Neck disorders
Neck strain :Pain in the middle or lower part of posterior aspect of neck sparing the arms
Signs:local tenderness in paracervical muscles with loss of cervical lordosis no neurological abnormalties
Treatment:non steroidal anti inflamotory drugs and muscle relaxants
Causes:1:sleeping in awaking postion 2:turned head rapidly3:sneezing
Rotator cuff tendonitis
Most commen causes of shoulder painTypes:
1:acute
2:chronic
3:with or without bursitis
Symptoms:
Pain in rotator cuff in active abduction between 60and 120ndegress
In acute case:
Pain comes more abruptly and excruciating in young patients
Chronic cases:ache in shoulder over lateral deltoid more commen in olderly people
Signs:impingment sign
Treatment:
1:rest
2:hot pack
3:ultrasound
4:non steroidal anti inflammatory drugs
5:local corticosteroid injection
Disc prolapse:
Cause:intervertebral disc herniation in cervical spine due to heavy lifting
Clinical features:
Radicular pain to shoulder and neck pain is minimal or abscent
Signs:spurlings sign in which the pain introduced by compression extension lateral flexion
Neurological abnormalities
Investigation:
Magnatic resonance imaging and nerve conduction study
Treatment:
Controlled physical activity 2:cervical orthosis 3:cervical traction4:non steroidal anti inflammatory drugs5:surgery in 20%