other musculoskeletal and mental disorders were associated with neck syndrome, and the association persisted after working conditions, injuries, overweight, and parity were adjusted for. There was some independent association between neck syndrome and disabilities, use of physician services, and use of pain killers.

Adult↗
PubMed2026

Short-term effects of foot reflexology on pain, anxiety, and physiological responses in women with shoulder and neck pain: A randomized controlled trial.

OBJECTIVES: Shoulder and neck pain (SNP) is a common musculoskeletal complaint among women and is often accompanied by heightened anxiety. Foot reflexology (FR) is a complementary therapy proposed to promote relaxation and short-term psychophysiological regulation. This study examined the short-term effects of a single session of FR on pain, anxiety, and physiological responses in women with SNP. METHODS: A single-blind randomized controlled trial was conducted with 80 women aged 20-64&#xa0;years in southern Taiwan. Participants were randomly allocated to one of three groups: FR, exercise, or passive rest control. Each group received a single 50-min session. Pain intensity and anxiety were assessed using the Numeric Rating Scale (NRS) and the State-Trait Anxiety Inventory (STAI), respectively. Heart rate and blood pressure were recorded as physiological indicators. Outcomes were measured at baseline, immediately post-intervention, and at 24-h follow-up. RESULTS: Baseline pain, anxiety, and physiological measures did not significantly differ among groups. Immediately after the intervention, both the FR and exercise groups demonstrated greater reductions in pain intensity compared with the passive rest control (P&#xa0;<&#xa0;0.001 and P&#xa0;=&#xa0;0.018, respectively). The FR group additionally showed greater reductions in anxiety and heart rate compared with the passive rest group (P&#xa0;=&#xa0;0.005 and P&#xa0;=&#xa0;0.001, respectively). Pain reduction in the FR group remained significant at the 24-h follow-up (P&#xa0;=&#xa0;0.013), whereas anxiety reductions were not sustained. No significant between-group differences were observed for systolic blood pressure. CONCLUSION: A single session of FR was associated with immediate and short-term reductions in pain, anxiety, and heart rate among women with SNP. Foot reflexology may serve as a supportive, non-pharmacological approach for short-term modulation, although sustained effects require further investigation.

Humans↗
PubMed1991

Quantitative cervical flexor strength in healthy subjects and in subjects with mechanical neck pain.

Although weakness of anterior cervical muscles is postulated to contribute to persistent neck pain in patients with mechanical neck pain, quantitation of weakness has never been reported. We compared anterior cervical muscle strength in 30 subjects with mechanical neck pain and in 30 asymptomatic control subjects. Testing was performed with the subject supine, chin retracted, and neck flexed. Assessment was made using a hand-held dynamometer with head held at the midline and with rotation left and right within a pain-free range. Analysis with Wilcoxon scores showed that patients with neck pain had significantly less (p less than .05) strength (N.Kg-1) in all three positions than controls (1.16 +/- 0.49 vs 1.71 +/- 0.42, sagittally; 1.01 +/- 0.52 vs 1.47 +/- 0.41, rotation left; .99 +/- 0.46 vs 1.43 +/- 0.43 rotation right; neck pain vs control, respectively.) This weakness and its role in persistent neck pain should be recognized. The efficiency and effect of cervical muscle strengthening in treatment of chronic neck pain should be further defined.

Adult↗
PubMed1997

Chronic neck pain, standing balance, and suboccipital muscle atrophy--a pilot study.

