Neck pain differential diagnosis: Difference between revisions
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===Differentiating neck pain from other diseases on the basis of=== | |||
===Differentiating neck pain from other diseases on the basis of === | |||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cervical strain]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cervical strain]] | ||
|Pain , stiffness on neck movement | |Pain , stiffness on neck movement | ||
|Tenderness on palpation of neck and trapezius muscles | |Tenderness on palpation of neck and [[Trapezius muscle|trapezius]] muscles | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[["Whiplash" injury]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[["Whiplash" injury]] | ||
|Pain on neck movement following an abrupt extension–flexion type injury ,headache, shoulder or back pain, dizziness, paresthesias, fatigue | |Pain on neck movement following an abrupt extension–flexion type injury ,headache, shoulder or back pain, dizziness, [[Paresthesia|paresthesias]], fatigue | ||
|Decreased range of motion associated with neck spasm | |Decreased range of motion associated with neck spasm | ||
|- | |- | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cervical myofascial pain]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cervical myofascial pain]] | ||
|Bowel or bladder dysfunction,Lower extremity weakness, gait or coordination difficulties | |Bowel or bladder dysfunction,Lower extremity weakness, gait or coordination difficulties | ||
|Focal neurologic signs in upper or lower extremities, Lhermitte's sign | |Focal neurologic signs in upper or lower extremities, [[Lhermitte's sign]] | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cervical radiculopathy]] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cervical radiculopathy]] | ||
|Pain, numbness,tingling in a dermatomal distribution,weakness in upper extremity | |Pain, numbness,tingling in a dermatomal distribution,weakness in upper extremity | ||
|Decreased or altered sensation, diminished deep tendon reflexes | |Decreased or altered sensation, diminished [[Deep tendon reflex|deep tendon reflexes]] | ||
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Revision as of 18:04, 22 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 | Bowel or bladder dysfunction,Lower extremity weakness, gait or coordination difficulties | Focal neurologic signs in upper or lower extremities, Lhermitte's sign | |
Cervical radiculopathy | Pain, numbness,tingling in a dermatomal distribution,weakness in upper extremity | Decreased or altered sensation, diminished deep tendon reflexes | |
Cervical spondylotic myelopathy | |||
Ossification of the posterior longitudinal ligament | |||
Tension headache | |||
Coronary artery disease | |||
Infection | |||
Malignancy | |||
Referred shoulder pain | |||
Polymyalgia rheumatica | |||
Fibromyalgia | |||
Thoracic outlet syndrome | |||
Esophageal obstruction | Dysphagia | Normal |