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Journal articles on the topic 'Chronic neck pain'

Author: Grafiati

Published: 4 June 2021

Last updated: 28 January 2023

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1

Alanazi, Mohammed Jumah, Rayan Abdullah Abdulaziz Al Angari, Nadia Ahmed Abo shreea, Amal Saleem Aldlhan, Sara Dkheel Alenazi, Abdullah Mohammed Albaiz, Amal Hadi Hakmi, et al. "Sleep Quality in Chronic Neck Pain Patients." International Journal Of Pharmaceutical And Bio-Medical Science 02, no. 12 (December 16, 2022): 619–26. http://dx.doi.org/10.47191/ijpbms/v2-i12-08.

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Introduction: Neck Pain (NP) is a significant public health issue. Many people's social and economic participation is harmed as a result of NP. Patients with this condition frequently complain of fatigue and pain. Both can disrupt patients' daily lives by affecting their sleep quality, which can lead to psychological issues. However, the prevalence of fatigue and its relationship with pain, sleep quality, and psychological factors in NP patients has not been thoroughly investigated. Aim: To investigate the prevalence of fatigue and its relationship to pain intensity, depression, anxiety, and sleep disturbance in NP patients. Materials and Methods: Between March and November 2019, a cross-sectional study of 296 NP patients with a mean age of 37.2 years (181 males and 115 females) was conducted. It was held at the Physiotherapy Department. To assess fatigue, depression and anxiety, sleep quality, and pain intensity, the Multidimensional Fatigue Inventory (MFI), Hospital Anxiety and Depression Scale (HADS), Pittsburgh Sleep Quality Index (PSQI), and Numeric Pain Rating Scale (NPRS) were used. For analysis, Spearman's rank correlation coefficient and the Mann-Whitney U test were used. Results: The participants' point prevalence of severe fatigue was 39.86%. Pain intensity, psychological factors, and sleep quality were all associated with fatigue (p0.05). In this sample, we also found a significant relationship between sleep quality and psychological factors (p0.05). Conclusion: Fatigue was a significant factor in NP patients, and it was linked to pain intensity, depression, anxiety, and sleep disturbance. Fatigue was more prevalent in the chronic stage of NP than in the acute stage. Identifying these risk factors may aid in the prevention and management of NP and its associated co-morbidities

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2

Swezey, Robert L. "CHRONIC NECK PAIN." Rheumatic Disease Clinics of North America 22, no. 3 (August 1996): 411–38. http://dx.doi.org/10.1016/s0889-857x(05)70280-5.

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3

Alemo, S., and A. Sayadipour. "Chronic Axial Neck Pain." Regional Anesthesia and Pain Medicine 33, Sup 1 (September 2008): e205. http://dx.doi.org/10.1097/00115550-200809001-00396.

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Rajalaxmi, V., Jibi Paul, M. Manoj Abraham, and M. Sasirekha. "Efficacy of Endurance vs Isometric Neck Exercise in Chronic Non - Specific Neck Pain: A RCT." Indian Journal of Forensic Medicine and Pathology 12, no. 2 (2019): 147–51. http://dx.doi.org/10.21088/ijfmp.0974.3383.12219.16.

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5

Lim, D. "Acupuncture for chronic neck pain." Focus on Alternative and Complementary Therapies 15, no. 4 (November 25, 2010): 294–96. http://dx.doi.org/10.1111/j.2042-7166.2010.01057_4.x.

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Grosshandler, Stanley L., Nicholas E. Stratas, Timothy C. Toomey, and Wayne F. Gray. "Chronic neck and shoulder pain." Postgraduate Medicine 77, no. 3 (February 15, 1985): 149–58. http://dx.doi.org/10.1080/00325481.1985.11698897.

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7

Long, PH. "Massage for chronic neck pain." Focus on Alternative and Complementary Therapies 20, no. 3-4 (November 24, 2015): 174–75. http://dx.doi.org/10.1111/fct.12209.

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8

Alemo, S., and A. Sayadipour. "147. Chronic Axial Neck Pain." Regional Anesthesia & Pain Medicine 33, Suppl 1 (September 2008): e205.1-e205. http://dx.doi.org/10.1136/rapm-00115550-200809001-00396.

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ALEMO, S., and A. SAYADIPOUR. "147: Chronic Axial Neck Pain." Regional Anesthesia and Pain Medicine 33, no. 5 (September 2008): e205-e205. http://dx.doi.org/10.1016/j.rapm.2008.07.411.

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10

Thompson, Dave P., and Steve R. Woby. "Acceptance in chronic neck pain." International Journal of Rehabilitation Research 40, no. 3 (September 2017): 220–26. http://dx.doi.org/10.1097/mrr.0000000000000230.

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11

Jesus-Moraleida, Fabianna Resende de, Leani Souza Máximo Pereira, Cristiane de Melo Vasconcelos, and Paulo Henrique Ferreira. "Multidimensional features of pain in patients with chronic neck pain." Fisioterapia em Movimento 30, no. 3 (September 2017): 569–77. http://dx.doi.org/10.1590/1980-5918.030.003.ao15.

