Template:Neck Pain DDX: Difference between revisions
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*[[Diffuse Idiopathic Skeletal Hyperostosis|DISH]] and ossification of the posterior longitudinal ligament | *[[Diffuse Idiopathic Skeletal Hyperostosis|DISH]] and ossification of the posterior longitudinal ligament | ||
*Tumours | *Tumours | ||
*Infections (bones, joints, discs, epidural abscess, and meningitis) | *Infections (bones, joints, discs, [[Spinal Epidural Abscess|epidural abscess]], and meningitis) | ||
*Epidural haematoma | *Epidural haematoma | ||
*Calcific tendinitis of the longus colli muscles | *Calcific tendinitis of the longus colli muscles |
Revision as of 10:46, 7 May 2022
Chronic Neck Pain
- Zygapophyseal joint pain (~40%)
- Cervical disc pain (~40%)
- Combined ZA joint and disc pain (~20%)
- Systemic causes such as rheumatoid arthritis, ankylosing spondylitis.
- Infections (bones, joints, discs, epidural abscess, and meningitis)
- Tumours
- DISH and ossification of the posterior longitudinal ligament
Acute Neck Pain
Neck pain can result from any innervated cervical spine structure
- "Cervical sprain"
- Discogenic pain
- Zygapophyseal joint pain
- C0/C1 and C1/C2 lateral joints
- Muscle sprain
- Segmental dysfunction
- Vascular disorders: dissection of vertebral artery, internal carotid artery, or aneurysm of the descending thoracic aorta.
- Fracture
- DISH and ossification of the posterior longitudinal ligament
- Tumours
- Infections (bones, joints, discs, epidural abscess, and meningitis)
- Epidural haematoma
- Calcific tendinitis of the longus colli muscles
Cervicogenic Headache
- C1
- Joints: Median C1/2, C0/1,
- Ligaments: Transverse C1/2 ligament, Alar ligament
- Muscles: Prevertebral, sternomastoid, trapezius, suboccipital
- Dura: Upper spinal cord, posterior cranial fossa
- Arteries: Vertebral and internal carotid arteries
- C2
- Joints: Lateral C1/2
- Muscles: Semispinalis, Splenius
- C2
- Joints: C2/3 ZA joint, C2/3 disc
- Muscles: Mutifidus, semispinalis