Neck Pain: A Practical Approach

Salient Features: The aim of this book is to highlight the key points in the approach to a patient presenting with neck pain. The book will help the clinicians in accurately diagnosing the neck conditions, minimizing the adverse effects of pathological neck conditions, and developing decision-making strategy for management. Useful in educating the patients and other healthcare practitioners about the neck complications, risk factors and treatment options. The book consists of two Parts. Part 1 covers the basics including Clinical anatomy, Pathophysiology, Clinical examination and Treatment principles. Part 2 consists of Pharmacological and Non-pharmacological management of neck pain as well as case descriptions and illustrations. This book will be an easy and reliable guide for general practitioners, postgraduate students, physiotherapists and all other clinicians interested in the management of neck pain. Table of contents: Part 1: Applied Anatomy and Diagnosis of Neck Pain 1. Applied Anatomy Anatomy of Cervical Vertebra Movements of the Neck Muscles of the Neck Spinal Cord Cranial Nerves 2. History Taking Who is Complaining? Where is the Pain? Where Else does it Hurt? What Makes the Pain Worse/Lesser? Occupational Risk Factors Neurological Symptoms (Motor, Sensory and Sphincters, Vertigo) 3. Examination 20 Posture Functional Screening Examination of C1-C7 Cervical Nerves Upper Motor Neuron Signs Cranial Nerves Special Tests for Root Compression in the Foramen 36 Special Test for (Posterior) Cord Compression 36 Examination of Structures in the Anterior Neck 37 Exa mination of Upper Limbs: Differentiating the Brachialgias 37 Exa mination of Upper Limb Nerves: Entrapment Neuropathies 38 Exa mination of the Upper Limb for Regional Soft Tissue Disorders Vascular Examination of Upper Limb 4. Pathophysiology and Differential Diagnosis of Neck Pain Approach to a Patient with Neck Pain Red Flag Conditions: What is to be Done? CONTENTS xiv Neck Pain: A Practical Approach 5. Investigations for the Diagnosis of Neck Pain Indications for X-ray X-ray Views What to Look for in an X-ray? Magnetic Resonance Imaging (MRI) Part 2: Management of Neck Pain and Case Studies 6. Management of Neck Pain Muscle Pain Neuropathic Pain Inflammatory or Nociceptive Pain Checklist before Prescribing NSAIDs Analgesics Interventional Procedures 7. Pharmacological Notes Muscle Relaxants Antidepressants Anticonvulsants Opioid Analgesics NSAIDs NSAIDs - COX-2 Inhibitors Aspirin (Acetyl Salicylic Acid) Paracetamol (Acetaminophen) NSAIDs: Topical Applications 8. Nonpharmacological Management of Neck Pain Lifestyle Changes and Patient Education Patient Education for Good Posture Acupuncture and Dry Needling Low Level Laser Therapy (LLLT) or Cold Laser Magnetotherapy Heat Therapy Cold Therapy Electrotherapy Massage Traction Nonsurgical Spinal Decompression Treatment Health Spa Therapy Collar Pillows Contents xv 9. Complementary and Alternative Medicine Manual Therapy Islamic Medicine Complementary/Alternative Medicine (CAM) in India Sound Therapy 10. Case Illustrations and Discussions Acute Torticollis Myofascial Pain Syndrome: Trigger Points Diagnostic Criteria for Myofascial Trigger Points Fibromyalgia Benign Joint Hypermobility Syndrome Cervicothoracic Syndrome The Levator Scapulae Syndrome Interscapular Pain Metabolic Cervical Spondylosis Cervical Disc Prolapse Trauma Syringomyelia Severely Ill Patient Demyelination Motor Neuron Disease Congenital Causes of Neck Pain Repetitive Strain Injury Entrapment Neuropathies in Upper Limb - Double Crush Cervicogenic Headache Vertigo Vertebrobasilar Insufficiency Index

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