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Abstract Introduction: Chronic neck pain is associated with significant health costs and loss of productivity at work. Objective: to assess pain and disability in individuals with chronic neck pain. Methods: 31 volunteers with chronic neck pain, mean age 29, 65 years, were assessed using the McGill Pain Questionnaire in Brazilian version (Br-MPQ) and Neck Disability Index (NDI). The Br-MPQ analysis was performed based on the numerical values associated with the words selected to describe the experience of pain (Pain Rating Index - PRI), and present pain intensity (PPI). NDI was used to evaluate the influence of neck pain in performance of everyday tasks. Finally, we investigated the association between PPI and NDI. Results: PRI revealed that the most significant dimension was the sensory pain (70%), and the number of chosen words was 10 (2,62) out of 20 words. Mean PPI value was 1,23 (0,76) in five points; 40% of participants described pain intensity as moderate. NDI score was 9,77 (3,34), indicating mild disability. There was a positive association between disability and pain intensity (r = 0,36; p =0,046). Pain intensity and duration of pain were not associated. Conclusions: Findings of this study identified important information related to neck pain experienced by patients when suffering from chronic neck pain, moreover, the association between disability and pain intensity reinforces the importance of complementary investigation of these aspects to optimize function in them.

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Noori, Selaiman A., Abdullah Rasheed, Rohit Aiyer, Boyoun Jung, Nitin Bansal, Ke-Vin Chang, Einar Ottestad, and Amitabh Gulati. "Therapeutic Ultrasound for Pain Management in Chronic Low Back Pain and Chronic Neck Pain: A Systematic Review." Pain Medicine 21, no. 7 (January 12, 2019): 1482–93. http://dx.doi.org/10.1093/pm/pny287.

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Background Low back pain (LBP) and neck pain are major causes of pain and disability that are experienced across all ages. The primary goals of treatment are to improve patient function and facilitate a return to the patient’s desired level of daily activity. Therapeutic ultrasound is a noninvasive modality widely utilized in the management of musculoskeletal disorders, but there continues to be controversy regarding its use due to insufficient evidence of effectiveness. The objective of this systematic review was to evaluate the effectiveness of therapeutic ultrasound in the management of patients with chronic LBP and neck pain. Methods Using PRISMA guidelines, a search of the PubMed and CENTRAL (The Cochrane Library) databases was performed to retrieve randomized controlled trials (RCTs) that evaluated therapeutic ultrasound in patients with chronic LBP or neck pain. Results The search strategy identified 10 trials that met the criteria for inclusion. Three studies in LBP reported that both therapeutic and sham (placebo) ultrasound provided significant improvement in pain intensity. In each of these studies, ultrasound was found to be more effective than placebo when using only one of several validated instruments to measure pain. Three of the four studies on neck pain demonstrated significant pain relief with ultrasound in combination with other treatment modalities. However, only one of these studies demonstrated that the use of ultrasound was the cause of the statistically significant improvement in pain intensity. Conclusions Therapeutic ultrasound is frequently used in the treatment of LBP and neck pain and is often combined with other physiotherapeutic modalities. However, given the paucity of trials and conflicting results, we cannot recommend the use of monotherapeutic ultrasound for chronic LBP or neck pain. It does seem that ultrasound may be considered as part of a physical modality treatment plan that may be potentially helpful for short-term pain relief; however, it is undetermined which modality may be superior. In both pain syndromes, further trials are needed to define the true effect of low-intensity ultrasound therapy for axial back pain. No conclusive recommendations may be made for optimal settings or session duration.

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Ernst, Edzard. "Acupuncture for Chronic Mechanical Neck Pain." Annals of Internal Medicine 142, no. 10 (May 17, 2005): 873. http://dx.doi.org/10.7326/0003-4819-142-10-200505170-00021.

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White, Peter J., and George Lewith. "Acupuncture for Chronic Mechanical Neck Pain." Annals of Internal Medicine 142, no. 10 (May 17, 2005): 873. http://dx.doi.org/10.7326/0003-4819-142-10-200505170-00022.

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15

Dumberger, Lukas D., Leila J. Mady, and Steven B. Cannady. "Chronic Neck Pain After Oromandibular Reconstruction." JAMA Otolaryngology–Head & Neck Surgery 147, no. 9 (September 1, 2021): 826. http://dx.doi.org/10.1001/jamaoto.2021.1685.

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16

Carette, Simon. "Whiplash Injury and Chronic Neck Pain." New England Journal of Medicine 330, no. 15 (April 14, 1994): 1083–84. http://dx.doi.org/10.1056/nejm199404143301512.

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17

Mathias, Bill J., Timothy R. Dillingham, Daryl N. Zeigler, Audrey S. Chang, and Praxedes V. Belandres. "TOPICAL CAPSAICIN FOR CHRONIC NECK PAIN." American Journal of Physical Medicine & Rehabilitation 74, no. 1 (January 1995): 39–44. http://dx.doi.org/10.1097/00002060-199501000-00007.

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18

Catanzariti, Jean-François, Thierry Debuse, and Bernard Duquesnoy. "Chronic neck pain and masticatory dysfunction." Joint Bone Spine 72, no. 6 (December 2005): 515–19. http://dx.doi.org/10.1016/j.jbspin.2004.10.007.

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19

&NA;. "The Treatment of Chronic Neck Pain." Back Letter 13, no. 4 (April 1998): 40. http://dx.doi.org/10.1097/00130561-199804000-00006.

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Taimela, Simo, Esa-Pekka Takala, Tom Asklöf, Kitty Seppälä, and Sirkka Parviainen. "Active Treatment of Chronic Neck Pain." Spine 25, no. 8 (April 2000): 1021–27. http://dx.doi.org/10.1097/00007632-200004150-00018.

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21

Wilson, Peter R. "Chronic Neck Pain and Cervicogenic Headache." Clinical Journal of Pain 7, no. 1 (March 1991): 5–11. http://dx.doi.org/10.1097/00002508-199103000-00003.

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22

Feng, Frank L., and Jerome Schofferman. "Chronic neck pain and cervicogenic headaches." Current Treatment Options in Neurology 5, no. 6 (November 2003): 493–98. http://dx.doi.org/10.1007/s11940-996-0017-7.

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M.V,, Sowmya. "Isometric Neck Exercises versus Dynamic Neck Exercises in Chronic Neck Pain." IOSR Journal of Nursing and Health Science 3, no. 2 (2014): 32–43. http://dx.doi.org/10.9790/1959-03213243.

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24

Wallwork, Sarah B., Hayley B. Leake, Aimie L. Peek, G. Lorimer Moseley, and Tasha R. Stanton. "Implicit motor imagery performance is impaired in people with chronic, but not acute, neck pain." PeerJ 8 (February 14, 2020): e8553. http://dx.doi.org/10.7717/peerj.8553.

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Background People with chronic neck pain have impaired proprioception (i.e., sense of neck position). It is unclear whether this impairment involves disruptions to the proprioceptive representation in the brain, peripheral factors, or both. Implicit motor imagery tasks, namely left/right judgements of body parts, assess the integrity of the proprioceptive represention. Previous studies evaluating left/right neck judgements in people with neck pain are conflicting. We conducted a large online study to comprehensively address whether people with neck pain have altered implicit motor imagery performance. Methods People with and without neck pain completed online left/right neck judgement tasks followed by a left/right hand judgement task (control). Participants judged whether the person in the image had their head rotated to their left or right side (neck task) or whether the image was of a left hand or a right hand (hand task). Participants were grouped on neck pain status (no pain; <3 months—acute; ≥3 months—chronic) and pain location (none, left-sided, right-sided, bilateral). Outcomes included accuracy (primary) and response time (RT; secondary). Our hypotheses—that (i) chronic neck pain is associated with disrupted performance for neck images and (ii) the disruption is dependent on the side of usual pain, were tested with separate ANOVAs. Results A total of 1,404 participants were recruited: 105 reported acute neck pain and 161 reported chronic neck pain. When grouped on neck pain status, people with chronic neck pain were less accurate than people without neck pain (p = 0.001) for left/right neck judgements, but those with acute neck pain did not differ from those without neck pain (p = 0.14) or with chronic neck pain (p = 0.28). Accuracy of left/right hand judgements did not differ between groups (p = 0.58). RTs did not differ between groups for any comparison. When grouped on neck pain location, people were faster and more accurate at identifying right-turning neck images than left-turning neck images, regardless of history or location of pain (p < 0.001 for both); people with no pain were more accurate and faster than people with bilateral neck pain (p = 0.001, p = 0.015) and were faster than those with left-sided neck pain (p = 0.021); people with right-sided neck pain were more accurate than people with bilateral neck pain (p = 0.018). Lastly, there was a significant interaction between neck image and side of neck pain: people with right-sided neck pain were more accurate at identifying right-sided neck turning images than people with left-sided neck pain (p = 0.008), but no different for left-sided neck turning images (p = 0.62). Conclusions There is evidence of impaired implicit motor imagery performance in people with chronic neck pain, which may suggest disruptions to proprioceptive representation of the neck. These disruptions seem specific to the neck (performance on hand images intact) but non-specific to the exact location of neck pain.

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Ozlem, Ozcan, and Kul Hayriye. "Kinesthetic and visual imagery in young adults with chronic neck pain." Sanamed, no. 00 (2022): 4. http://dx.doi.org/10.5937/sanamed17-37885.

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Background:Young adults complain of neck pain almost every year. In recent years the ability of motor imagery (kinesthetic and visual imagery) in many musculoskeletal system problems other than neck pain in young adults has been investigated in the literature. The Cross-Sectional study aimed to question motor imagery ability in young adults with chronic neck pain. Methods: Two groups were included in the study: the chronic neck pain group (n = 83) and the control group (n = 91). Motor imagery ability of both groups was evaluated with Movement Imagery Questionnaire-3. Additionally, in the chronic neck pain group, pain was evaluated with the Short Form-McGill Pain Questionnaire, disability was evaluated with the Neck Disability Index, and kinesiophobia was evaluated with Tampa Scale for Kinesiophobia. Conclusions: Internal visual imagery and kinesthetic imagery were significantly different between chronic neck pain and control groups. There was a negative linear relationship between disability and internal visual imagery, external visual imagery, and kinesthetic imagery. Motor imagery ability is reduced in young adults with chronic neck pain. In addition, as the severity of disability increases, the motor imagery ability decreases. Therefore, it is considered appropriate to include a motor imagery training program when treating chronic neck pain in the future.

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Javdaneh, Norollah, Tadeusz Ambroży, Amir Hossein Barati, Esmaeil Mozafaripour, and Łukasz Rydzik. "Focus on the Scapular Region in the Rehabilitation of Chronic Neck Pain Is Effective in Improving the Symptoms: A Randomized Controlled Trial." Journal of Clinical Medicine 10, no. 16 (August 8, 2021): 3495. http://dx.doi.org/10.3390/jcm10163495.

