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Journal articles on the topic 'Cervical pain'

Author: Grafiati
Published: 4 June 2021
Last updated: 27 April 2022

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1

Starkweather, Angela. "Cervical Pain." Topics in Pain Management 34, no. 8 (March 2019): 1–8. http://dx.doi.org/10.1097/01.tpm.0000554064.99871.c9.

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2

Muñoz-García, Daniel, Alfonso Gil-Martínez, Almudena López-López, Ibai Lopez-de-Uralde-Villanueva, Roy La Touche, and Josué Fernández-Carnero. "Chronic Neck Pain and Cervico-Craniofacial Pain Patients Express Similar Levels of Neck Pain-Related Disability, Pain Catastrophizing, and Cervical Range of Motion." Pain Research and Treatment 2016 (March 29, 2016): 1–8. http://dx.doi.org/10.1155/2016/7296032.

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Background. Neck pain (NP) is strongly associated with cervico-craniofacial pain (CCFP). The primary aim of the present study was to compare the neck pain-related disability, pain catastrophizing, and cervical and mandibular ROM between patients with chronic mechanical NP and patients with CCFP, as well as asymptomatic subjects. Methods. A total of 64 participants formed three groups. All participants underwent a clinical examination evaluating the cervical range of motion and maximum mouth opening, neck disability index (NDI), and psychological factor of Pain Catastrophizing Scale (PCS). Results. There were no statistically significant differences between patients with NP and CCFP for NDI and PCS (P>0.05). One- way ANOVA revealed significant differences for all ROM measurements. The post hoc analysis showed no statistically significant differences in cervical extension and rotation between the two patient groups (P>0.05). The Pearson correlation analysis shows a moderate positive association between NDI and the PCS for the group of patients with NP and CCFP. Conclusion. The CCFP and NP patient groups have similar neck disability levels and limitation in cervical ROM in extension and rotation. Both groups had positively correlated the NDI with the PCS.
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3

Schellhas, Kurt P., Michael D. Smith, Cooper R. Gundry, and Steven R. Pollei. "Cervical Discogenic Pain." Spine 21, no. 3 (February 1996): 300–311. http://dx.doi.org/10.1097/00007632-199602010-00009.

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4

La Touche, Roy, Sergio Martínez García, Beatriz Serrano García, Alejandro Proy Acosta, Daniel Adraos Juárez, Juan José Fernández Pérez, Santiago Angulo-Díaz-Parreño, Ferran Cuenca-Martínez, Alba Paris-Alemany, and Luis Suso-Martí. "Effect of Manual Therapy and Therapeutic Exercise Applied to the Cervical Region on Pain and Pressure Pain Sensitivity in Patients with Temporomandibular Disorders: A Systematic Review and Meta-analysis." Pain Medicine 21, no. 10 (March 17, 2020): 2373–84. http://dx.doi.org/10.1093/pm/pnaa021.

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Abstract Objective To assess the effectiveness of cervical manual therapy (MT) on patients with temporomandibular disorders (TMDs) and to compare cervico-craniomandibular MT vs cervical MT. Design Systematic review and meta-analysis (MA). Methods A search in PubMed, EMBASE, PEDro, and Google Scholar was conducted with an end date of February 2019. Two independent reviewers performed the data analysis, assessing the relevance of the randomized clinical trials regarding the studies’ objectives. The qualitative analysis was based on classifying the results into levels of evidence according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE). Results Regarding cervical MT, MA included three studies and showed statistically significant differences in pain intensity reduction and an increase in masseter pressure pain thresholds (PPTs), with a large clinical effect. In addition, the results showed an increase in temporalis PPT, with a moderate clinical effect. MA included two studies on cervical MT vs cervico-craniomandibular MT interventions and showed statistically significant differences in pain intensity reduction and pain-free maximal mouth opening, with a large clinical effect. Conclusions Cervical MT treatment is more effective in decreasing pain intensity than placebo MT or minimal intervention, with moderate evidence. Cervico-craniomandibular interventions achieved greater short-term reductions in pain intensity and increased pain-free MMO over cervical intervention alone in TMD and headache, with low evidence.
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5

Graff-Radford, Steven B. "Facial Pain, Cervical Pain, and Headache." CONTINUUM: Lifelong Learning in Neurology 18 (August 2012): 869–82. http://dx.doi.org/10.1212/01.con.0000418648.54902.42.

