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Neck PainPain or discomfort in the neck is a common reason for patients to seek medical attention. Most cases are not serious and will usually resolve spontaneously without intervention. Muscle spasms are a frequent cause of neck pain and are usually brought on by poor posture and biomechanics, stress, and sleeping position. Herniated disc, disc degeneration, arthritis of the spine (spondylosis), cervical stenosis, facet mediated pain, and history of prior neck surgery are other caused of neck pain. How is neck pain diagnosed? A physician investigates the cause of neck pain by starting with a thorough medical history and physical examination. The physical examination includes a neurological assessment which comprises of sensation, reflex and strength testing. Range of motion testing and further provocative maneuvers are performed to better explain the pain generator. Diagnostic studies may be performed to determine more precisely the nature and extent of the disorder. These studies may include: X-ray, CT, MRI, electromyography/nerve conduction studies, and diagnostic cervical facet joint and medial branch blocks. |
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