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Chronic neck pain is a common human health problem. Changes in scapular posture and alteration of muscle activation patterns of scapulothoracic muscles are cited as potential risk factors for neck pain. The purpose of this study was to compare the effects of neck exercise training (NET) with and without scapular stabilization training (SST) on pain intensity, the scapula downward rotation index (SDRI), forward head angle (FHA) and neck range of motion (ROM) in patients with chronic neck pain and scapular dyskinesia. A total of sixty-six subjects with chronic neck pain and scapular dyskinesia were randomly divided into three groups: neck exercise training, n = 24, combined training (NET + SST), n = 24 and a control group, n = 24. Pain intensity, SDRI, FHA and ROM were measured by the numerical rating scale, caliper, photogrammetry and IMU sensor, respectively. When the combined intervention group consisting of NET and SST was compared with NET alone at six weeks, there was a statistically significant difference in pain intensity, SDRI, FHA and cervical ROM for flexion and extension (p ≤ 0.05). Adding scapular exercises to neck exercises had a more significant effect in decreasing pain intensity, SDRI, FHA and increased cervical ROM than neck exercises alone in patients with chronic neck pain. These findings indicate that focus on the scapular posture in the rehabilitation of chronic neck pain effectively improves the symptoms.

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Matre, Dagfinn, and Stein Knardahl. "‘Central sensitization’ in chronic neck/shoulder pain." Scandinavian Journal of Pain 3, no. 4 (October 1, 2012): 230–35. http://dx.doi.org/10.1016/j.sjpain.2012.04.003.

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AbstractBackground and purpose‘Central sensitization’ (CS) may play a major role in maintaining several chronic pain conditions. CS has been proposed to play a significant role in a range of musculoskeletal pain conditions, such as trapezius myalgia, fibromyalgia, temporomandibular disorders, and low back pain. Whether CS varies over time within an individual is not known. This study evaluated (1) whether there is an intraindividual association between clinical pain and signs of CS, and (2) whether there is an inter-individual association between clinical pain and signs of CS.MethodsTwenty-seven sedentary workers (19 women, 8 men) with varying neck/shoulder pain participated in a pre-test and in two test sessions. On one of the test sessions the subjects had weak (or no) clinical pain (weak-pain day). On the other test session the subjects had stronger clinical pain (strong-pain day). As an indicator of ‘central sensitization’, we assessed the area of secondary pinprick hyperalgesia (tested by 84.4 g/mm2 Von Frey hairs) in response to a first-degree burn to the volar fore-arm (contact heat, 46°C, 5 min). While in the lab, the subjects’ current clinical pain intensity (0–10 cm VAS) and distribution was assessed (PINTlab and PDISTlab ). The subjects also rated their pain intensity and distribution retrospectively from the past 30 days (PINT30d and PDIST30d ).ResultsPINTlab was lower on the weak-pain day (1.7 ± 1.5 cm) than on the strong-pain day (4.3 ± 1.6 cm). This was also the case for the other clinical pain measures (PDISTlab, PINT30 d and PDIST30 d ) and indicated that the participants were successfully recruited at days that differed in clinical pain severity. Despite a significant intra-individual difference in clinical pain between days, the area of secondary hyperalgesia did not differ between weak-and strong-pain days (50.3 ± 13.5 cm2 vs. 51.2 ± 12.6 cm2 ). Testing the inter-individual association between clinical pain and secondary hyperalgesia, we found a positive correlation between PINTlab and secondary hyperalgesia on the weak-pain day (rho = 0.6), but not on the strong-pain day (rho = 0.1). Given the stable secondary hyperalgesia across weak-and strong-pain days, this implies that subjects with a small secondary hyperalgesic area exhibited a relatively large variation in clinical pain between days, whereas subjects with a large secondary hyperalgesic area exhibited relatively small variation in clinical pain.ConclusionsWhen subjects are observed across days, ‘central sensitization’, measured as the area of secondary hyperalgesia after a first-degree burn, does not seem to be important for clinical pain intensity per se, but may be important for clinical pain variation. Subjects with indication of low ‘central sensitization’ seem to exhibit larger variation in pain between “good” and “bad” days than subjects with indication of high ‘central sensitization’. The study indicates that ‘central sensitization’ does not explain intra-individual variations in clinical pain.ImplicationsThis study raises the question of the role of ‘central sensitization’ in clinical musculoskeletal pain disorders. Furthermore, a precise definition of the ‘central sensitization’ concept is called for.

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Sterling, Michele, Rutger M. J. de Zoete, Iris Coppieters, and Scott F. Farrell. "Best Evidence Rehabilitation for Chronic Pain Part 4: Neck Pain." Journal of Clinical Medicine 8, no. 8 (August 15, 2019): 1219. http://dx.doi.org/10.3390/jcm8081219.

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Neck pain, whether from a traumatic event such as a motor vehicle crash or of a non-traumatic nature, is a leading cause of worldwide disability. This narrative review evaluated the evidence from systematic reviews, recent randomised controlled trials, clinical practice guidelines, and other relevant studies for the effects of rehabilitation approaches for chronic neck pain. Rehabilitation was defined as the aim to restore a person to health or normal life through training and therapy and as such, passive interventions applied in isolation were not considered. The results of this review found that the strongest treatment effects to date are those associated with exercise. Strengthening exercises of the neck and upper quadrant have a moderate effect on neck pain in the short-term. The evidence was of moderate quality at best, indicating that future research will likely change these conclusions. Lower quality evidence and smaller effects were found for other exercise approaches. Other treatments, including education/advice and psychological treatment, showed only very small to small effects, based on low to moderate quality evidence. The review also provided suggestions for promising future directions for clinical practice and research.

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Fishbain, David A., R. B. Cutler, Brandly Cole, J. Lewis, E. Smets, H. L. Rosomoff, and R. Steele Rosomoff. "Are Patients with Chronic Low Back Pain or Chronic Neck Pain Fatigued?" Pain Medicine 5, no. 2 (June 2004): 187–95. http://dx.doi.org/10.1111/j.1526-4637.2004.04026.x.

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30

Nijs, Jo. "Lack of Evidence for Central Sensitization in Idiopathic, Non-Traumatic Neck Pain: A Systematic Review." May 2015 3;18, no. 3;5 (May 14, 2015): 223–35. http://dx.doi.org/10.36076/ppj.2015/18/223.

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Background: Chronic neck pain is a common problem with a poorly understood pathophysiology. Often no underlying structural pathology can be found and radiological imaging findings are more related to age than to a patient’s symptoms. Besides its common occurrence, chronic idiopathic neck pain is also very disabling with almost 50% of all neck pain patients showing moderate disability at long-term follow-up. Central sensitization (CS) is defined as “an amplification of neural signaling within the central nervous system that elicits pain hypersensitivity,” “increased responsiveness of nociceptive neurons in the central nervous system to their normal or subthreshold afferent input,” or “an augmentation of responsiveness of central neurons to input from unimodal and polymodal receptors.” There is increasing evidence for involvement of CS in many chronic pain conditions. Within the area of chronic idiopathic neck pain, there is consistent evidence for the presence and clinical importance of CS in patients with traumatic neck pain, or whiplash-associated disorders. However, the majority of chronic idiopathic neck pain patients are unrelated to a traumatic injury, and hence are termed chronic idiopathic non-traumatic neck pain. When comparing whiplash with idiopathic non-traumatic neck pain, indications for different underlying mechanisms are found. Objective: The goal of this article was to review the existing scientific literature on the role of CS in patients with chronic idiopathic non-traumatic neck pain. Study Design: Systematic review. Setting: All selected studies were case control studies. Methods: A systematic search of existing, relevant literature was performed via the electronic databases Medline, Embase, Web of Science, Cinahl, PubMed, and Google Scholar. All titles and abstracts were checked to identify relevant articles. An article was considered eligible if it met following inclusion criteria: (1) participants had to be human adults (> 18 years) diagnosed with idiopathic non-traumatic chronic (present for at least 3 months) neck pain; (2) papers had to report outcomes related to CS; and (3) articles had to be full-text reports or original research (no abstracts, case-reports, reviews, meta-analysis, letters, or editorials). Results: Six articles were found eligible after screening the title, abstract and – when necessary – the full text for in- and exclusion criteria. All selected studies were case-control studies. Overall, results regarding the presence of CS were divergent. While the majority of patients with chronic traumatic neck pain (i.e. whiplash) are characterized by CS, this is not the case for patients with chronic idiopathic neck pain. The available evidence suggests that CS is not a major feature of chronic idiopathic neck pain. Individual cases might have CS pain, but further work should reveal how they can be characterized. Limitations: Very few studies available. Conclusions: Literature about CS in patients with chronic idiopathic non-traumatic neck pain is rare and results from the available studies provide an inconclusive message. CS is not a characteristic feature of chronic idiopathic and non-traumatic neck pain, but can be present in some individuals of the population. In the future a subgroup with CS might be defined, but based on current knowledge it is not possible to characterize this subgroup. Such information is important in order to provide targeted treatment. Key words: Central sensitization, hypersensitivity, chronic pain, neck pain, idiopathic, nontraumatic, pressure pain thresholds, review

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Alayat, Mohamed Salaheldien, Mohamed Mohamed Ibrahim Ali, Amir Abdel Raouf El Fiky, and Mansour Abdullah Alshehri. "EFFICACY OF PULSED ELECTROMAGNETIC FIELD ON PAIN AND FUNCTION IN CHRONIC MECHANICAL NECK PAIN: A RANDOMIZED CONTROLLED TRIAL." International Journal of Physiotherapy and Research 5, no. 2 (April 11, 2017): 1930–36. http://dx.doi.org/10.16965/ijpr.2017.105.

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32

Steilen, Danielle, Ross Hauser, Barbara Woldin, and Sarah Sawyer. "Chronic Neck Pain: Making the Connection Between Capsular Ligament Laxity and Cervical Instability." Open Orthopaedics Journal 8, no. 1 (October 1, 2014): 326–45. http://dx.doi.org/10.2174/1874325001408010326.

