• Neck Pain
    • Advances In The Diagnosis...
    • Advances in the diagnosis and management of neck pain: Influence Statistics

      Expert Impact

      Concepts for whichthey havehas direct influence:Neck pain,Pain neck,Chronic pain,Chronic neck,Low pain,Spinal manipulation,Acute pain,Cervical radiculopathy.

      Key People For Neck Pain

      Top KOLs in the world
      Linda J Carroll
      neck pain task force evidence synthesis
      John David Cassidy
      neck pain task force evidence synthesis
      Pierre Pierre
      neck pain task force evidence synthesis
      Paul Michael J Peloso
      neck pain task force rheumatoid arthritis
      Eric L Hurwitz
      neck pain task force spinal manipulation
      Scott Haldeman
      neck pain task force evidence synthesis

      Advances in the diagnosis and management of neck pain


      Neck pain imposes a considerable personal and socioeconomic burden-it is one of the top five chronic pain conditions in terms of prevalence and years lost to disability-yet it receives a fraction of the research funding given to low back pain. Although most acute episodes resolve spontaneously, more than a third of affected people still have low grade symptoms or recurrences more than one year later, with genetics and psychosocial factors being risk factors for persistence. Nearly half of people with chronic neck pain have mixed neuropathic-nociceptive symptoms or predominantly neuropathic symptoms. Few clinical trials are dedicated solely to neck pain. Muscle relaxants and non-steroidal anti-inflammatory drugs are effective for acute neck pain, and clinical practice is mostly guided by the results of studies performed for other chronic pain conditions. Among complementary and alternative treatments, the strongest evidence is for exercise, with weaker evidence supporting massage, acupuncture, yoga, and spinal manipulation in different contexts. For cervical radiculopathy and facet arthropathy, weak evidence supports epidural steroid injections and radiofrequency denervation, respectively. Surgery is more effective than conservative treatment in the short term but not in the long term for most of these patients, and clinical observation is a reasonable strategy before surgery.

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