OBJECTIVE: To study the relationship between chronic neck pain, standing balance and suboccipital muscle atrophy. We hypothesize that patients with chronic neck pain have more somatic dysfunction in the cervical spine than control subjects without neck pain. We also hypothesize that patients with chronic neck pain and somatic dysfunction exhibit more atrophy of suboccipital muscles. Lastly, because suboccipital muscles have a high density of proprioceptors, we hypothesize that chronic pain patients exhibit a loss in standing balance. DESIGN: Randomized, controlled, partially blind study examining chronic neck pain patients and control subjects for differences in degree of upper cervical somatic dysfunction, standing balance and suboccipital muscle atrophy. SETTING: Subjects were recruited from a clinical practice at Michigan State University; controls were recruited from the faculty, staff and students. PARTICIPANTS: Seven chronic neck pain patients and seven asymptomatic control subjects. MAIN OUTCOME MEASURES: Palpation was used to diagnose somatic dysfunction in the upper cervical spine. Balance parameters were calculated using a force platform; muscle atrophy was judged with magnetic resonance images. RESULTS: Chronic neck pain patients had almost twice as many somatic dysfunctions as controls (p = .028). Force platform results showed a decrease in standing balance in patients compared with control subjects (p = .004). MRI showed that chronic neck pain subjects had marked atrophy of the rectus capitis posterior major and minor muscles, including fatty infiltration. CONCLUSIONS: This study suggests that there is a relationship between chronic pain, somatic dysfunction, muscle atrophy and standing balance. We hypothesize a cycle initiated by chronic somatic dysfunction, which may result in muscle atrophy, which can be further expected to reduce proprioceptive output from atrophied muscles. The lack of proprioceptive inhibition of nociceptors at the dorsal horn of the spinal cord would result in chronic pain and a loss of standing balance.

Adult↗
PubMed1994

Neck pain in the general population.

STUDY DESIGN: A randomized cross-sectional questionnaire was used to determine the prevalence of neck pain in Norwegian adults. OBJECTIVES: The frequency and duration of neck pain were assessed. SUMMARY OF BACKGROUND DATA: Reliable epidemiologic studies on the prevalence of neck pain in the general population have been sparse. METHODS: A questionnaire that inquired about neck pain within the last year was sent to a random sample of 10,000 adult Norwegians. RESULTS: Overall, 34.4% of the responders had experienced neck pain within the last year. A total of 13.8% reported neck pain that lasted for more than 6 months. CONCLUSIONS: Chronic neck pain is a frequent symptom in the general population, particularly in women. Although reservations have to be taken as to the interpretation, the reported prevalence of persisting pain after whiplash injuries is of the same magnitude as the prevalence of chronic neck pain in the general population.

Adolescent↗
PubMed1988

The cervical zygapophysial joints as a source of neck pain.

Diagnostic cervical medial branch blocks and zygapophysial joint blocks were used to test the hypothesis that the cervical zygapophyseal joints can be the source of pain in patients with idiopathic neck pain. Complete temporary relief of all symptoms was obtained in 17 out of 24 consecutive patients. Two major groups of patients were those with neck pain and headache stemming from the C2-3 joints, and those with neck pain and shoulder pain stemming from the C5-6 joints. Internal-control observations in nine of the 17 patients established the diagnostic validity of the blocks used. The high yield of positive responders in this study probably reflects the propensity of patients with zygapophysial joint syndromes to gravitate to a pain clinic when this condition is not recognised in conventional clinical practice.

Adult↗
PubMed1996

Neck flexor muscle strength, efficiency, and relaxation times in normal subjects and subjects with unilateral neck pain and headache.