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The use of conventional modalities for chronic neck pain remains debatable, primarily because most treatments have had limited success. We conducted a review of the literature published up to December 2013 on the diagnostic and treatment modalities of disorders related to chronic neck pain and concluded that, despite providing temporary relief of symptoms, these treatments do not address the specific problems of healing and are not likely to offer long-term cures. The objectives of this narrative review are to provide an overview of chronic neck pain as it relates to cervical instability, to describe the anatomical features of the cervical spine and the impact of capsular ligament laxity, to discuss the disorders causing chronic neck pain and their current treatments, and lastly, to present prolotherapy as a viable treatment option that heals injured ligaments, restores stability to the spine, and resolves chronic neck pain. The capsular ligaments are the main stabilizing structures of the facet joints in the cervical spine and have been implicated as a major source of chronic neck pain. Chronic neck pain often reflects a state of instability in the cervical spine and is a symptom common to a number of conditions described herein, including disc herniation, cervical spondylosis, whiplash injury and whiplash associated disorder, postconcussion syndrome, vertebrobasilar insufficiency, and Barré-Liéou syndrome. When the capsular ligaments are injured, they become elongated and exhibit laxity, which causes excessive movement of the cervical vertebrae. In the upper cervical spine (C0-C2), this can cause a number of other symptoms including, but not limited to, nerve irritation and vertebrobasilar insufficiency with associated vertigo, tinnitus, dizziness, facial pain, arm pain, and migraine headaches. In the lower cervical spine (C3-C7), this can cause muscle spasms, crepitation, and/or paresthesia in addition to chronic neck pain. In either case, the presence of excessive motion between two adjacent cervical vertebrae and these associated symptoms is described as cervical instability. Therefore, we propose that in many cases of chronic neck pain, the cause may be underlying joint instability due to capsular ligament laxity. Currently, curative treatment options for this type of cervical instability are inconclusive and inadequate. Based on clinical studies and experience with patients who have visited our chronic pain clinic with complaints of chronic neck pain, we contend that prolotherapy offers a potentially curative treatment option for chronic neck pain related to capsular ligament laxity and underlying cervical instability.

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Freeman, Michael D., Arthur C. Croft, Annette M. Rossignol, Christopher J. Centeno, and Whitney L. Elkins. "Chronic Neck Pain and Whiplash: A Case-Control Study of the Relationship between Acute Whiplash Injuries and Chronic Neck Pain." Pain Research and Management 11, no. 2 (2006): 79–83. http://dx.doi.org/10.1155/2006/304673.

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The authors undertook a case-control study of chronic neck pain and whiplash injuries in nine states in the United States to determine whether whiplash injuries contributed significantly to the population of individuals with chronic neck and other spine pain.Four hundred nineteen patients and 246 controls were randomly enrolled. Patients were defined as individuals with chronic neck pain, and controls as those with chronic back pain. The two groups were surveyed for cause of chronic pain as well as demographic information. The two groups were compared using an exposure-odds ratio. Forty-five per cent of the patients attributed their pain to a motor vehicle accident. An OR of 4.0 and 2.1 was calculated for men and women, respectively.Based on the results of the present study, it reasonable to infer that a significant proportion of individuals with chronic neck pain in the general population were originally injured in a motor vehicle accident.

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Rane, Anushka Vijay, Prachi Kulkarni, and Trupti S. Yadav. "Prevalence of Nerve Dysfunction in Individuals in Satara District Suffering from Chronic Neck Pain - A Nerve Conduction Velocity Study." Journal of Evolution of Medical and Dental Sciences 10, no. 29 (July 19, 2021): 2150–55. http://dx.doi.org/10.14260/jemds/2021/440.

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BACKGROUND Chronic neck pain is one of the common and painful musculoskeletal conditions. Determining the prevalence of nerve impairment in chronic neck pain patients is faced with various challenges such as individual perception and coping patterns of pain and likelihood to seek and receive treatment. We wanted to determine the prevalence of nerve impairment in patients of chronic neck pain and estimate the occupation, age, and gender wise involvement of nerve impairment in chronic neck pain patients. METHODS Population in and around Karad diagnosed with chronic neck pain by an orthopaedician fulfilling the inclusion criteria with prior consent were taken for the study. In the first half of the study, participants were assessed based on a questionnaire and a clinical assessment using Upper Limb Tension Tests following which the participants were assessed using nerve conduction velocity studies. RESULTS Participants having chronic neck pain and showing nerve dysfunctions were 32.14 %. Based on F min, frequency of nerve dysfunction within age groups showed the highest percentage that was 10.72 % in the age group of 39 - 42 years. Higher involvement was observed in males than females which was 23.21 %. Occupation wise nerve involvement for nerve dysfunction showed physically demanding occupations which had higher percentage of 14.28 %. CONCLUSIONS This study shows large population of chronic neck pain with no symptoms of nerve involvement but having nerve dysfunction and were not receiving any treatment for their condition thereby allowing it to progress into a radiculopathy. KEY WORDS Chronic Neck Pain, NCV Study, Cervical Radiculopathy, F Min Latency

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Onan, Dilara, Derya Gokmen, and Ozlem Ulger. "The Fremantle Neck Awareness Questionnaire in Chronic Neck Pain Patients." SPINE 45, no. 3 (February 2020): E163—E169. http://dx.doi.org/10.1097/brs.0000000000003207.

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Castaldo, Matteo, Antonella Catena, César Fernández-de-las-Peñas, and Lars Arendt-Nielsen. "Widespread Pressure Pain Hypersensitivity, Health History, and Trigger Points in Patients with Chronic Neck Pain: A Preliminary Study." Pain Medicine 20, no. 12 (March 28, 2019): 2516–27. http://dx.doi.org/10.1093/pm/pnz035.

