Abstract
Careful examination of the neck begins with a thorough history and physical examination including strength and sensory testing as well as observation of gait to exclude neurologic involvement. Obtaining a history of aggravating factors is helpful in narrowing down the etiology of pain. For example, pain worse with prolonged neck flexion may signify a disc issue as opposed to pain worse with neck extension, which may suggest facet-mediated pain. Pain worse with lateral flexion causing ipsilateral neck pain may indicate neural compression due to narrowing of the ipsilateral neuroforamen.
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Suggested Reading
Brukner P, Khan K. Clinical sports medicine. McGraw Hill; 2006. p. 229–42.
Magee DJ. Orthopedic physical assessment. San Francisco, CA: Elsevier Health Sciences; 2013. p. 130–98.
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Yang, A.J., Jain, N.B. (2017). Neck. In: Yong, R., Nguyen, M., Nelson, E., Urman, R. (eds) Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-43133-8_11
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DOI: https://doi.org/10.1007/978-3-319-43133-8_11
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