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6

Inose, Hiroyuki, Takashi Hirai, Toshitaka Yoshii, Atsushi Kimura, Katsushi Takeshita, Hirokazu Inoue, Asato Maekawa, et al. "Factors contributing to neck pain in patients with degenerative cervical myelopathy: A prospective multicenter study." Journal of Orthopaedic Surgery 30, no. 1 (January 2022): 102255362210918. http://dx.doi.org/10.1177/10225536221091848.

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Purpose Although the understanding of the mechanisms of low back pain due to spinopelvic sagittal imbalance has strengthened, the understanding of the mechanisms of neck pain remains insufficient. Thus, this study aimed to identify the factors associated with preoperative and postoperative neck pain in patients with degenerative cervical myelopathy who underwent laminoplasty. Methods In this prospective multicenter study, we prospectively enrolled patients who were scheduled for laminoplasty for degenerative cervical myelopathy. The associations between different variables and the Numerical Pain Rating Scale (NRS) scores for neck pain were investigated using univariate and multiple linear regression models. Results In total, 92 patients were included in the current study. The univariate analysis showed that age, sex, cervical lordosis in neutral and extension, and thoracic kyphosis were significantly associated with the preoperative NRS score for neck pain; moreover, preoperative cervical lordosis in extension and range of motion and postoperative cervical lordosis in neutral, flexion, and extension were significantly associated with the postoperative NRS Scale score for neck pain. Stepwise multiple regression analysis showed that the independent factors contributing to preoperative neck pain were preoperative cervical lordosis in extension, sex, and age. The independent preoperative predictor and contributor to postoperative neck pain were preoperative cervical lordosis in extension and postoperative cervical lordosis in extension, respectively. Conclusions Cervical lordosis in extension showed significant association with neck pain in patients with degenerative cervical myelopathy. Therefore, when performing laminoplasty for patients with a low cervical lordosis in extension, attention should be paid to residual postoperative neck pain.
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7

RAO, RAJ. "NECK PAIN, CERVICAL RADICULOPATHY, AND CERVICAL MYELOPATHY." Journal of Bone and Joint Surgery-American Volume 84, no. 10 (October 2002): 1872–81. http://dx.doi.org/10.2106/00004623-200210000-00021.

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8

Demierre, Bertrand, Pierre-F. Unger, and Flavio Bongioanni. "Sudden cervical pain: Spontaneous cervical epidural hematoma." American Journal of Emergency Medicine 9, no. 1 (January 1991): 54–56. http://dx.doi.org/10.1016/0735-6757(91)90017-e.

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9

Bogduk, Nikolai, and Susan M. Lord. "Cervical Zygapophysial Joint Pain." Neurosurgery Quarterly 8, no. 2 (June 1998): 107–17. http://dx.doi.org/10.1097/00013414-199806000-00004.

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10

Bland, John H. "Cervical and thoracic pain." Current Opinion in Rheumatology 3, no. 2 (April 1991): 218–25. http://dx.doi.org/10.1097/00002281-199104000-00004.

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11

Van Zundert, Jan, Marc Huntoon, Jacob Patijn, Arno Lataster, Nagy Mekhail, and Maarten van Kleef. "4. Cervical Radicular Pain." Pain Practice 10, no. 1 (January 2010): 1–17. http://dx.doi.org/10.1111/j.1533-2500.2009.00319.x.

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12

van Eerd, Maarten, Jacob Patijn, Arno Lataster, Richard W. Rosenquist, Maarten van Kleef, Nagy Mekhail, and Jan Van Zundert. "5. Cervical Facet Pain." Pain Practice 10, no. 2 (March 2010): 113–23. http://dx.doi.org/10.1111/j.1533-2500.2009.00346.x.

