Recent Comments
- Louise B. Andrew MD on Remarkable New Treatment – Injecting Over Tenderized Skin Nerves With Plain 5% Dextrose
- Margreet Hogenbirk on Sore Pubic Joint – Osteitis Pubis How Does One Treat It?
- John Waters on Accurate Piriformis Injection
- Blurge on Vitamin B12 Injections For Chronic Pain
- Janice McBrien on Trigeminal Neuralgia
Category Archives: Neck
New Hope For Some Chronic Migraine Sufferers – Occipital Nerve Stim
39% of chronic migraine cases will achieve over a 50% improvement with adjustable occipital stimulation – but not with static stim
Posted in Headaches, Neck, neuropathic
Leave a comment
Bad Signs in Whiplash
Besides WAD level, there are multiple findings that predict bad whiplash outcome.
Posted in Neck
Leave a comment
People With Longstanding Lumbar Nerve Root Problems Have “MRI Invisible” Lesions
Radiculopathy (sciatica) cases were categorized by their pain diagrams and physical findings. Only 16- 37% of cases showed MRI findings. If there is an MRI-visible issues – only 22-78 % cases have symptoms (positive predictive values of MRI-visible nerve involvement). … Continue reading
Posted in Back Pain, Insurer issues, Neck, radiculitis
3 Comments
Manual Therapy May Help Trigeminal Neuralgia
A case demonstrating that work on the neck can be helpful in Trigeminal Neuralgia (TN).
Posted in Manual Med, Neck, Trigeminal Neuralgia
1 Comment
Perineural “Tarlov” Spinal Nerve Outlet Cyst Pains – Overlooked and Treatable
I have a patient with multiple level cysts where the nerves exit the spine in the neck. He also has some mild foraminal stenosis. He is symptomatic with arm and referred upper back pain. Getting his problem taken seriously has … Continue reading
Posted in Abdominal pain, Back Pain, Neck, pelvic
1 Comment
Chronic Nonspecific Neck Pain Cut in Half With Just an Epidural Of Local Anesthetic
Chronic neck pain without a disc protrusion or facet indications (negative blocks) gets no respect. One can have pain from internal disc disruptions in a neck disc and have nothing to show for it. Now it looks like the patient’s pain can … Continue reading
Posted in Neck
Leave a comment
Snapping Sound in Neck
I had a patient with rather audible and palpable snap with neck rotation. She was concerned she had loose joints in neck. It turned out to be coming from a snapping Splenius cervicis muscle.
Posted in Neck
Leave a comment
Neck Pain Not Synonymous With Anxiety
Examination of a chronic neck pain group found no association of pain and anxiety – So don’t call them nuts!
Posted in Neck, psychology
Leave a comment
Prior Motor Vehicle Accident (MVA) Doubles Chance Persistent “Troublesome Neck Pain” .
A Saskatchewan Study found people with previous MVA had twice the rate of persistent neck problems. Insurers like to play down this association but in fact this is real.
Posted in Neck
Leave a comment
Is Cervical Spondylotic Myelopathy Genetic?
Old age change in the neck leading to narrowing of the spinal canal is the bane of older subjects. A Chinese study suggests, in their population, it is related to Vitamin D receptor polymorphisms
Posted in Neck
Leave a comment
New Hope For Refractory Neck Pain – Botulinum “Botox” – But Not Cheap
Botox reduced pain in chronic neck pains (average 9.1+ years) for at least 2 month versus placebo -randomized and blind !! 150 – 300 unit was used per sesssion.
Unresolved Shoulder Pain – Look at the neck
Came across a good power point presentation of a case of shoulder pain not helped by surgery and how the neck should have been considered: Available here
Posted in Neck, shoulder
3 Comments
Fibromylagia, Bad Neck (and perhaps arm pains)but Normal MRI? – Need a Functional MRI
In the neck, imaging can be next to useless in many cases of unresolved neck pain. Incredibily, some people are told nothing showed on imaging so it has to be in their head. Now functional (multipositional) upright MRI is demonstrating … Continue reading
Posted in Insurer issues, Neck
Leave a comment
Advanced Disc Degeneration Still Very Painful
Article states “there has been a belief that DD initially causes pain because of the penetration of fluid nuclear material through annular fissures, and that pain eventually resolves as the nucleus becomes fibrotic and can no longer penetrate the fissures”. … Continue reading
Posted in Back Pain, Neck
Leave a comment
Neck Cheap Home Cervical Traction
I have found inflatable neck traction very useful for neck radiculopathy cases. A cheap source is available on ebay
Posted in Neck
2 Comments
Whiplash – When Does “Give It Time” No Longer Apply
Recent metanalysis of studies suggests recovery is not great after 3 months
Posted in Neck
Leave a comment
Unresolved Whiplash? – Look for Shoulder Impingment.
11/220 cases of whiplash, examined medico-legally for non-resolution, had comorbid subacromial impingment, many of which had been missed. This adds to the growing legion of real problems missed in whiplash cases.
Posted in Insurer issues, Neck, shoulder
2 Comments
Etanercept (Enbrel) for Radiculitis (Sciatica)
The common and disabiling pain condition is chronic lumbar radiculopathy (chronic back pain/Sciatica). Despite the widespread promotion of treatments of neuropathic pain a recent analysis of neuropathic pain treatments has concluded the following: “To date, no medications have demonstrated efficacy … Continue reading
Posted in Back Pain, Drugs, Neck, neuropathic, radiculitis
35 Comments