Neck pain differential diagnosis: Difference between revisions
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Ossification of the posterior longitudinal ligament]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Ossification of the posterior longitudinal ligament]] | ||
|neck pain, progressive radiculopathy, myelopathy symptoms | |neck pain, progressive [[radiculopathy]], [[myelopathy]] symptoms | ||
|Focal neurologic signs in upper and/or lower extremities | |Focal neurologic signs in upper and/or lower extremities | ||
|- | |- | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Polymyalgia rheumatica]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Polymyalgia rheumatica]] | ||
|morning stiffness in shoulders | |morning stiffness in shoulders | ||
|Decreased range of motion of joints | |Decreased range of motion of joints | ||
|- | |- | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Esophageal obstruction]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Esophageal obstruction]] | ||
|Dysphagia | |[[Dysphagia]] | ||
|Normal | |Normal | ||
|} | |} |
Revision as of 15:27, 23 February 2021
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Overview
Differentiating neck pain from other Diseases
Differentiating neck pain from other diseases on the basis of
Diseases | symptoms | physical examination | |
---|---|---|---|
Cervical strain | Pain , stiffness on neck movement | Tenderness on palpation of neck and trapezius muscles | |
"Whiplash" injury | Pain on neck movement following an abrupt extension–flexion type injury ,headache, shoulder or back pain, dizziness, paresthesias, fatigue | Decreased range of motion associated with neck spasm | |
Cervical discogenic pain | Pain , stiffness on neck movement,cervical radicular symptoms | Decreased range of motion with pain | |
Cervical myofascial pain | Focal pain and pressure sensitivity;accompanied by a sensation of burning or stinging | Localized tenderness | |
Cervical radiculopathy | Pain, numbness,tingling in a dermatomal distribution,weakness in upper extremity | Decreased or altered sensation, diminished deep tendon reflexes | |
Cervical spondylotic myelopathy | Lower extremity weakness, gait or coordination difficulties, and bowel or bladder dysfunction | Focal neurologic signs in upper and/or lower, Lhermitte's sign | |
Ossification of the posterior longitudinal ligament | neck pain, progressive radiculopathy, myelopathy symptoms | Focal neurologic signs in upper and/or lower extremities | |
Tension headache | Bilateral headache, which may be associated with neck pain; no other neurologic symptoms | Localized tenderness on palpation of scalp and neck,no neurologic abnormalities | |
Coronary artery disease | Chest pain with radiation to neck | Normal | |
Infection | Fever,depending on nature of infection | depending on nature of infection | |
Malignancy | Unexplained weight loss | Localized tenderness on palpation of spine | |
Referred shoulder pain | Shoulder pain with radiation to neck | Localized tenderness on shoulder exam | |
Polymyalgia rheumatica | morning stiffness in shoulders | Decreased range of motion of joints | |
Fibromyalgia | Diffuse musculoskeletal pain with fatigue | Multiple soft tissue "tender points | |
Thoracic outlet syndrome | Upper extremity neurologic paresthesias,swelling, pain in the hand | Focal neurologic signs in upper extremities, sensory deficits, swelling, cyanosis or pallor | |
Esophageal obstruction | Dysphagia | Normal |