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13

Gellhorn, Alfred C. "Cervical Facet-Mediated Pain." Physical Medicine and Rehabilitation Clinics of North America 22, no. 3 (August 2011): 447–58. http://dx.doi.org/10.1016/j.pmr.2011.02.006.

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14

White, Katherine, Thomas H. Hudgins, and Joseph T. Alleva. "Cervical Facet Mediated Pain." Disease-a-Month 55, no. 12 (December 2009): 729–36. http://dx.doi.org/10.1016/j.disamonth.2009.06.003.

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15

Ohseto, Kiyoshige. "Technique of Cervical Facet Rhizotomy." PAIN RESEARCH 7, no. 1 (1992): 21–26. http://dx.doi.org/10.11154/pain.7.21.

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16

Wieser, Eric S., and Jeffrey C. Wang. "SURGERY FOR NECK PAIN." Neurosurgery 60, suppl_1 (January 1, 2007): S1–51—S1–56. http://dx.doi.org/10.1227/01.neu.0000215376.14375.d.

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Abstract AXIAL NECK PAIN is a common finding that typically represents a spectrum of clinical Arlington Orthopedic Associates, disorders affecting the cervical spine. Controversy exists concerning the ultimate treatment of the patient who presents with cervical spondylosis and primarily axial neck pain without radicular symptoms or myelopathy and who has failed to respond to extensive nonoperative treatment methods. Cervical discography has been used to assist in determining the specific level or levels causing the neck pain and, potentially, which levels to fuse; however, controversy regarding the specificity of cervical discograms has also been debated in the literature. Los Angeles, California We recommend exhausting all conservative means of treatment of axial neck pain. Surgery is offered only after conservative treatment fails and appropriate psychological testing is performed, as well as diagnostic imaging and discography that confirm a specific level or levels as the pain source. Cervical fusion may demonstrate good results in appropriately chosen patients with cervical spondylosis and axial neck pain.
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17

Ohseto, Kiyoshige, Masahiro Shiotani, Hidetake Karasawa, Kenji Ohno, Mikiko Higashi, and Osamu Iijima. "Clinical Experience with Percutaneous Cervical Discectomy." PAIN RESEARCH 9, no. 1 (1994): 29–35. http://dx.doi.org/10.11154/pain.9.29.

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18

Kasliwal, Manish K., Jacquelyn A. Corley, and Vincent C. Traynelis. "Posterior Cervical Fusion Using Cervical Interfacet Spacers in Patients With Symptomatic Cervical Pseudarthrosis." Neurosurgery 78, no. 5 (October 28, 2015): 661–68. http://dx.doi.org/10.1227/neu.0000000000001087.

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Abstract BACKGROUND: Posterior cervical fusion with cervical interfacet spacer (CIS) is a novel allograft technology offering the potential to provide indirect neuroforaminal decompression while simultaneously enhancing fusion by placing the allograft in compression. OBJECTIVE: To analyze the clinical and radiological outcomes after posterior cervical fusion with CIS in patients with symptomatic anterior cervical pseudarthroses. METHODS: Medical records of patients who underwent posterior cervical fusion with CIS for symptomatic pseudarthrosis after anterior cervical diskectomy and fusion were reviewed. Standardized outcome measures such as visual analog scale (VAS) score for neck and arm pain, Neck Disability Index (NDI), and upright lateral cervical radiographs were reviewed. RESULTS: There were 19 patients with symptomatic cervical pseudarthrosis. Preoperative symptoms included refractory neck or arm pain. The average follow-up was 20 months (range, 12-56 months). There was improvement in VAS score for neck pain (P < .004), radicular arm pain (P < .007), and NDI score (P < .06) after surgery, with 83%, 72%, and 67% of patients showing improvement in their VAS neck pain, VAS arm pain, and NDI scores, respectively. Fusion rate was high, with fusion occurring at all levels treated for pseudarthrosis. There was a small improvement in cervical lordosis (mean difference, 2 ± 5.17°; P = .09) and slight worsening of C2-7 sagittal vertical axis after surgery (mean difference, 1.89 ± 7.87 mm; P = .43). CONCLUSION: CIS provides an important fusion technique, allowing placement of an allograft in compression for posterior cervical fusion in patients with anterior cervical pseudarthroses. Although there was improvement in clinical outcome measures after surgery, placement of CIS had no clinically significant impact on cervical lordosis and C2-7 sagittal vertical axis.
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19

Harano, Kiyoshi, Tadahide Totoki, and Yoshio Taniguchi. "Segmental Zoster Paresis in the Cervical Region." PAIN RESEARCH 6, no. 1 (1991): 41–45. http://dx.doi.org/10.11154/pain.6.41.

