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cervical spondylosis
Etiology:
1) mechanical neck pain
2) cervical radiculopathy
3) cervical degenerative myelopathy (least common, most worrisome)
Clinical manifestations:
1) mechanical neck pain
- source of the pain often difficult for patient to pinpoint
- pain often worsened by neck motion & relieved by rest & immobilization
2) see cervical radiculopathy
3) see cervical degenerative myelopathy
Management:
- if no neurologic deficits, analgesia & physical therapy
- refereal to a specialist in chronic pain management as needed
- treat coexisting psychiatric disorders, including anxiety & depression
- also see degenerative cervical radiculopathy
- nonsurgical care, including oral analgesics, epidural glucocorticoids, physical therapy, cervical traction or immobilization in a cervical orthosis, massage
- surgery for progrwssion
- also see cervical degenerative myelopathy
- referral to spine surgeon
General
spondylosis
References
- Rothaus C
Cervical Spondylosis
NEJM Resident 360. July 8, 2020
https://resident360.nejm.org/clinical-pearls/cervical-spondylosis
- Theodore N.
Degenerative cervical spondylosis.
N Engl J Med 2020 Jul 9; 383:159.
PMID: 32640134
https://www.nejm.org/doi/full/10.1056/NEJMra2003558