Cervical Spine & Neck Pain

Risk of Vertebrobasilar Stroke and Chiropractic Care

Results of a Population-Based Case-Control and Case-Crossover Study J. David Cassidy, DC, PhD Journal of Manipulative and Physiological Therapeutics Volume 32, Issue 2, Supplement , Pages S201-S208, February 2009 Abstract Study Design Population-based, case-control and case-crossover study. Objective To investigate associations between chiropractic visits and vertebrobasilar artery (VBA) stroke and to contrast this with primary […]

Treatment of Neck Pain: Noninvasive Interventions: Results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders

Eur Spine J. 2008 Apr; 17(Suppl 1): 123–152. Published online 2008 Mar 4. doi: 10.1007/s00586-008-0631-z PMCID: PMC2271098 Eric L. Hurwitz Abstract Study Design. Best evidence synthesis. Objective. To identify, critically appraise, and synthesize literature from 1980 through 2006 on noninvasive interventions for neck pain and its associated disorders. Summary of Background Data. No comprehensive systematic […]

Safety of Chiropractic Manipulation of the Cervical Spine: A Prospective National Survey

Thiel, Haymo W. DC, PhD Spine: 1 October 2007 – Volume 32 – Issue 21 – pp 2375-2378 Abstract Study Design. Prospective national survey. Objective. To estimate the risk of serious and relatively minor adverse events following chiropractic manipulation of the cervical spine by a sample of U.K. chiropractors. Summary of Background Data. The risk […]

The biochemical origin of pain: The origin of all pain is inflammation and the inflammatory response

The biochemical origin of pain: The origin of all pain is inflammation and the inflammatory response. Part 2 of 3 – Inflammatory profile of pain syndromes Sota Omoigui Division of Inflammation and Pain Research, L.A Pain Clinic, 4019 W. Rosecrans Avenue, Los Angeles, CA 90250, United States Published Online: August 29, 2007 Summary Every pain […]

Conservative management of mechanical neck disorders: a systematic review

Gross AR, et al. J Rheumatol. 2007 May;34(5):1083-102. Epub 2007 Jan 15. Comment in J Rheumatol. 2007 May;34(5):908-11. Nat Clin Pract Rheumatol. 2007 Dec;3(12):692-3. J Rheumatol. 2007 Jul;34(7):1635; author reply 1635-6. Abstract OBJECTIVE: To determine if conservative treatments (manual therapies, physical medicine methods, medication, and patient education) relieved pain or improved function/disability, patient satisfaction, and […]

Chronic neck pain and whiplash: A case-control study of the relationship between acute whiplash injuries and chronic neck pain

Pain Res Manag. 2006 Summer; 11(2): 79–83. Michael D Freeman, PhD DC MPH Abstract 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 […]

Effects of abnormal posture on capsular ligament elongations in a computational model subjected to whiplash loading

Journal of Biomechanics Volume 38, Issue 6, June 2005, Pages 1313-1323 Brian D.Stemper Abstract Although considerable biomechanical investigations have been conducted to understand the response of the cervical spine under whiplash (rear impact-induced postero-anterior loading to the thorax), studies delineating the effects of initial spinal curvature are limited. This study advanced the hypothesis that abnormal […]

Determining the relationship between cervical lordosis and neck complaints

J Manipulative Physiol Ther. 2005 Mar-Apr;28(3):187-93. McAviney J1, Schulz D, Bock R, Harrison DE, Holland B. Abstract OBJECTIVE: To investigate the presence of a “functionally normal” cervical lordosis and identify if this and the amount of forward head posture are related to neck complaints. METHODS: Using the posterior tangent method, an angle of cervical lordosis was measured from C2 through C7 vertebrae on 277 lateral cervical x-rays. Anterior weight bearing […]

Relationship Between Head Posture and Temporomandibular Dysfunction Syndrome

D. Evcik and O. Aksoy Journal of Musculoskeletal Pain (ISSN: 1058-2452) Volume: 12 Issue: 2 Page Range: 19 – 24 DOI: 10.1300/J094v12n02_03 Objective: To investigate the relationship between temporomandibular joint dysfunction and head posture. Methods: Thirty patients with temporomandibular joint pain and thirty healthy adults were included the study. After physical examination, patients were subjected by […]

Cervical lordosis angle measured on lateral cephalograms; findings in skeletal class II female subjects with and without TMD