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20

Shim, Jae Chol. "Interventional Treatment for Cervical Pain." Journal of the Korean Medical Association 49, no. 8 (2006): 682. http://dx.doi.org/10.5124/jkma.2006.49.8.682.

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21

Cohen, Milton L. "4. Cervical and lumbar pain." Medical Journal of Australia 165, no. 9 (November 1996): 504–8. http://dx.doi.org/10.5694/j.1326-5377.1996.tb138617.x.

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22

Posner, Tina, Martin Vessey, L. D. Hordon, David Hicks, and Valerie Brown. "PAIN AND CERVICAL LASER THERAPY." Lancet 333, no. 8636 (March 1989): 494–95. http://dx.doi.org/10.1016/s0140-6736(89)91391-3.

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23

Cooper, Grant, Beverly Bailey, and Nikolai Bogduk. "Cervical Zygapophysial Joint Pain Maps." Pain Medicine 8, no. 4 (May 2007): 344–53. http://dx.doi.org/10.1111/j.1526-4637.2006.00201.x.

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24

Browne, Phyllis A., Glenn T. Clark, Takuo Kuboki, and Nancy Y. Adachi. "Concurrent cervical and craniofacial pain." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 86, no. 6 (December 1998): 633–40. http://dx.doi.org/10.1016/s1079-2104(98)90195-0.

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25

Schneider, Michael, Stuart Weinstein, and Gary P. Chimes. "Cervical Manipulation for Neck Pain." PM&R 4, no. 8 (August 2012): 606–12. http://dx.doi.org/10.1016/j.pmrj.2012.07.003.

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26

Wetzel, F. Todd. "Chronic Benign Cervical Pain Syndromes." Spine 17, Supplement (October 1992): S367—S374. http://dx.doi.org/10.1097/00007632-199210001-00005.

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27

Mukai, Ai, and Vishal Kancherla. "Interventional Procedures for Cervical Pain." Physical Medicine and Rehabilitation Clinics of North America 22, no. 3 (August 2011): 539–49. http://dx.doi.org/10.1016/j.pmr.2011.02.008.

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28

Palmer, Ron. "Cervical Pain and Regional Relationships." Journal of Orthopaedic Medicine 24, no. 3 (January 2002): 109–11. http://dx.doi.org/10.1080/1355297x.2002.11736176.

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29

McKee, Malcolm. "Cervical pain in small animals." In Practice 18, no. 4 (April 1996): 169–84. http://dx.doi.org/10.1136/inpract.18.4.169.

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30

Katz, Richard T. "Impairment Tutorial: Rating Cervical Pain." Guides Newsletter 4, no. 5 (September 1, 1999): 9–11. http://dx.doi.org/10.1001/amaguidesnewsletters.1999.sepoct06.

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31

Binder, Allan I. "Cervical spondylosis and neck pain." BMJ 334, no. 7592 (March 8, 2007): 527–31. http://dx.doi.org/10.1136/bmj.39127.608299.80.

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32

HAWKINS, RICHARD J., THOMAS BILCO, and PETER BONUTTI. "Cervical Spine and Shoulder Pain." Clinical Orthopaedics and Related Research &NA;, no. 258 (September 1990): 142???146. http://dx.doi.org/10.1097/00003086-199009000-00017.

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33

Borg-Stein, Joanne. "Cervical myofascial pain and headache." Current Pain and Headache Reports 6, no. 4 (August 2002): 324–30. http://dx.doi.org/10.1007/s11916-002-0055-0.

