Template:Neck Pain DDX: Difference between revisions
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= | ===Chronic Neck Pain=== | ||
==Chronic Neck Pain== | |||
*Zygapophyseal joint pain (~40%) | *Zygapophyseal joint pain (~40%) | ||
*Cervical disc pain (~40%) | *Cervical disc pain (~40%) | ||
*Combined ZA joint and disc pain (~20%) | *Combined ZA joint and disc pain (~20%) | ||
*Systemic causes such as rheumatoid arthritis, ankylosing spondylitis. | |||
*Infections (bones, joints, discs, epidural abscess, and meningitis) | |||
*Tumours | |||
*[[Diffuse Idiopathic Skeletal Hyperostosis|DISH]] and ossification of the posterior longitudinal ligament | |||
*[[Benign Paroxysmal Positional Vertigo and Pain|Chronic BPPV]] | |||
===Acute Neck Pain=== | ===Acute Neck Pain=== | ||
| Line 15: | Line 19: | ||
*Vascular disorders: dissection of vertebral artery, internal carotid artery, or aneurysm of the descending thoracic aorta. | *Vascular disorders: dissection of vertebral artery, internal carotid artery, or aneurysm of the descending thoracic aorta. | ||
*Fracture | *Fracture | ||
*[[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 | ||
| Line 35: | Line 38: | ||
**Joints: C2/3 ZA joint, C2/3 disc | **Joints: C2/3 ZA joint, C2/3 disc | ||
**Muscles: Mutifidus, semispinalis | **Muscles: Mutifidus, semispinalis | ||
<noinclude>[[Category:DDX Templates]]</noinclude> | |||
Latest revision as of 19:28, 28 October 2023
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
- Chronic BPPV
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
