Neck Pain Flashcards Preview

724: Medical Lectures > Neck Pain > Flashcards

Flashcards in Neck Pain Deck (29)
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1
Q

List some disorders that cause neck pain

A
  • Cervical strain
  • Internal disc disruption syndrome/discogenic pain
  • Cervical facet-mediated pain
  • Cervical “whiplash” syndrome
  • Myofascial pain
2
Q

List some disorders that cause extremity pain

A
  • Cervical radiculopathy

- Cervical spondylotic myelopathy

3
Q

Describe Grade I neck pain

A

No signs of major pathology and little interference with daily activities

4
Q

Describe Grade II neck pain

A

No signs of major pathology but may impact daily activities

5
Q

Describe Grade III neck pain

A

Neck pain with associated neurological signs or symptoms (radiculopathy)

6
Q

Describe Grade IV neck pain

A

Neck pain with major pathology (e.g., fracture, myelopathy, neoplasm, spinal infection)

7
Q

Neck pain associated with headache, shoulder or hip girdle pain, or visual symptoms in an older person may suggest what?

A

rheumatologic disease

8
Q

Neck pain with a history of fever, chills, unexplained weight loss, immunosuppression, cancer, or intravenous drug use should raise suspicion for what?

A

tumor or infection

9
Q

Neck pain with neurological signs or symptoms (arm clumsiness, gait difficulty, bowel or bladder dysfunction, Babinski’s sign) may suggest what?

A

cervical myelopathy

10
Q

A shock-like paresthesia occurring with neck flexion (Lhermitte’s phenomenon) suggests compression of the cervical cord by a midline disc herniation or spondylosis but may also be a sign of what?

A

intramedullary pathology such as a multiple sclerosis plaque

11
Q

Anterior neck pain might be a sign of what?

A

Some type of nonspinal cause

12
Q

What are the most common etiology for axial neck pain?

A

Degenerative changes

13
Q

Injury to the cervical paraspinal muscles and ligaments associated with spasm of the cervical and upper back muscles are associated with what?

A

cervical strain

14
Q

What causes a cervical strain?

A

poor posture and sleeping habits

15
Q

What are symptoms of a cervical strain?

A

pain, stiffness and tightness in the upper back and shoulder

16
Q

A cervical strain may last up to _ weeks

A

6

17
Q

What refers to derangement in the architecture of the disc that results in mechanical neck pain with or without features of inflammation

A

Cervical discogenic pain

18
Q

When are symptoms associated with cervical discogenic pain exacerbated?

A

when the neck is held in one position for prolonged periods

19
Q

What is the most common cause of whiplash-related neck pain and headaches?

A

Cervical facet syndrome

20
Q

When there is a nonspecific manifestation of any pathologic condition that causes pain from the neck to the shoulder what disorder is expected?

A

cervical myofascial pain

21
Q

What is cervical myofascial pain?

A

Regional pain with associated trigger points, taut bands, and pressure sensitivity

22
Q

What is diffuse skeletal hyperostosis?

A

Inappropriate bone deposition in the insertions of the ligaments and tendons which leads to stiffness, loss of mobility, and pain

23
Q

Numbness, weakness and a sensation of swelling in the upper limbs is strongly suggestive of what?

A

Thoracic outlet syndrome

24
Q

What are 2 special tests that can be performed to diagnose thoracic outlet syndrome?

A
  • Roos sign

- Adson’s test

25
Q

List some examples of non-spinal causes of neck pain

A
  • Malignancy
  • Vascular
  • Cardiovascular
  • Infection
  • Visceral
  • Referred shoulder pain
  • Rheumatologic
  • Neurologic
26
Q

The cervical spine can rotate an average of __ degrees.

It can bend an average of __ degrees laterally.

Forward flex to __ degrees.

Extend backward __ degrees.

A

90

45

60

75

27
Q

What movements are more affected by UCS injury? LCS injury?

A

rotation

lateral flexion

28
Q

What are 2 provocative maneuvers to help diagnose neck pain?

A
  • UE tension tests

- neck distraction test

29
Q

When is radiography indicated in patients with neck pain?

A
  • Constitutional symptoms, such as fevers, chills, and unexplained weight loss
  • Moderate to severe neck pain lasting more than six weeks
  • Progressive neurological findings
  • Infectious risk
  • History of malignancy