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34

Fukui, Sei, Kiyoshige Ohseto, Masahiro Shiotani, Satomi Arimura, Kenji Ohno, Hidetake Karasawa, Yoshikazu Naganuma, Yasumasa Yuda, Hiromi Hajiri, and Midori Ozawa. "Clinical Evaluation of Cervical Zygapophyseal Joint Pain Patterns." PAIN RESEARCH 11, no. 1 (1996): 29–34. http://dx.doi.org/10.11154/pain.11.29.

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35

Hamdi, Ahmed Adel Ali, Mohamed Mahmoud Abdel Khalik Khalaf, Abdel Aziz Baiomy Abdullah, Ereny Sobhy Wahba Khalil, and Intsar S. Waked. "Combined effect of ultrasound and manual therapy on cervical pain after maxillofacial surgeries." International journal of health sciences 6, S1 (March 13, 2022): 162–85. http://dx.doi.org/10.53730/ijhs.v6ns1.4761.

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Cervical pain is a common complication post maxillofacial surgeries ranging from weeks to months. Purpose: to evaluate combined effect of ultrasound and manual therapy on cervical pain after maxillofacial surgeries in patients who had maxillofacial surgeries and had cervical pain. Methods: - forty five (23 males and 22 females) patients with cervical pain after maxillofacial surgeries were randomly divided into three equal group3. Group (A) received Ultrasound addition to Manual Therapy. Group (B) received Manual Therapy only. Group(C) received only Ultrasound treatment. Results: - The result showed that there was a significant decrease in cervical pain and a significant increase in cervical ROM using Manual Therapy combined with Ultrasound better than Manual Therapy or Ultrasound only. Conclusion: Both types (Manual Therapy and Ultrasound) are effective in deceasing cervical pain after maxillofacial surgeries that is reflected by decreasing cervical pain and increasing cervical ROM.
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36

Speldewinde, Geoffrey C., Guy M. Bashford, and Ian R. Davidson. "Diagnostic Cervical Zygapophysial Joint Blocks for Chronic Cervical Pain." Journal of Whiplash & Related Disorders 1, no. 2 (January 2002): 105–12. http://dx.doi.org/10.3109/j180v01n02_07.

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37

Speldewinde, Geoffrey C., Guy M. Bashford, and Ian R. Davidson. "Diagnostic cervical zygapophyseal joint blocks for chronic cervical pain." Medical Journal of Australia 174, no. 4 (February 2001): 174–76. http://dx.doi.org/10.5694/j.1326-5377.2001.tb143210.x.

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38

Speldewinde, Geoffrey. "Diagnostic Cervical Zygapophysial Joint Blocks for Chronic Cervical Pain." Journal of Whiplash & Related Disorders 1, no. 2 (March 1, 2002): 105–12. http://dx.doi.org/10.1300/j180v01n02_07.

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39

Nasser, Munir J., and Abdulrahman Al Anazi. "Simple Cervical Discectomy: An Option for Cervical Pain Management." Neurosurgery Quarterly 19, no. 4 (December 2009): 298–301. http://dx.doi.org/10.1097/wnq.0b013e3181bd5f17.

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40

Michels, Thomas, Nils Lehmann, and Susanne Moebus. "Cervical Vertigo—Cervical Pain: An Alternative and Efficient Treatment." Journal of Alternative and Complementary Medicine 13, no. 5 (June 2007): 513–18. http://dx.doi.org/10.1089/acm.2007.6102.

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41

Visscher, Corine M., Frank Lobbezoo, Wim De Boer, Jacques Van Der Zaag, and Machiel Naeije. "Prevalence of cervical spinal pain in craniomandibular pain patients." European Journal of Oral Sciences 109, no. 2 (April 2001): 76–80. http://dx.doi.org/10.1034/j.1600-0722.2001.00996.x.

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42

Vetroczky, Nicole, and Christine A. Lauber. "Do Patients With Cervical Radiculopathy Benefit From the Addition of Cervical Traction to a Rehabilitation Program? A Critically Appraised Topic." International Journal of Athletic Therapy and Training 22, no. 3 (May 2017): 18–25. http://dx.doi.org/10.1123/ijatt.2016-0071.

