II. Types: Chronic Neck Pain

  1. Post-Traumatic conditions
    1. Whiplash
    2. Other Cervical Spine injuries
  2. Degenerative conditions
    1. Degenerative disc disease
    2. Cervical Disc Herniation
    3. Spondylosis

III. Imaging: Evaluation of Chronic Neck Pain

  1. Step 1: All Patients with Chronic Neck Pain
    1. Cervical Spine XRay with 5 views (AP, Lateral, odontoid, obliques)
  2. Step 2: MRI Cervical Spine indications (CXT myelography where MRI is contraindicated)
    1. No further imaging needed in Spondylosis without neurologic changes
    2. Neurologic findings
    3. Persistent Whiplash Symptoms (to evaluate differential diagnosis including discs, spurs and ligament injury)
      1. Controversial as to benefit
    4. Signs of bony destruction on XRay (suggestive of Spinal Infection, requires IV contrast)
    5. Suspected Cervical Disc Herniation
    6. Suspected Spinal Neoplasm (e.g. metastasis)
    7. Degenerative osteophytes
    8. Vertebral Fractures (e.g. compression Fractures)

IV. Imaging: Studies NOT helpful in diagnosis

  1. Chronic Neck Pain
    1. Provocative diagnostic discography is not reliable

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Related Studies

Ontology: Neck Pain (C0007859)

Definition (MSHCZE) Nepříjemný pocit nebo intenzivnější formy bolesti, které jsou lokalizovány v krční oblasti. Tento termín obecně odkazuje na bolest v zadní nebo postranní části krku.
Definition (NCI) Painful sensation in the neck area.
Definition (NCI_CTCAE) A disorder characterized by marked discomfort sensation in the neck area.
Definition (MSH) Discomfort or more intense forms of pain that are localized to the cervical region. This term generally refers to pain in the posterior or lateral regions of the neck.
Concepts Sign or Symptom (T184)
MSH D019547
ICD9 723.1
ICD10 M54.2
SnomedCT 81680005, 268078004, 156641005, 202764005
English Cervicalgia, CERVICAL PAIN, Cervicodynia, Ache, Neck, Aches, Neck, Neck Ache, Neck Aches, Neck Pains, Neckache, Neckaches, Pain, Neck, Pains, Neck, Nonspecific pain in the neck, Pain In Neck, Neck Pain, neck pain, neck pain (symptom), cervicalgia (diagnosis), cervicalgia, Pain neck, Cervical Pain, Cervical Pains, Pain, Cervical, Pains, Cervical, Cervicalgias, Cervicodynias, Neck Pain [Disease/Finding], neckache, neck aches, pain in neck, Pain;neck, cervicodynia, neck ache, painful neck, cervical pain, (Cervicalgia) or (neck pain NOS) (disorder), Neck pain NOS, Cervicalgia - pain in neck, (Cervicalgia) or (neck pain NOS), NECK PAIN, PAIN, NECK, Neck pain, Painful neck, Cervical pain, Neck ache, Nonspecific pain in the neck region, Neck pain (finding), neck; pain, pain; neck, Pain in neck
French DOULEUR CERVICALE, Douleur au cou, Cervicalgie, Douleur cervicale, Cervicodynie, Douleur du cou
Dutch cervicalgie, pijn nek, cervicale pijn, cervicodynie, hals; pijn, pijn; hals, nekpijn, Cervicale pijn, Cervicalgie, Nekpijn, Pijn in de nek, Pijn, nek-
German Schmerz im Nacken, Zervikalgie, Zervikodynie, SCHMERZ NACKEN, Zervikalneuralgie, Nackenschmerzen, Nackenschmerz
Italian Cervicodinia, Cervicalgia, Dolore al collo, Dolore cervicale
Portuguese Dor do pescoço, Cervicodinia, DOR CERVICAL, Dor na Nuca, Dor cervical, Cervicalgia, Dor Cervical, Dor no Pescoço
Spanish Cervicodinia, Dolor cervical, Dolor de cuello, CERVICAL, DOLOR, Cervicalgia, cervicalgia, cervicodinia (hallazgo), cervicodinia, cuello doloroso, dolor de cuello, Cuello Doloroso, Dolor Cervical, Dolor de Cuello
Swedish Nacksmärta
Japanese ケイブツウ, 頸痛, 頸部痛, 頚部疼痛, 頚部痛, 頸部疼痛
Finnish Niskakipu
Czech Krční bolest, Bolest krku, Cervikodynie, Cervikalgie, bolest krku, krk - bolest
Korean 경추통
Polish Ból karku
Hungarian Nyaki fájdalom, Cervicalgia, Cervicodynia
Norwegian Nakkesmerter, Cervikalgi, Nakkesmerte