OBJECTIVE: To determine the test-retest reliability of a new method for measuring muscular strength, efficiency, and relaxation times of the neck flexor musculature of healthy adults, and to compare these neck flexor muscle properties in subjects who have unilateral neck pain and headache with those in controls. DESIGN: Subjects lay supine and isometrically flexed their necks against a force transducer attached to the back of a webbing and velcro helmet. Electromyograms (EMGs) were recorded from surface electrodes on the sternocleidomastoid (SCM) muscles. Two consecutive sessions of five contractions of varying levels of effort from minimal through moderate and maximal effort were analyzed. SETTING: Ambulatory referral center. PARTICIPANTS: Volunteer control subjects (n = 10, 3 men and 7 women) were recruited from hospital and university personnel. Volunteer neck pain subjects (n = 10, 3 men and 7 women) were recruited from a physiatric chronic pain practice and a hospital outpatient physical therapy practice. RESULTS: In the controls, the intraclass correlation coefficients (ICCs) for the first two maximum neck flexion contractions were; peak force ICC = .81; peak force/body weight ICC = .75; average force ICC = .75; force relaxation time ICC = .73; SCM EMG relaxation times: right ICC = .60 and left ICC = .67. Comparing sessions 1 and 2 the intraclass correlations for SCM efficiencies were right ICC = .58 and left ICC = .97. The peak force in controls (mean = 45.3 +/- 17.6N) was reduced by 50% in the neck pain subjects (mean = 22.4 +/- 13.1N) (p = .004). Similarly, peak force/body weight in the neck pain subjects (X = 0.3 +/- 0.2N/kg) was 46% of control (mean = 0.7 +/- 0.2N/kg) (p = .001), and average force in the neck pain subjects (X = 12.1 +/- 7.5N) was 43% of controls (mean = 28.5 +/- 11.0N) (p = .001). In two neck pain subjects. SCM, EMG and force relaxation times were abnormally long in both the affected and the unaffected SCM muscles, exceeding the control values by greater than 3 standard deviations. The difference between the right SCM efficiency of the control subjects (mean = 0.3 +/- 0.2N/ microV) and the affected SCM efficiency of the neck pain subjects (mean = 0.1 +/- 0.1 N/microV) approached the p < .05 criterion for significance (p = .055). CONCLUSION: The technique was found to be highly reliable for the measurement of neck flexor peak force, peak force/body weight, average force, and force relaxation time, and moderately reliable for the quantitation of SCM EMG relaxation times and SCM efficiency. All force values were significantly lower in the neck pain population compared with the controls. In the neck pain population, force and SCM EMG relaxation times, as well as efficiencies, suggested abnormalities. Neck pain subjects showed no significant differences in SCM EMG relaxation time or SCM efficiency between affected and unaffected SCM muscles.

Adult↗
PubMed1989

[Neck pain and isolated torticollis revealing neurologic lesions].

Neck pain and torticollis are very common symptoms, but they may reveal an intracranial or cervical neurological disease. Such diseases are easily diagnosed when these two symptoms are associated with others, but in some rare cases, and especially when it is isolated, torticollis may be mistaken for common neck pain. This is what happened in 21 cases and in some patients the neurological disease had been present for a very long time before it was diagnosed. Prior to admission, most patients were treated with massages, cervical collar or manipulations which sometimes resulted in deterioration. A search for atypical features of neck pain and torticollis should avoid delays in diagnosis.

Adult↗
PubMed1996

Head and neck pain review: traditional and new perspectives.

A variety of conditions are frequently associated with the occurrence of head and neck pain. The purposes of this review are: to describe the characteristics of several musculoskeletal, neurological, and systemic conditions frequently cited as possible causes of head and neck pain and to suggest a new technique for treating head and neck pain. The characteristics of musculoskeletal conditions, such as muscle spasm, tendinitis, trigger points, and joint inflammation, and their relationship to head and neck pain are considered. The features and clinical implications of neurologic conditions, such as atypical facial pain, trigeminal and glossopharyngeal neuralgia, reflex sympathetic dystrophy, and neurogenic inflammation, are also described. The distinguishing characteristics of headaches, including cluster, tension, chronic daily, rebound, posttraumatic, and postlumbar puncture, are detailed. This review also addresses the contributions of systemic disorders, such as osteoarthritis, rheumatoid arthritis and the variants, and rheumatoid-related conditions, like dermatomyositis, temporal arteritis, Lyme's disease, and fibromyalgia, to head and neck pain. The results of a recent pilot study of the effectiveness of intraoral circulating ice water for resolving symptoms related to head and neck pain secondary to neurogenic inflammation are presented in this work. Ice water circulating through hollow metal tubes was placed intraorally for 15 minutes in the posterior maxillary area on 12 individuals with cervical pain and muscle spasm. In nine of these individuals, reduced cervical pain perception, upper trapezius electromyography signal reduction, and increased cervical range of motion was produced. Six out of 12 individuals had accompanying headache, which was reduced or eliminated in four cases. These findings suggest a strong trigemino-cervical relationship to neck pain and headache.

Headache↗
PubMed1997

[Caffetin in the treatment of neck pain and lumbago-sciatica].