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Clinical Question:In patients with cervical radiculopathy and associated pain, is there a benefit to including intermittent, mechanical cervical traction to a multimodal treatment approach to reduce cervical pain and disability?Clinical Bottom Line:The majority of best evidence suggests favorable outcomes regarding decreasing cervical pain and disability with the inclusion of intermittent, mechanical cervical traction into a multimodal treatment approach.
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43

Gregoletto, Diana, and Cruz Miguel Cendán Martínez. "Effects of spinal manipulation in patients with mechanical neck pain." Coluna/Columna 13, no. 4 (December 2014): 269–74. http://dx.doi.org/10.1590/s1808-18512014130400415.

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Objective: To analyse changes in the range of motion (ROM) and pain after spinal manipulation of the cervical spine and thoracic spine in subjects with mechanical neck pain. Methods : Spinal manipulations were performed in the cervical and thoracic spine with the Gonstead and Diversified DTV techniques. To assess cervical ROM an inclinometer was used. Cervical pain was assessed by Visual Analogue Scale (VAS). The participation of 73 patients was obtained. Ages ranged from 18 to 63 years, with an average of 42.27 years. The subjects of this study were characterized by having mechanical neck pain and restricted cervical ROM. Results: We observed a reduction in the intensity of pain perceived by patients and increased cervical ROM. There were significant differences between pre-treatment values (first visit) and the fifth and tenth visits (p<0.01), and between the fifth and tenth visits (p<0.01) in all parameters except in the cervical extension of 70º. Conclusions: The results of this study suggest that spinal manipulation of the cervical and thoracic regions with the Gonstead and Diversified DTV techniques could subjectively reduce pain and produce considerable increase in cervical ROM in adults with mechanical neck pain.
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44

Kamayoga, I. Dewa Gede Alit, A. A. I. Ayesa Febrinia Adyasputri, I. Putu Yudi Pramana Putra, M. Widnyana, and Anak Agung Gede Eka Septian Utama. "The Efficacy of Deep Cervical Flexor Training with Feedback Reducing Pain and Disability in Individuals with Work-Related Neck Pain." Physical Therapy Journal of Indonesia 2, no. 2 (December 2, 2021): 50–53. http://dx.doi.org/10.51559/ptji.v2i2.35.

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Introduction: The most common trouble when doing task is work related neck pain. Neck pain can have negative effect on workers related to the resulting work productivity. To conquer this, there is deep cervical flexor training with feedback training to solve that problems. This study aims to find out whether deep cervical flexor training with feedback is powerful in reducing pain and disability the work-related neck pain. Methods: This study using a literature review by conducting data studies related to deep cervical flexor training with feedback, neck pain, and working. The initial search in 4 databases found a total of 36 articles. After the selection using inclusion and exclusion criteria obtained 28 articles. Results: Based on some literature, it shows that deep cervical flexor training with feedback aims to activate the deep cervical flexor muscle effectively in reducing pain through the release of endorphins and decreasing pain and changes in muscle function have an effect on reducing disability in work related neck pain. Conclusion: Providing deep cervical flexor training with feedback is powerful in decreasing the level of pain and disability in work-related neck pain.
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45

Manchikanti, Laxmaiah, Vijay Singh, Frank J. E. Falco, Kimberly M. Cash, and Bert Fellows. "Cervical Medial Branch Blocks for Chronic Cervical Facet Joint Pain." Spine 33, no. 17 (August 2008): 1813–20. http://dx.doi.org/10.1097/brs.0b013e31817b8f88.

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46

McDonald, Marin A., Claudia F. E. Kirsch, Beejal Y. Amin, Joseph M. Aulino, Angela M. Bell, R. Carter Cassidy, Santanu Chakraborty, et al. "ACR Appropriateness Criteria® Cervical Neck Pain or Cervical Radiculopathy." Journal of the American College of Radiology 16, no. 5 (May 2019): S57—S76. http://dx.doi.org/10.1016/j.jacr.2019.02.023.

