Neck Pain

Question 1

DDx

• ? (incl. whiplash injury)
• ? neck pain
• cervical ?
• cervical ?
• ??
• ???

Answer 1

trauma
mechanical
spondylosis
myelopathy
AS
FMG

Question 2

Whiplash injury;

?-? forces applied to the neck.
Usually occurs in a ???, with patient wearing a ? struck from ?.
Complex pattern with pain in the neck, ? and ? as well as headache, ? and ? loss.
Can take ? to settle, with radiology only indicated for those with suspected ? injury.

Answer 2

acc-deceleration
RTA
seat belt
behind
shoulder
arm
dizziness
memory
months
bony

Question 3

Mechanical pain;

Can follow ?, falling asleep in awkward positions or prolonged ? working.
Pain is associated with palpable ? ?, can radiate up to the ? and can be associated with a ? headache.
Associated with ?.

Answer 3

injury
keyboard
mm spasms
occiput
tension
FMG

Question 4

Brachial Neuralgia / Cervical Radiculopathy;

Compression of the cervical nerve ?
.
Clinical presentation;
o '?' pain in the neck going down the ?.
o Progressing to a mild loss of ? ? strength.
o ? sensory loss.
o There may also be occasional ? ? pains down the arm.
• Can be recreated with ?test.

Answer 4

roots
aching
arm
pinch grip
dermatomal
sudden sharp
spurling's test -> push pt head toward pathological side and downwards to recreate symptoms

Question 5

Brachial Neuralgia / Cervical Radiculopathy;

Mainly caused by ? in older populations.
o They are usually asymptomatic, however can cause root ?.

Rarely, it can be caused by acute cervical ? ? following minor trauma in ? patients.
Confirm diagnosis with ??/???, and refer to ?

Answer 5

osteophytes
compression
disc prolapse
younger
XR/MRI
neurosurgery

Question 6

Cervical Myelopathy;

Compression of the cervical ? ?.

Clinical presentation;
0 Presents in ? patients, initially with problems with ? ? control in the ?(e.g. can’t chop food).
0 There is a ? developing spastic ?.
0 ? is not a predominant presenting feature.

Answer 6

spinal cord
older
fine motor
hands
slowly
gait
pain

Question 7

Cervical Myelopathy

On examination;

0 UMN signs ? the level of compression.
0 LMN signs ? the level of compression.
• E.g. C5/6 lesion: wasting and fasciculation of the ? & ?with a ?-reflexive bicep reflex, but hyper-reflexive ? reflex and ? leg with ?plantars.

0 ?’s sign will be positive.
• ‘?’ the distal phalanx leads to ? of the other
fingers; ??? sign.

Answer 7

below
at
biceps + deltoids
hypo
tricep
spastic
upgoing
hoffmans
flicking
flexion
umn

Question 8

Cervical Myelopathy

Can be caused by ?/ cervical disc ?, or ?.
Confirm with ?/?, and refer to ?.
o Conservative vs. Surgical intervention options.

Answer 8

osteophytes
degeneration
malignancy
xr/mri
neurosurgery