The effectiveness of caffetin, combined analgetic drug, was estimated in treatment of acute cervicalgia and lumbar ischialgia (1 tablet 3 times daily during 10 days). Both clinical and psychological parameters were analysed. Caffetin had pronounced analgetic effect which was observed on the 2-3d day of drug application. Meanwhile there was improvement of clinical and psychological parameters, namely: relaxation of the muscles, decrease of either tension symptoms or of the levels of anxiety and depression as well as improvement of quality of life. The patients well tolerated caffetin administration without any side effects. There were no negative consequences of interaction of caffetin with other drugs (vascular, psychotropic). The conclusion was drawn about safety and effectiveness of caffetin for alleviation of acute pains in patients with myofascial, myotonic and radicular syndromes of different origin.

Acetaminophen↗
PubMedDate not supplied

Neck pain and dysphagia: MRI of retropharyngitis.

OBJECTIVE: Acute neck pain developing over hours or a few days is often an alarming symptom that may be due to an inflammatory process or another process affecting the spine or the spinal canal, nerve roots, or peripheral nerves. MATERIALS AND METHODS: Four patients with acute onset of neck pain and dysphagia are presented. They were examined with MRI and CT, barium swallow, and plain radiography of the neck. RESULTS: In all patients T2-weighted MRI demonstrated a slitlike area with high signal intensity in the retropharyngeal space at the level C2-C7 suggestive of inflammation in the retropharyngeal space. The patients were treated with antibiotics and antiinflammatory drugs and became asymptomatic rapidly. CONCLUSION: We suggest the name retropharyngitis for this characteristic disease entity. Patients with acute onset of neck pain and dysphagia should undergo MRI to reach the correct diagnosis rapidly.

Acute Disease↗
PubMed2026

Adding Rib Mobilization to Diaphragm Release Techniques in Patients With Non-Specific Neck Pain: Randomized Controlled Trial.

BACKGROUND: Non-specific neck pain (NSNP) is a frequent issue that can negatively affect both mobility and function. Recently, there has been growing interest in newer therapeutic approaches, including rib mobilization and diaphragm release techniques, as potential ways to address NSNP and support better outcomes for those affected. PURPOSE: To find out the immediate effects of how (DRT) combined with (RMT) affects the level of pain and the extent to which patients' functional abilities are improved in cases of NSNP. METHODS: For this prospective RCT, 96 participants aged 20 to 45&#xa0;years were randomly assigned to one of three equal groups based on their pain score (VAS). Group B engaged in (DRT) for 40&#xa0;minutes, three times weekly for 8&#xa0;weeks, in contrast to Group A, which got both RMT combined with DRT. Group C (active control) received advice and some exercises. Measurements were collected before and after the intervention; the primary outcomes included pain severity, evaluated using a visual analog scale (VAS); active neck range of motion (ROM), measured with a cervical range of motion (CROM) device; and neck flexion endurance. Additionally, the secondary outcome of neck-related disability was assessed using the Neck Disability Index (NDI). RESULTS: No statistically significant difference was identified among the three groups at baseline; nevertheless, a treatment effect emerged after 8&#xa0;weeks (p&#xa0;=&#xa0;0.001 and f-value&#xa0;=&#xa0;4.15, &#x19e;2&#xa0;=&#xa0;0.306). A statistically significant time-treatment interaction was seen when comparing the pre- and post-treatment periods in groups A and B (p&#xa0;=&#xa0;0.001, f-value&#xa0;=&#xa0;3.16, &#x19e;2&#xa0;=&#xa0;0.251). CONCLUSION: The addition of rib mobilization to diaphragm release techniques in patients with non-specific neck pain resulted in statistically significant improvements in pain intensity, cervical flexion, right lateral rotation, left lateral rotation, right rotation, and neck flexor endurance, with moderate to large effect sizes for pain reduction and cervical motion. However, no statistically significant differences were observed between groups for cervical extension, left rotation, or the Neck Disability Index (NDI), and only a marginal clinical improvement in NDI was noted in Group A. The observed benefits in the combined intervention group may not be attributable solely to rib mobilization. The increased treatment complexity and greater therapist interaction inherent in the combined approach could also have influenced the outcomes. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT07133646.

Humans↗