neck pain

Question 1

differential for neck pain

Answer 1

see pg 448

Question 2

degenerative changes within cartilage of the facet joints cause

Answer 2

pain, but these changes are usu asymptomatic until trauma happens

Question 3

cervical spondylosis

Answer 3

degen changes including disk space narrowing, osteophytes in disc margins, and arthritic changes in facet joints

Question 4

inflamed, edematous muscles will frequently undergo

Answer 4

contraction/spasm that results in decreased blood flow and ischemia

Question 5

3 tests to help diagnose cervical disc herniation

Answer 5

spurling test (have pt side bend to side of radicular pain and extend his or her head)

axial manual traction test (pulls up on head to decrease pressure on cervical root)

arm abduction test (elevate the affected arm over the head in abduction while pt is seated)

Question 6

when are lab findings needed for neck pain?

Answer 6

when PE suggests systemic disease, inflammatory arthritis, or bone damage