Conservative treatment for neck pain: medications, physical therapy, and exercise.

Abstract:

:This article offers conservative treatment strategies for patients suffering from musculoskeletal causes of neck pain. Basic pharmacology is reviewed, including that of opioids, nonsteroidal anti-inflammatory drugs, adjuvants, and topical analgesics. Moreover, indications for therapeutic exercise, manual therapy, and modalities are reviewed, along with any supporting literature. Treatment considerations with each category of medication and physical therapy are discussed. This article is meant to serve as a resource for physicians to tailor conservative treatment options to their individual patients.

authors

Pangarkar S,Lee PC

doi

10.1016/j.pmr.2011.04.001

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

503-20, ix

issue

3

eissn

1047-9651

issn

1558-1381

pii

S1047-9651(11)00051-9

journal_volume

22

pub_type

杂志文章,评审
  • Examination and treatment of pediatric injuries of the hip and pelvis.

    abstract::Injuries to the hip and pelvis are the least common of lower extremity injuries in youth sports, but include many of the more serious conditions. This article describes the bone and soft-tissue conditions of the hip and pelvis that may present to health care providers caring for the pediatric and adolescent sporting p...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2007.12.005

    authors: Waite BL,Krabak BJ

    更新日期:2008-05-01 00:00:00

  • Depression in persons with multiple sclerosis.

    abstract::This article provides a critical review of what is currently known concerning the nature and scope of depression in persons who have MS. It begins with a discussion of relevant terminology,which is followed by a summary of the research literature concern-ing the prevalence; severity; and risk factors for, and impact o...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2005.01.010

    authors: Ehde DM,Bombardier CH

    更新日期:2005-05-01 00:00:00

  • Orthopedic Conditions in Adults with Cerebral Palsy.

    abstract::Orthopedic conditions are common in adults with cerebral palsy (CP). Although CP is argued to be a nonprogressive condition of the brain, the musculoskeletal components tend to worsen and deteriorate over time leading to chronic pain, function limitation, and a decline in mobility. Orthopedic care of adults with CP ha...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2019.09.013

    authors: Lomax MR,Shrader MW

    更新日期:2020-02-01 00:00:00

  • Techniques in assessing fatigue in neuromuscular diseases.

    abstract::Fatigue is common in neuromuscular disease and it may affect quality of life; however, it has not been adequately studied. We can approach fatigue in neuromuscular diseases systematically. Questionnaires are used to assess subjective or experienced fatigue, and with the wide availability of the Internet, many patients...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2011.11.003

    authors: Lou JS

    更新日期:2012-02-01 00:00:00

  • Complementary and alternative medicine education in the United States, China, and Taiwan.

    abstract::As public demand for complementary and alternative medicine increases,it is important for physical medicine and rehabilitation physicians to have some basic understanding of complementary and alternative medicine or at least to appreciate some of the approved indications so that appropriate referrals can be made. Beca...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章

    doi:10.1016/S1047-9651(03)00129-3

    authors: Lew HL,Lee J,Chen JL,Chen SC

    更新日期:2004-11-01 00:00:00

  • Health promotion practices in women with multiple sclerosis: increasing quality and years of healthy life.

    abstract::Disease-modifying agents that decrease the accumulation of disability are costly, inconvenient to use, and have the potential of significant side effects. The findings presented here suggest that much less costly health-promotion interventions may hold substantial promise as a complementary strategy for decreasing the...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Stuifbergen AK,Becker H

    更新日期:2001-02-01 00:00:00

  • The anatomy and pathophysiology of neck pain.

    abstract::Neck pain should not, and must not, be confused with cervical radicular pain. Equating the two conditions, or confusing them, results in misdiagnosis, inappropriate investigations, and inappropriate treatment that is destined to fail. So critical is the difference that pedagogically it is unwise to include the two top...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2011.03.008

    authors: Bogduk N

    更新日期:2011-08-01 00:00:00

  • Stroke prevention.

    abstract::This article reviews the causes of stroke and emphasizes the underlying vascular pathology. The risk factors associated with the pathologic processes are examined, with emphasis on the beneficial impact on stroke risk through the risk factor modification. Risk factor modification is a powerful tool in stroke preventio...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Gress DR,Singh V

    更新日期:1999-11-01 00:00:00

  • Electrodiagnostic evaluation of hereditary motor and sensory neuropathies.

    abstract::Electrodiagnosis can classify hereditary motor and sensory neuropathies (HMSN) into two basic types: primarily demyelinating with secondary axonal loss and primarily axonal. For the most part, the various forms of HMSN show uniform symmetric nerve conduction slowing, in contrast to acquired neuropathies, which may be ...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s1047-9651(02)00127-4

    authors: Carter GT,England JD,Hecht TW,Han JJ,Weydt P,Chance PF

    更新日期:2003-05-01 00:00:00

  • Noninvasive Transcranial Magnetic Brain Stimulation in Stroke.

    abstract::It is likely that transcranial magnetic brain stimulation will be used for the clinical treatment of stroke and stroke-related impairments in the future. The anatomic target and stimulation parameters will likely vary for any clinical focus, be it weakness, pain, or cognitive or communicative dysfunction. Biomarkers m...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2018.12.010

    authors: Hernandez-Pavon JC,Harvey RL

    更新日期:2019-05-01 00:00:00

  • The prevalence of disability among children: paradigms and estimates.

    abstract::Every examination of disability among children must first grapple with definition of disability. The challenges to identifying disability among children involve not only determining the appropriate paradigm for defining disability, but also applying that paradigm to children in a meaningful way. This discussion of the...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s1047-9651(02)00043-8

    authors: Mudrick NR

    更新日期:2002-11-01 00:00:00

  • Upper Extremity Amputation and Prosthetics Care Across the Active Duty Military and Veteran Populations.

    abstract::The hand and arm are exceptionally dexterous, exquisitely sensitive, and proficient in performing tasks and functions. Given the invaluable functions of the upper extremity in daily life, replacement of a missing limb through prosthetic substitution is challenging. Prosthetic and rehabilitation needs of injured Servic...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2018.08.011

    authors: Cancio JM,Ikeda AJ,Barnicott SL,Childers WL,Alderete JF,Goff BJ

    更新日期:2019-02-01 00:00:00

  • Movement-Based Therapies in Rehabilitation.

    abstract::Movement therapy refers to a broad range of Eastern and Western mindful movement-based practices used to treat the mind, body, and spirit concurrently. Forms of movement practice are universal across human culture and exist in ancient history. Research demonstrates forms of movement therapy, such as dance, existed in ...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2020.07.002

    authors: Phuphanich ME,Droessler J,Altman L,Eapen BC

    更新日期:2020-11-01 00:00:00

  • Pathophysiology of gait disturbance in neurologic disorders and clinical presentations.

    abstract::Ambulation requires significant motor coordination. Because of inherent differences in body proportions, level of coordination, motivation, and other factors, each individual gait pattern is unique. However, despite the existence of these individual differences that contribute to each person's own unique walking style...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2012.11.010

    authors: Vachranukunkiet T,Esquenazi A

    更新日期:2013-05-01 00:00:00

  • Neuromuscular ultrasonography: quantifying muscle and nerve measurements.

    abstract::Neuromuscular ultrasonography can be used both descriptively and quantitatively in the evaluation of patients with neuromuscular disorders. This article reviews the quantitative use of this technology, particularly measurements of the size and echogenicity of nerve and muscle, as a tool for assessing the severity, pro...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2011.11.009

    authors: Mayans D,Cartwright MS,Walker FO

    更新日期:2012-02-01 00:00:00

  • The role of acupuncture in pain management.

    abstract::This article reviews the theories and applications of acupuncture to musculoskeletal pain management. First, Chinese theories of acupuncture are discussed briefly. Next, current understanding of nociception and central pain modulation is discussed in detail,followed by discussion of the physiologic effect of acupunctu...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2004.03.009

    authors: Audette JF,Ryan AH

    更新日期:2004-11-01 00:00:00

  • Concussion in Para Sport.

    abstract::Although Para athletes (the International Paralympic Committee term for sportspeople with a disability) are exposed to a risk of concussion just like their able-bodied counterparts, there has been little research into the incidence of concussion in para sport. Existing assessment and management guidelines and tools ha...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2018.01.002

    authors: Kissick J,Webborn N

    更新日期:2018-05-01 00:00:00

  • Effects of Legislation on Sports-Related Concussion.

    abstract::Following the lead of Washington state and passage of the Lystedt Law in 2009, all states now have sports concussion laws designed to help protect youth athletes. This article examines the 3 basic tenets of youth sports concussion laws, challenges in implementation of state laws, and the first measures of success. Som...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2015.12.006

    authors: Concannon LG

    更新日期:2016-05-01 00:00:00

  • Spinal stenosis: history and physical examination.

    abstract::The history and physical examination are an essential component in the assessment of patients with lumbar spinal stenosis. The differential diagnosis is broad, and many conditions may be ruled out with a thorough office evaluation. Peripheral neuropathy, arteriovascular disease, and hip arthrosis are common entities w...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s1047-9651(02)00049-9

    authors: Thomas SA

    更新日期:2003-02-01 00:00:00

  • Determination of loss of quality of life.

