Cervical Spine & Neck Pain

Fibrous Connection Between Cervical Nerve and Zygapophysial Joint and Implication of the Cervical Spondylotic Radiculopathy

An Anatomic Cadaveric Study Kagawa, Eiichiro MSa,b; Nimura, Akimoto MD, PhDc; Nasu, Hisayo PhDa; Kato, Ryuichi MD, PhDb; Akita, Keiichi MD, PhDaAuthor Information SPINE: July 1, 2021 – Volume 46 – Issue 13 – p E704-E709 doi: 10.1097/BRS.0000000000003895 Study Design Observational, anatomical, cadaveric study. Objective We anatomically investigated the fibrous connection between the cervical nerves […]

Inter-examiner reliability study of physical examination procedures to assess the cervical spine

Published: 14 June 2021 Karthik V. Hariharan, Michael G. Timko, Christopher G. Bise, Meenakshi Sundaram & Michael J. Schneider Chiropractic & Manual Therapies volume 29, Article number: 20 (2021) Abstract Objective The objective of this study was to establish the level of inter-examiner reliability for six common cervical manual and physical examination procedures used to […]

Association Between Text Neck and Neck Pain in Adults

Correia, Igor Macedo Tavares MSca SPINE: May 1, 2021 – Volume 46 – Issue 9 – p 571-578 doi: 10.1097/BRS.0000000000003854 Study Design. Observational cross-sectional study. Objective. The aim of this study was to investigate the association between text neck and neck pain (NP) in adults. Summary of Background Data. It has been hypothesized that the […]

Effects of the Manual Therapy Approach of Segments C0-1 and C2-3 in the Flexion-Rotation Test in Patients with Chronic Neck Pain

Int. J. Environ. Res. Public Health 2021, 18(2), 753; https://doi.org/10.3390/ijerph18020753 by Jacobo Rodríguez-Sanz Abstract Background: Flexion-rotation test predominantly measures rotation in C1-2 segment. Restriction in flexion-rotation may be due to direct limitation in C1-2, but also to a premature tightening of the alar ligament as a result of lack of movement in C0-1 or C2-3. The aim of […]

The Correlation Between Facet Tropism and Intervertebral Disc Herniation in the Subaxial Cervical Spine

Wang, Yu MD SPINE: March 1, 2021 – Volume 46 – Issue 5 – p E310-E317 doi: 10.1097/BRS.0000000000003788 Study Design. A retrospective case–control study. Objective. Investigating the correlation between the facet tropism (FT) and subaxial cervical disc herniation (CDH). Summary of Background Data. Although debatable, it was widely reported that FT was associated with lumbar […]

Why is Chiropractic Sought Out by Millions of Americans?

Millions of patients each year experience pain relief and improved mobility from the care delivered by doctors of chiropractic. Chiropractic has been a healthcare profession for 125 years 1, helping people with back and neck pain, headaches and other types of “neuro-musculoskeletal” pain — while also improving mobility and performance. Today, doctors of chiropractic (DC) […]

Sources of Cervicogenic Headache Among the Upper Cervical Synovial Joints

Jayantilal Govind, MB, ChB, MMed, Nikolai Bogduk, MD, PhD, Dsc Pain Medicine, pnaa469, https://doi.org/10.1093/pm/pnaa469 Published: 23 January 2021 Abstract Objectives The study sought to assess the utility of controlled diagnostic blocks in patients with probable cervicogenic headache by determining the prevalence of sources of pain among the upper and lower synovial joints of the cervical […]

Visit Frequency and Outcomes for Patients Using Ongoing Chiropractic Care for Chronic Low-Back and Neck Pain: An Observational Longitudinal Study

Pain Physician. 2021 Jan;24(1):E61-E74. Patricia M Herman Abstract Background: Chronic spinal pain is prevalent and long-lasting. Although provider-based nonpharmacologic therapies, such as chiropractic care, have been recommended, healthcare and coverage policies provide little guidance or evidence regarding long-term use of this care. Objective: To determine the relationships between visit frequency and outcomes for patients using […]

Short-term effects of the traction-manipulation protocol in dizziness intensity and disability in cervicogenic dizziness: a randomized controlled trial

Disability and Rehabilitation Published online: 20 Jan 2021 Andoni Carrasco-Uribarren Abstract Purpose Analyse the short-term effects of traction-manipulation protocol in dizziness and pain intensity and disability, cervical mobility and postural instability. Materials and methods Randomized controlled assessor-blind clinical trial. The traction-manipulation protocol was carried out in the intervention group and compared with a control group […]

Dry Needling Adds No Benefit to the Treatment of Neck Pain: A Sham-Controlled Randomized Clinical Trial With 1-Year Follow-up

Journal of Orthopaedic & Sports Physical Therapy Published Online: December 31, 2020 Volume 51 Issue 1 Pages37-45 Abstract Objective To examine the short- and long-term effectiveness of dry needling on disability, pain, and patient-perceived improvements in patients with mechanical neck pain when added to a multimodal treatment program that includes manual therapy and exercise. Design […]

Histologic Observation and Significance of Sympathetic Nerve Fiber Distribution on Human Cervical Ligamentum Flavum