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47

Diwan, Sudhir A. "Effectiveness of Cervical Epidural Injections in the Management of Chronic Neck and Upper Extremity Pain." Pain Physician 4;15, no. 4;8 (August 14, 2012): E405—E434. http://dx.doi.org/10.36076/ppj.2012/15/e405.

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Background: Chronic persistent neck pain with or without upper extremity pain is common in the general adult population with prevalence of 48% for women and 38% for men, with persistent complaints in 22% of women and 16% of men. Multiple modalities of treatments are exploding in managing chronic neck pain along with increasing prevalence. However, there is a paucity of evidence for all modalities of treatments in managing chronic neck pain. Cervical epidural injections for managing chronic neck pain are one of the commonly performed interventions in the United States. However, the literature supporting cervical epidural steroids in managing chronic pain problems has been scant. Study Design: A systematic review of cervical interlaminar epidural injections for cervical disc herniation, cervical axial discogenic pain, cervical central stenosis, and cervical postsurgery syndrome. Objective: To evaluate the effect of cervical interlaminar epidural injections in managing various types of chronic neck and upper extremity pain emanating as a result of cervical spine pathology. Methods: The available literature on cervical interlaminar epidural injections in managing chronic neck and upper extremity pain were reviewed. The quality assessment and clinical relevance criteria utilized were the Cochrane Musculoskeletal Review Group criteria as utilized for interventional techniques for randomized trials and the criteria developed by the Newcastle-Ottawa Scale criteria for observational studies. The level of evidence was classified as good, fair, and limited based on the quality of evidence developed by the U.S. Preventive Services Task Force (USPSTF). Data sources included relevant literature identified through searches of PubMed and EMBASE from 1966 to December 2011, and manual searches of the bibliographies of known primary and review articles. Outcome Measures: The primary outcome measure was pain relief (short-term relief = up to 6 months and long-term > 6 months). Secondary outcome measures were improvement in functional status, psychological status, return to work, and reduction in opioid intake. Results: For this systematic review, 34 studies were identified. Of these, 24 studies were excluded and a total of 9 randomized trials, with 2 duplicate studies, met inclusion criteria for methodological quality assessment. For cervical disc herniation, the evidence is good for cervical epidural with local anesthetic and steroids; whereas, it is fair with local anesthetic only. For axial or discogenic pain, the evidence is fair for local anesthetic, with or without steroids. For spinal stenosis, the evidence is fair for local anesthetic, with or without steroids. For postsurgery syndrome, the evidence is fair for local anesthetic, with or without steroids. Limitations: The limitations of this systematic review continue to be the paucity of literature. Conclusion: The evidence is good for radiculitis secondary to disc herniation with local anesthetics and steroids, fair with local anesthetic only; whereas, it is fair for local anesthetics with or without steroids, for axial or discogenic pain, pain of central spinal stenosis, and pain of post surgery syndrome. Key words: Cervical disc herniation, cervical axial discogenic pain, cervical central spinal stenosis, cervical post surgery syndrome, cervical radiculitis, cervical interlaminar epidural injections, local anesthetic, steroids
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48

Chang, Min Cheol. "Effectiveness of Ultrasound-Guided Pulsed Radiofrequency Treatment in Patients with Refractory Chronic Cervical Radicular Pain." Pain Physician 3;23, no. 6;3 (June 14, 2020): E265—E271. http://dx.doi.org/10.36076/ppj.2020/23/e265.