    abstract::Physiatrists are a valuable resource in legal settings, where assessment of functional capacity to perform work and of future medical needs must be determined. Physiatrists help determine what future medical care is needed to restore and maintain an individual at the maximum level of life function. This article focuse...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s1047-9651(01)00004-3

    authors: Williams JM,Dorto AJ

    更新日期:2002-05-01 00:00:00

  • Anterior cruciate ligament injury: mechanisms of injury and strategies for injury prevention.

    abstract::Anterior cruciate ligament (ACL) injury is a common sports injury which can have severe negative consequences. Neuromuscular factors that increase risk, such as knee landing kinematics, may be ameliorated through training. Effective ACL injury prevention programs exist, although the ideal program is yet to be determin...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2014.06.010

    authors: Peterson JR,Krabak BJ

    更新日期:2014-11-01 00:00:00

  • Musculoskeletal conditions after spinal cord injury.

    abstract::The impact of musculoskeletal diseases on the overall function and well-being of a person with spinal cord injury (SCI) cannot be overstated. Even relatively minor musculoskeletal problems can lead to significant secondary disabilities and new societal limitations. This article reviews common musculoskeletal problems ...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Goldstein B

    更新日期:2000-02-01 00:00:00

  • Spinal cord injury pain.

    abstract::Chronic pain associated with traumatic spinal cord injury (SCI) can be quite challenging to the physiatrist. This highly prevalent condition within the SCI population requires an appropriate evaluative approach including a thorough history, a targeted physical examination, and appropriate use of diagnostic testing. Th...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2014.01.002

    authors: Saulino M

    更新日期:2014-05-01 00:00:00

  • Evaluating Return-to-work Ability Using Functional Capacity Evaluation.

    abstract::It is beneficial for both worker and employer for the worker to return to work (RTW) as early as possible after an illness, injury, or prolonged absence. Because employers are ultimately responsible for the RTW decision, a medical RTW assessment is commonly required to assure that the worker is medically able to and p...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.pmr.2019.04.002

    authors: Soo Hoo ER

    更新日期:2019-08-01 00:00:00

  • Diagnostic considerations in patients with back pain.

    abstract::It should be obvious from this article that usually only a focused history and physical examination are needed to evaluate a back patient. A summary of guideline recommendations presented by the Agency for Health Care Policy and Research is provided in Table 7. If followed, few serious mistakes will occur, and a more ...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Andersson GB

    更新日期:1998-05-01 00:00:00

  • ACL tears in female athletes.

    abstract::With the growing number of female athletes, an increase is occurring in the number of sports-related injuries, which can cause physical, psychological, academic, and financial suffering. Female athletes are reported to be two to eight times more likely to sustain an anterior cruciate ligament (ACL) injury than male at...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2007.05.002

    authors: Giugliano DN,Solomon JL

    更新日期:2007-08-01 00:00:00

  • Vision Rehabilitation After Traumatic Brain Injury.

    abstract::Visual dysfunctions and symptoms are commonly experienced after even mild traumatic brain injury (TBI) despite excellent visual acuity. All individuals who have experienced a TBI/concussion should be screened for vision symptoms and visual dysfunction. A TBI-specific eye examination is necessary to identify the visual...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2018.09.001

    authors: Fox SM,Koons P,Dang SH

    更新日期:2019-02-01 00:00:00

  • Orthobiologics and Knee Osteoarthritis: A Recent Literature Review, Treatment Algorithm, and Pathophysiology Discussion.

    abstract::This article reviews the current options in orthobiologics for the clinical treatment of knee osteoarthritis (OA). We describe a new model of knee OA that fills the gap in our understanding of it as a purely traumatic and/or inflammation-induced cartilage degenerative condition, to a current model of multinodal pathop...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2016.07.004

    authors: Crane DM,Oliver KS,Bayes MC

    更新日期:2016-11-01 00:00:00

  • Neurologic and musculoskeletal complications of burn injuries.

    abstract::As more people survive burn injuries, there is an increasing focus on managing the complications of burn injuries with the ultimate goal of improving survivors' quality of life. Musculoskeletal and neurologic sequelae are significant complications of burn injury. Electrical injury is a subcategory of burns with multip...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2011.01.003

    authors: Schneider JC,Qu HD

    更新日期:2011-05-01 00:00:00

  • Chronic pain assessment.

    abstract::To be accurate with chronic pain assessment, the medical examiner should be alert to specific diagnoses in addition to global markers of decreased function associated with chronic pain, such as disability and depression. The key to accurate assessment is to avoid making assumptions before doing a complete history and ...

    journal_title:Physical medicine and rehabilitation clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pmr.2014.12.009

    authors: Seroussi R

    更新日期:2015-05-01 00:00:00