Wednesday, 12 April 2017

Chiropractic Care for Neck Pain

Slip disc in the neck can lead to diverse patterns of symptoms including neck pain, radicular pain into the upper limb, numbness, tingling or burning sensation of the upper limb, and progressive weakness in the upper limb. People who develop slip disc in the neck without a trauma usually reports that they wake up with sudden onset of symptoms. The health care practitioner should have a list of differential diagnosis in mind as the presenting symptoms may overlap with these diseases and syndromes. Space-occupying lesions and tumour should be considered in the correct population, especially those with genetic predisposition.

Further imaging of the cervical spine is needed to rule out other serious causes of cervical radiculopathy. People with unusual presentation or those who do not respond well to initial conservative treatment will need imaging of the cervical spine for further investigation. Spondylosis is the most common differential diagnosis; however, spondylosis can sometimes co-exist with slip disc injury. There are a few differential diagnoses with similar presenting symptoms such as peripheral compressive neuropathy, spinal trauma, spondylolisthesis, root avulsion, radiation injury, infiltrative, infectious, para-infections, and metabolic conditions, muscular pathology, brachial plexus pathology, rotator cuff disease, arthritis, or complex regional pain syndromes.  The list should not be limited to the above-mentioned differential diagnosis as each patient should be evaluated to find the most suitable working diagnosis that explains the patient’s symptoms. 

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