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Background: The effect of pulsed radiofrequency (PRF) stimulation for alleviating cervical radicular pain has been demonstrated in several previous studies. Objectives: We aimed to evaluate the effectiveness of PRF with ultrasound (US) guidance in patients with chronic cervical radicular pain that was refractory to repeated transforaminal epidural steroid injections (TFESIs). Study Design: A prospective outcome study. Setting: The outpatient clinic of a single academic medical center. Methods: This study included 49 patients with chronic cervical radicular pain, unresponsive to repeated TFESIs, and who underwent PRF stimulation under US guidance. Using US, a cannula was inserted toward the cervical spinal nerve. The pain intensity was evaluated using the Numeric Rating Scale (NRS-11) for cervical radicular pain at pretreatment and 1, 3, and 6 months posttreatment; and the Neck Disability Index (NDI) was used for evaluating functional disability before treatment and 6 months posttreatment. Successful pain relief was defined as ≥ 50% reduction in the NRS-11 score as compared with the score before treatment. Results: Cervical radicular pain was significantly reduced at 1, 3, and 6 months postPRF (P < 0.001). At 6 months post-PRF, functional disability (NDI score) had significantly reduced, and 63.3% of the patients achieved successful pain relief. Limitations: The small number of included patients and no long-term follow-up. Conclusions: PRF stimulation under the guidance of US is a potentially effective treatment method for managing refractory chronic cervical radicular pain. Key words: Ultrasound, pulsed radiofrequency, cervical radicular pain, chronic pain
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49

Kawakita, Eiji, Yuichi Kasai, and Atsumasa Uchida. "Low Back Pain and Cervical Spondylotic Myelopathy." Journal of Orthopaedic Surgery 17, no. 2 (August 2009): 187–89. http://dx.doi.org/10.1177/230949900901700213.

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Purpose. To determine characteristics responsible for improvement of low back pain after cervical laminoplasty for cervical spondylotic myelopathy. Methods. 18 men and 10 women aged 38 to 88 (mean, 71) years who had a low back pain visual analogue scale (VAS) score of 5 or more before cervical laminoplasty were included. In 12 patients the VAS score improved to ≤1 after surgery and remained so at 2 years, but in 16 it remained unimproved. Patient characteristics of the 2 groups were compared. Results. Preoperatively 11 of the 12 patients with improved VAS score had continuous low back pain all day, compared to 3 of the 16 who remained unimproved (p<0.01). Conclusion. In some patients, low back pain may be improved following cervical laminoplasty.
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50

Jagdhari, B. Smriti, Motwani Mukta, A. Golhar Saket, and Anil V. Golhar. "Therapeutic Evaluation of Cervical Dysfunction in Patients with Myofascial Pain Dysfunction Syndrome: A Prospective Study." Journal of Contemporary Dental Practice 18, no. 7 (2017): 601–6. http://dx.doi.org/10.5005/jp-journals-10024-2092.

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ABSTRACT Aim The aim of this study was to find out the therapeutic correlation between cervical dysfunction and myofascial pain dysfunction syndrome (MPDS). Materials and methods The study included 46 patients out of which 23 had MPDS with cervical pain (group I), and 23 patients had only MPDS (group II). Detailed history and examination of the patients were carried out, and the factors taken into consideration were pain and tenderness of muscles of mastication and neck muscles, maximum comfortable mouth opening, and cervical range of motion. All the patients were randomly divided and advised physical exercises, light amplification by stimulated emission of radiation (LASER) therapy, and the combination of both exercise and LASER. Patients were assessed for the relief of signs and symptoms of myofascial pain and cervical pain posttreatment, every month for 2 months. Results Both the groups showed a similar response to all the different treatment modalities. In group I, the patients also had relief in their cervical pain although the treatment was directed for MPDS. Patients from both the groups who were advised LASER and combination of both exercise and LASER showed better response in terms of reduction in visual analog scale, number of tender muscles, and increased maximum comfortable mouth opening posttreatment and during the follow-up, as compared with the patients who were advised only exercise. Conclusion Patients having cervical pain showed significant improvement comparable with patients having no cervical pain. Hence, the conclusion drawn was that there is a positive interrelationship between MPDS and cervical (neck) pain; MPDS may act as a catalyst for precipitating cervical pain. Clinical significance Cervical pain showed significant improvement to physiotherapy in the form of exercise, LASER, and combination treatment, though the effective modality was LASER and combination of exercise and LASER therapy. How to cite this article Jagdhari BS, Mukta M, Saket AG, Golhar AV. Therapeutic Evaluation of Cervical Dysfunction in Patients with Myofascial Pain Dysfunction Syndrome: A Prospective Study. J Contemp Dent Pract 2017;18(7):601-606.
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