A cross sectional study. D’Attilio M, Epifania E, Ciuffolo F, Salini V, Filippi MR, Dolci M, Festa F, Tecco S. Department of Orthodontics, University of Chieti, Italy. The literature reports evidence of various types of correlations between cervical alterations and cervical pain, and the existence of cervical pain in subjects with temporomandibular joint internal derangement […]

Cost effectiveness of physiotherapy, manual therapy, and general practitioner care for neck pain

Cost effectiveness of physiotherapy, manual therapy, and general practitioner care for neck pain: economic evaluation alongside a randomised controlled trial. AuthorsKorthals-de Bos IB, et al. BMJ. 2003 Apr 26;326(7395):911. Comment in BMJ. 2003 Aug 16;327(7411):395. BMJ. 2003 Apr 26;326(7395):914. Abstract OBJECTIVE: To evaluate the cost effectiveness of physiotherapy, manual therapy, and care by a general […]

Manual Therapy, Physical Therapy, or Continued Care by a General Practitioner for Patients with Neck Pain

Jan Lucas Hoving, PT, PhD Background: Neck pain is a common problem, but the effectiveness of frequently applied conservative therapies has never been directly compared. Objective: To determine the effectiveness of manual therapy, physical therapy, and continued care by a general practitioner. Design: Randomized, controlled trial. Setting: Outpatient care setting in the Netherlands. Patients: 183 […]

Forward Head Posture and Cervical Spine Degeneration

Evaluation of axial and flexural stresses in the vertebral body cortex and trabecular bone in lordosis and two sagittal cervical translation configurations with an elliptical shell model Harrison DE, et al. Journal J Manipulative Physiol Ther. 2002 Jul-Aug;25(6):391-401. Affiliation Comment in J Manipulative Physiol Ther. 2003 Nov-Dec;26(9):608; author reply 608-12. Abstract BACKGROUND: Osteoarthritis and spinal degeneration are […]

Cervical Lordosis (reversed cervical curve) and Osteophyte Formation

Comparison of axial and flexural stresses in lordosis and three buckled configurations of the cervical spine. AuthorsHarrison DE, et al. Show all Journal Clin Biomech (Bristol, Avon). 2001 May;16(4):276-84. Affiliation Abstract OBJECTIVE: To calculate and compare combined axial and flexural stresses in lordosis versus buckled configurations of the sagittal cervical curve. DESIGN: Digitized measurements from […]

Usefulness of posture training for patients with temporomandibular disorders

Wright EF, Domenech MA, Fischer JR Jr. J Am Dent Assoc. 2000 Feb;131(2):202-10. Abstract BACKGROUND: Many practitioners have found that posture training has a positive impact on temporomandibular, or TMD, symptoms. The authors conducted a study to evaluate its effectiveness. METHODS: Sixty patients with TMD and a primary muscle disorder were randomized into two groups: […]

Possible manifestation of temporomandibular joint dysfunction on chiropractic cervical X-ray studies

Knutson GA J Manipulative Physiol Ther. 1999 Jan;22(1):32-7. Abstract OBJECTIVE: Our purpose was to show that biomechanical alterations toward and away from normal on x-ray studies may be the result of changes in temporomandibular joint dysfunction and to discuss possible neurologic explanations for this phenomenon. CLINICAL FEATURES: Two patients are discussed; the first had migraine […]

Rotary manipulation for cervical radiculopathy

Observations on the importance of the direction of the thrust. Authors Hubka MJ,et al. Show all Journal J Manipulative Physiol Ther. 1997 Nov-Dec;20(9):622-7. Affiliation Los Angeles College of Chiropractic, Whittier, CA, USA. Abstract OBJECTIVE: To describe the clinical presentation of eight patients with cervical spine radiculopathy, the manipulation technique used for each patient and the outcomes of […]

A risk assessment of cervical manipulation vs. NSAIDs for the treatment of neck pain

J Manipulative Physiol Ther. 1995 Oct;18(8):530-6. Dabbs V, Lauretti WJ. Abstract OBJECTIVE: We reviewed the literature to evaluate the risk of serious injury or death resulting from cervical manipulation and to assess the evidence that cervical manipulation is an effective treatment for mechanical neck pain. We also reviewed the literature to assess the risks and […]

The straight cervical spine: does it indicate muscle spasm?

J Bone Joint Surg Br. 1994 Jan;76(1):103-6. Helliwell PS, Evans PF, Wright V.  Abstract The loss of cervical lordosis in radiographs of patients presenting with neck pain is sometimes ascribed to muscle spasm. We performed a cross-sectional study of the prevalence of ‘straight’ cervical spines in three populations: 83 patients presenting to an accident department […]