A Case-Based Approach to Neck Pain A Pocket Guide to Pathology, Diagnosis and Management Michael Harbus · Grant Cooper · Joseph E. Herrera · Zinovy Meyler · Marco Funiciello Editors 123 A Case-Based Approach to Neck Pain Michael Harbus • Grant Cooper Joseph E. Herrera • Zinovy Meyler Marco Funiciello Editors A Case-Based Approach to Neck Pain A Pocket Guide to Pathology, Diagnosis and Management Editors Michael Harbus Grant Cooper Physical Medicine Princeton Spine and Joint Center and Rehabilitation Princeton, NJ, USA Mount Sinai Hospital New York, NY, USA Zinovy Meyler Princeton Spine and Joint Center Joseph E. Herrera Princeton, NJ, USA Department of Rehabilitation Medicine Mount Sinai Hospital New York, NY, USA Marco Funiciello Princeton Spine and Joint Center Princeton, NJ, USA ISBN 978-3-031-17307-3 ISBN 978-3-031-17308-0 (eBook) https://doi.org/10.1007/978-3-031-17308-0 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland For Stephanie, Ellen, Fred, Carolyn and Milton Michael Harbus For Ana, Mila, Lara, Luka, Twinkle and Lili Grant Cooper For my parents Anna and Mark, they serve as role models and shaped my character; their many sacrifices were aimed to provide me with opportunities in life. Zinovy Meyler To my loving wife Bonnie and our beautiful children Antonella, Juliana, Mia and Gianluca, thank you for your love, patience and never- ending dedication to reading and a heartfelt thank you to my parents who made a lot of pizza to help me with medical school bills. Marco Funiciello Preface This book is designed to serve as a reference for students and healthcare providers who treat neck pain. Neck pain is a common presenting complaint of patients who visit providers who treat musculoskeletal conditions. As with many musculoskeletal com- plaints, there is significant overlap in the presentation of many of the pathologies that cause neck pain, which can create challenges in arriving at an accurate diagnosis based on a patient’s history and physical exam. The book provides an overview of the most common causes of neck pain including strains, sprains, facet-mediated pain, radicu- lopathies and discogenic pain, and it delves into the diagnosis and treatment for these commonly seen conditions. The book presents the anatomy, pathophysiology, presentation, diagnostic work-up and evidence-based treatment plans for common causes of neck pain in an easily accessible manner. By doing so, we hope that it will enable its readers to provide more accurate diagnosis and effective treatments for their patients. Ultimately, this book aims to guide providers from multiple specialties and disciplines—including physical therapists, pri- mary care physicians, physiatrists and spine surgeons—in their approach when treating patients who present with neck pain. New York, NY, USA Michael Harbus Princeton, NJ, USA Grant Cooper New York, NY, USA Joseph E. Herrera Princeton, NJ, USA Zinovy Meyler Princeton, NJ, USA Marco Funiciello vii Acknowledgements I want to thank my wife, Stephanie, for her endless generosity and understanding; my parents, Ellen and Fred, for their selflessness, and for being the best role models I could ask for; my sister, Caro- lyn, for always being a source of advice and support; and my grandparents, who taught me immeasurable amounts about hard work, family and balance. I would also like to thank my co-editors whose guidance made this book possible. Michael Harbus It has been a pleasure to collaborate on this book. I want to first thank my co-editors and all of the amazing authors who worked so hard to make this book a reality. Thank you to my colleagues at Princeton Spine and Joint Center for continuing to push, nurture and challenge me. And thank you to my family, Ana, Mila, Lara, Luka, Twinkle and Lili for putting up with me when I disappear into the study to write. Grant Cooper I would like to thank my amazing family, Sandra, Alex, Mikhayla and Andrew for all of their continued love and support through this journey. Thank you of course to my long-time friend, colleague and co-editor on this and so many other projects, Dr. Grant Cooper. Thank you to all of our fantastic authors and other editors who came together to make this book a success. Joseph E. Herrera, DO, FAAPMR I would like to thank all of the great authors contributing to this book, as well as my co-editors. I would also like to thank all friends and colleagues for their support and camaraderie. I would like to extend special gratitude to Ana and Grant for wearing so ix x Acknowledgements many hats in my life including those of colleagues, pillars of sup- port, advisors and advocates and for transcending friendship into what feels like family. Zinovy Meyler A special thank you to my patients, my greatest teachers. Thank you to our book’s co-contributors, without your help this work would not have been possible and to my colleagues at Princeton Spine and Joint Center who continue to help inspire my passion for medicine. Thank you, Marco Funiciello Contents 1 Cervical Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Craig Silverberg, Marya Ghazzi, and Michael Harbus 2 Cervical Strains and Sprains . . . . . . . . . . . . . . . . . . . . 17 Michael Harbus and Leili Shahgholi 3 Facet Joint Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Chandni Patel 4 Discogenic Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Caroline Varlotta 5 Cervical Radiculopathy . . . . . . . . . . . . . . . . . . . . . . . . 55 Jonathan Lee, Michael Harbus, and Carley Trentman 6 Cervical Myelopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Toqa Afifi, Karolina Zektser, and Aditya Raghunandan 7 Sports Trauma and Fractures . . . . . . . . . . . . . . . . . . . 95 Rebecca Freedman and Irene Kalbian 8 Rheumatologic Causes of Neck Pain . . . . . . . . . . . . . . 119 German Valdez 9 Case Studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Caroline Varlotta Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 xi 1 Cervical Anatomy Craig Silverberg, Marya Ghazzi, and Michael Harbus Introduction This chapter provides an overview of the structures that make up the neck. Included among these structures are the cervical verte- brae, soft tissue structures, muscles, and vascular and lymphatic structures. Additionally, a detailed review of the neurological structures of the central nervous system, the peripheral nervous system, and the autonomic nervous system that reside in the neck is provided. The anatomical groundwork that is established in this chapter will allow for an enhanced understanding of the patho- logical conditions discussed throughout the book. C. Silverberg · M. Harbus (*) Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, NY, USA e-mail: [email protected] M. Ghazzi Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA e-mail: [email protected] © The Author(s), under exclusive license to Springer Nature 1 Switzerland AG 2022 M. Harbus et al. (eds.), A Case-Based Approach to Neck Pain, https://doi.org/10.1007/978-3-031-17308-0_1