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Abstract Background Pain sensitivity in chronic neck pain patients may be influenced by health conditions related to higher levels of widespread pressure pain hypersensitivity (sensitization). Trigger points have also been reported to play a role in the sensitization process. Objectives To investigate the association between pressure pain thresholds, trigger points, and health conditions in patients with chronic neck pain. Design Original research, preliminary study. Setting A private clinic. Subjects Thirty-four chronic mechanical neck pain patients and 34 chronic whiplash-associated neck pain patients, giving a final sample of 68 chronic neck pain patients. Methods Patients underwent an assessment of pressure pain thresholds over the upper trapezius, extensor carpi radialis longus, and tibialis anterior muscles and were screened for the presence of trigger points in the upper trapezius muscle. Further, information about health history conditions was obtained and collected in a form. Results Significantly negative correlations between all pressure pain thresholds and duration of health history conditions were found (all P < 0.02). Significantly lower pressure pain thresholds (all P < 0.01) were found in patients with active trigger points as compared with those with latent trigger points. Conclusion Widespread pressure pain hypersensitivity was associated with duration of health history conditions, suggesting that long-lasting health complaints may act as a triggering/perpetuating factor, driving sensitization in individuals with chronic neck pain. Active trigger points may be associated with higher widespread pressure hypersensitivity.

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Javdaneh, Norollah, Atle Hole Saeterbakken, Arash Shams, and Amir Hossein Barati. "Pain Neuroscience Education Combined with Therapeutic Exercises Provides Added Benefit in the Treatment of Chronic Neck Pain." International Journal of Environmental Research and Public Health 18, no. 16 (August 22, 2021): 8848. http://dx.doi.org/10.3390/ijerph18168848.

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Background: Chronic neck pain is common in the adult general population. Although the etiology of chronic neck pain is under debate, it is clear that chronic neck pain is multifactorial, with both physical and psychosocial contributors. Objective: To determine whether adding pain neuroscience education (PNE) to therapeutic exercises improved their pain–disability index, pain catastrophizing, fear–avoidance beliefs, and pain self-efficacy in subjects with chronic nonspecific neck pain. Methods: This study was a three-arm randomized control trial. Seventy-two patients with chronic nonspecific neck pain were allocated to three groups: therapeutic exercises alone (n = 24), combined (therapeutic exercises + PNE; (n = 24), and a control group (n = 24). Each program took place three times a week, lasting for six weeks. The disability index, pain catastrophizing, fear–avoidance beliefs, and pain self-efficacy measured by the Neck Pain and Disability Scale (NPAD), Pain Catastrophizing Scale (PCS), Fear–Avoidance Beliefs Questionnaire (FABQ), and Pain Self-Efficacy Questionnaire (PSEQ), respectively. Participants were assessed before and after the six-week intervention, and there was no further follow-up. Results: For the outcomes NPAD, PSC, and FABQ, combined intervention demonstrated more significant improvements than therapeutic exercises alone (p ≤ 0.05), whereas no differences were observed between the two intervention groups for PSEQ (p = 0.99). In addition, significant differences were favoring experimental groups versus control for all outcomes (p ≤ 0.001). Conclusion: Therapeutic exercises combined with pain neuroscience education reduced the pain–disability index, pain catastrophizing, and fear–avoidance beliefs more than therapeutic exercises alone in patients with chronic neck pain. For pain self-efficacy, there was no statistically significant difference between the two intervention groups; however, the combined group had a more significant effect than therapeutic exercises alone. Further studies with longer periods and follow-up are required.

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Pauw, Robby De. "Is Traumatic and Non-Traumatic Neck Pain Associated with Brain Alterations? – A Systematic Review." May 2017 4, no. 20;4 (May 10, 2017): 245–60. http://dx.doi.org/10.36076/ppj.2017.260.

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Background: Chronic neck pain affects 50% – 85% of people who have experienced an acute episode. This transition and the persistence of chronic complaints are believed to be mediated by brain alterations among different central mechanisms. Objectives: This study aimed to systematically review and critically appraise the current existing evidence regarding structural and functional brain alterations in patients with whiplash associated disorders (WAD) and idiopathic neck pain (INP). Additionally, associations between brain alterations and clinical symptoms reported in neck pain patients were evaluated. Study Design: Systematic review. Methods: The present systematic review was performed according to the PRISMA guidelines. PubMed, Web of Science, and Cochrane databases were searched. First, the obtained articles were screened based on title and abstract. Secondly, the screening was based on the full text. Risk of bias in included studies was investigated. Results: Twelve studies met the inclusion criteria. Alterations in brain morphology and function, including perfusion, neurotransmission, and blood oxygenation level dependent-signal, were demonstrated in chronic neck pain patients. There is some to moderate evidence for both structural and functional brain alterations in patients with chronic neck pain. In contrast, no evidence for structural brain alterations in acute neck pain patients was found. Limitations: Only 12 articles were included, which allows only cautious conclusions to be drawn. Conclusion: Brain alterations were observed in both patients with chronic WAD and chronic INP. Furthermore, more evidence exists for brain alterations in chronic WAD, and different underlying mechanisms might be present in both pathologies. In addition, pain and disability were correlated with the observed brain alterations. Accordingly, morphological and functional brain alterations should be further investigated in patients with chronic WAD and chronic INP with newer and more sensitive techniques, and associative clinical measurements seem indispensable in future research. Key words: Traumatic neck pain, idiopathic non-traumatic neck pain, brain alterations, magnetic resonance imaging, single photon emission computed tomography, photon emission tomography, chronic neck pain

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Wiffen, Philip J. "Botulinum Toxin for Subacute/Chronic Neck Pain." Journal of Pain & Palliative Care Pharmacotherapy 25, no. 4 (November 11, 2011): 375. http://dx.doi.org/10.3109/15360288.2011.626631.

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Zhang, J., and H. Shang. "Acupuncture for chronic neck myofascial pain syndrome?" Focus on Alternative and Complementary Therapies 16, no. 2 (May 12, 2011): 124–25. http://dx.doi.org/10.1111/j.2042-7166.2011.01091_2.x.

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Liu, Richard, Connie Kurihara, Hue-ting Tsai, Peter J. Silvestri, Michael I. Bennett, Paul F. Pasquina, and Steven P. Cohen. "Classification and Treatment of Chronic Neck Pain." Regional Anesthesia and Pain Medicine 42, no. 1 (2017): 52–61. http://dx.doi.org/10.1097/aap.0000000000000505.

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Kang, Jiunn-Horng, Hung-Sheng Chen, Shih-Ching Chen, and Fu-Shan Jaw. "Disability in Patients With Chronic Neck Pain." Clinical Journal oF Pain 28, no. 9 (2012): 797–803. http://dx.doi.org/10.1097/ajp.0b013e3182442afd.

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White, Adrian. "Acupuncture for Chronic Neck Pain (N=135)." Acupuncture in Medicine 23, no. 2 (June 2005): 86–90. http://dx.doi.org/10.1136/aim.23.2.87.

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Solomon, Seymour. "Chronic Post-Traumatic Neck and Head Pain." Headache: The Journal of Head and Face Pain 45, no. 1 (January 2005): 53–67. http://dx.doi.org/10.1111/j.1526-4610.2005.05011.x.

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Witt, Claudia M., Susanne Jena, Benno Brinkhaus, Bodo Liecker, Karl Wegscheider, and Stefan N. Willich. "Acupuncture for patients with chronic neck pain." Pain 125, no. 1 (November 2006): 98–106. http://dx.doi.org/10.1016/j.pain.2006.05.013.

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Borenstein, David G. "Chronic neck pain: How to approach treatment." Current Pain and Headache Reports 11, no. 6 (December 2007): 436–39. http://dx.doi.org/10.1007/s11916-007-0230-4.

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Dimitriadis, Zacharias, Eleni Kapreli, Nikolaos Strimpakos, and Jacqueline Oldham. "Hypocapnia in Patients with Chronic Neck Pain." American Journal of Physical Medicine & Rehabilitation 92, no. 9 (September 2013): 746–54. http://dx.doi.org/10.1097/phm.0b013e31829e74f7.

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Vickers, A., D. Irnich, and M. Krauss. "Acupuncture for treatment of chronic neck pain." BMJ 323, no. 7324 (December 1, 2001): 1306. http://dx.doi.org/10.1136/bmj.323.7324.1306.

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Nadler, S. F. "Isometric Training to Treat Chronic Neck Pain." JAMA: The Journal of the American Medical Association 290, no. 8 (August 27, 2003): 1027—a—1027. http://dx.doi.org/10.1001/jama.290.8.1027-b.

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Momenzadeh, Sirous, Alireza Zali, Zahra Razzaghi, Fatemeh Momenzadeh, Alireza Mirkheshti, Shahram Sayadi, Houman Teymourian, and Raziyeh Momenzadeh. "Efficacy of Low-Level Laser Therapy for the Treatment of Nonspecific Chronic Neck Pain: Low-Level Laser Therapy vs. Sham Laser." Journal of Lasers in Medical Sciences 13 (December 23, 2022): e74. http://dx.doi.org/10.34172/jlms.2022.74.

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Introduction: The most common type of neck pain is chronic nonspecific pain. There are conflicting opinions about the beneficial effects of a low-level laser in reducing chronic nonspecific neck pain. The aim of this study was to evaluate the efficacy of low-level laser therapy (LLLT) for the treatment of non-specific chronic neck pain. Methods: This study was conducted as a prospective randomized clinical trial. Forty-four patients were randomly divided into two groups: (1) Intervention group (n=22): LLLT in the red spectra range with a wavelength of 980 (nm) and a power of 16 (J/cm2 ) was irradiated in the affected areas of the neck, the muscles along the spine, and the upper trapezius; (2) sham group (n=22): A low-level laser was irradiated with a passive probe (non-laser red light) in the affected areas of the neck, the muscles along the spine, and the upper trapezius. The treatment protocol consisted of 12 sessions (15 minutes, three times a week, for four weeks). These patients were evaluated for pain using the visual analog scale (VAS) (0-10). The patients were followed up for four weeks. Results: This study showed a statistically significant reduction in chronic nonspecific neck pain in the LLLT group (P<0.05). Conclusion: It is concluded that LLLT was effective in reducing chronic nonspecific neck pain. LLLT is a non-invasive, safe and effective method that can improve chronic nonspecific neck pain in patients in the short term.

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