Neck Pain PDF
Preview Neck Pain
Neck Pain Dr Mimi Omar Family Medicine Specialist KK Jinjang CHRONIC PAIN MANAGEMENT TRAINING MODULE FOR PRIMARY CARE MINISTRY OF HEALTH MALAYSIA •Definition •Background •Causes •Classification •Signs and symptoms •Red Flags •Physical Examination •Investigation •Prevention •Treatment CHRONIC PAIN MANAGEMENT TRAINING MODULE FOR PRIMARY CARE MINISTRY OF HEALTH MALAYSIA DEFINITION • Sensation of discomfort in the neck area which may radiate to the upper limbs and head CHRONIC PAIN MANAGEMENT TRAINING MODULE FOR PRIMARY CARE MINISTRY OF HEALTH MALAYSIA Background • 67% of individuals suffer from neck pain at some point in their lifetime • The occurrence of neck pain and neck disorders increases with age until late middle age and decreases thereafter. One explanation could be that with advanced degenerative changes the spine restabilises and may become less painful. • More common among women. CHRONIC PAIN MANAGEMENT TRAINING MODULE FOR PRIMARY CARE MINISTRY OF HEALTH MALAYSIA CHRONIC PAIN MANAGEMENT TRAINING MODULE FOR PRIMARY CARE MINISTRY OF HEALTH MALAYSIA Causes of Neck Pain Musculoskeletal • Joint dysfunction • Strains/sprains/injuries CHRONIC PAIN MANAGEMENT TRAINING MODULE FOR PRIMARY CARE MINISTRY OF HEALTH MALAYSIA CHRONIC PAIN MANAGEMENT TRAINING MODULE FOR PRIMARY CARE MINISTRY OF HEALTH MALAYSIA What texting and smartphone usage does to your neck and spine CHRONIC PAIN MANAGEMENT TRAINING MODULE FOR PRIMARY CARE MINISTRY OF HEALTH MALAYSIA Causes of Neck Pain Inflammation Degenerative • OA • Spondylosis • RA Neoplasia • AS Fibromyalgia Infective Psychogenic • Meningitis Referred pain • Osteomyelitis • Cardiac • TB • Oesophagus • Herpes zoster • Lung • Cranial CHRONIC PAIN MANAGEMENT TRAINING MODULE FOR PRIMARY CARE MINISTRY OF HEALTH MALAYSIA Predisposing Factors • Work with abducted arms, hands above shoulders, forward flexion of the neck, and repetitive movements of the hands or fingers • Obesity • Mental stress • Smoking • E Viikari-Juntura et al. Longitudinal study on work related and individual risk factors affecting radiating neck pain. Occup Environ Med 2001;58:345-352 doi:10.1136/oem.58.5.345 • A.C.M. Diepenmaat et al. Neck/Shoulder, Low Back, and Arm Pain in Relation to Computer Use, Physical Activity, Stress, and Depression Among Dutch Adolescents. Pediatrics Feb 2006; 117(2): 412-6 CHRONIC PAIN MANAGEMENT TRAINING MODULE FOR PRIMARY CARE MINISTRY OF HEALTH MALAYSIA
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