Abstract:
:Chronic cervical pain is not always attributable to radiculopathy. Pain may derive from peripheral myofascial syndromes and/or central inflammatory root irritation from degradation of discal proteoglycans. This concept is presented with its application in 30 patients with follow-up observations up to 30 months. Twelve of twenty-five achieving a pain level of 0 (out of a possible 10), ten of twenty-five had a pain level of 2, and three of twenty-five had a pain level of 4. Five cases were considered to be failures because of patient noncompliance. Treatment was multidisciplinary: aggressive physical medicine, behavioral medicine, vocational, and recreational rehabilitation with the goal of a return to socioeconomic productivity or previous lifestyle, secondary to which pain relief or control follows. Emphasis was placed on the restoration of musculoskeletal physiology to normal with behavioral modification, good body mechanics and the application of engineering/ergonomic principles at work or recreation.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Rosomoff HL,Fishbain D,Rosomoff RSdoi
10.1097/00007632-199210001-00004keywords:
subject
Has Abstractpub_date
1992-10-01 00:00:00pages
S362-6issue
10 Suppleissn
0362-2436issn
1528-1159journal_volume
17pub_type
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