Orthopedic Surgery Volume12, Issue 6. December 2020. Pages 1811-1825 Xiaolin Wu MD Xiaoyan Wang MD Guoqing Zhang MM Zhu Guo MD Yan Wang MD Ronghuan Wang MM Hongfei Xiang MD Bohua Chen MD First published: 19 October 2020 https://doi.org/10.1111/os.12802 Abstract Objective To study the distribution of sympathetic nerves of the ligamentum flavum (LF), confirm its existence by […]

The Effects of Exercise Dosage on Neck-Related Pain and Disability: A Systematic Review With Meta-analysis

Journal of Orthopaedic & Sports Physical Therapy Published Online: October 31, 2020 Volume 50 Issue 11 Pages607-621 https://www.jospt.org/doi/10.2519/jospt.2020.9155 Abstract Objective To (1) evaluate whether exercise therapy is effective for managing neck pain, and (2) investigate the relationship between exercise therapy dosage and treatment effect. Design Intervention systematic review with meta-analysis and meta-regression. Literature Search An […]

Neck pain associated with smartphone overuse: cross-sectional report of a cohort study among office workers

Eur Spine J. 2020 Oct 27. doi: 10.1007/s00586-020-06640-z. Online ahead of print. Nazi Derakhshanrad PMID: 33108531 DOI: 10.1007/s00586-020-06640-z Abstract Purpose: The aim of the current study was to investigate the extent of smartphone use, possible correlation with neck pain and/or psychological impairment in office workers. Method: A convenience sample of 1,602 office workers who were […]

Optimized acupuncture treatment for cervical spondylosis-related neck pain: a multicenter randomized controlled trial

Pain. 2020 Sep 14. doi: 10.1097/j.pain.0000000000002071. Online ahead of print. Ling Chen PMID: 32947547 DOI: 10.1097/j.pain.0000000000002071 Abstract Cervical spondylosis (CS)-related neck pain is difficult to treat due to its degenerative nature. The aim of this nine-center, single-blinded, randomized controlled trial was to evaluate the efficacy of optimized acupuncture for CS-related neck pain. Participants who met […]

The role of acupuncture in the treatment of chronic pain

Best Pract Res Clin Anaesthesiol. 2020 Sep;34(3):603-616. doi: 10.1016/j.bpa.2020.08.005. Epub 2020 Aug 8. Megha Patel PMID: 33004170 DOI: 10.1016/j.bpa.2020.08.005 Abstract Acupuncture is a practice based on traditional Chinese medicine, in which needles are used to restore the body’s internal balance. Recently, there has been growing interest in the use of acupuncture for various pain conditions. […]

Relationship Between Intensity of Neck Pain and Disability and Shoulder Pain and Disability in Individuals With Subacromial Impingement Symptoms: A Cross-Sectional Study

JMPT VOLUME 43, ISSUE 7, P691-699, SEPTEMBER 01, 2020 Thiele de Cássia Libardoni, PT, MSc Abstract Objective This study aimed to verify a possible relationship between shoulder disability and shoulder pain intensity and the variables related to cervical-spine dysfunction, and determine which of these can differentiate moderate to severe shoulder pain (>4 on a numerical […]

Immediate effects of cervicothoracic junction mobilization versus thoracic manipulation on the range of motion and pain in mechanical neck pain with cervicothoracic junction dysfunction: a pilot randomized controlled trial

Shriya Joshi Chiropractic & Manual Therapies volume 28, Article number: 38 (2020) Abstract Background Cervicothoracic (CT) junction hypomobility has been proposed as a contributing factor for neck pain. However, there are limited studies that compared the effect of CT junction mobilization against an effective intervention in neck pain. Thoracic spine manipulation is a nonspecific intervention […]

Systemic Inflammatory Markers in Neck Pain: A Systematic Review With Meta-Analysis

Eur J Pain 2020 Jul 3. doi: 10.1002/ejp.1630. Online ahead of print. S F Farrell Abstract Background and objective: Mechanisms underpinning symptoms in non-traumatic neck pain (NTNP) and whiplash-associated disorder (WAD) are not comprehensively understood. There is emerging evidence of systemic inflammation in musculoskeletal pain conditions, including neck and back pain. The aim of this […]

Evaluation of persons with suspected lumbosacral and cervical radiculopathy: Electrodiagnostic assessment and implications for treatment and outcomes (Part II)

Muscle and Nerve Timothy R. Dillingham MD MS Thiru M. Annaswamy MD, MA, FAAPMR Christopher T. Plastaras MD First published: 21 June 2020 https://doi.org/10.1002/mus.27008 Abstract The electrodiagnostic (EDX) examination with needle electromyography (EMG) is the most important means of testing for radiculopathy. This test has modest sensitivity but high specificity and complements imaging of the […]

The Response-Time Relationship and Covariate Effects of Acupuncture for Chronic Pain: A Systematic Review and Model-Based Longitudinal Meta-Analysis

Eur J Pain. 2020 Jun 13. doi: 10.1002/ejp.1617. Online ahead of print. Caixia Li 1, Qi Pei 2, Yaolong Chen 3 4, Xufei Luo 3 4, Nan Yang 3 4, Thomas T Li 5, Junjie Ding 6 7, Yingwei Wang 1 Affiliations expand PMID: 32533885 DOI: 10.1002/ejp.1617 Abstract Background and objective: Critical clinical questions regarding […]