EXPORT CITATION

Chapter-22 Cervical Diskogenic Pain and Its Management

BOOK TITLE: Symptom Oriented Pain Management

Author
1. Sharma Anil K
ISBN
9789350257975
DOI
10.5005/jp/books/11597_22
Edition
1/e
Publishing Year
2012
Pages
6
Author Affiliations
1. Monmouth Medical Center, USA, Monmouth Medical Center, New Jersey, United States, Monmouth Medical Center, Shrewsbury, New Jersey, United States
Chapter keywords

Abstract

Cervical diskogenic pain is started from cervical intervertebral disks. Focal axial neck pain is identified in most of the patients along with frequent occipital headaches. Significant tightness and muscle spasms in the neck with limitation of range of movement are also found in patients. No unique clinical findings are available for identifying pain from cervical diskogenic etiology. The general findings include loss of cervical lordosis and decreased motion with flexion and trigger point in paracervical muscles. Diagnostic provocative cervical diskography is the only widely used test in the diagnosis of cervical pain which is originating from abnormal looking disks on MRI. Plain X-ray and MRI of cervical spine reveal details about degenerative disks and disk herniations. Cervical facet joints, atlantoaxial and atlantooccipital joints are analogues to diskogenic pain. Facet joint etiology is carried out when basic treatments fail. Diskitis and infections are found as risk in cervical discography. ACDF, artificial disk replacement, percutaneous procedures and cervical interlaminar epidurals are used in the treatments.

Related Books

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved