Neck pain differential diagnosis
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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 | |||
| Polymyalgia rheumatica | |||
| Fibromyalgia | |||
| Thoracic outlet syndrome | |||
| Esophageal obstruction | Dysphagia | Normal |