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The Journal of Orthopaedic & Sports Physical Therapy is a peer-reviewed medical journal covering research about musculoskeletal rehabilitation, orthopaedics, physical therapy, and sports medicine.
Since there is not a universally accepted classification for neck pain, it is difficult to study the different neck pain types. While neck pain is the second most common cause of disability and cost $100 billion [2], the NIH budgets only $10 million to the study of neck pain [3]. One of the most common neck pains is between the neck and the ...
However, the pain or other symptoms often radiate to the part of the body served by that nerve. For example, a nerve root impingement in the neck can produce pain and weakness in the forearm. Likewise, an impingement in the lower back or lumbar-sacral spine can be manifested with symptoms in the foot.
Back and neck pain are the specialties of chiropractic but many chiropractors treat ailments other than musculoskeletal issues. [7] There is a range of opinions among chiropractors: some believed that treatment should be confined to the spine, or back and neck pain; others disagreed. [63]
Physical therapy addresses the illnesses or injuries that limit a person's abilities to move and perform functional activities in their daily lives. [3] PTs use an individual's history and physical examination to arrive at a diagnosis and establish a management plan and, when necessary, incorporate the results of laboratory and imaging studies like X-rays, CT-scan, or MRI findings.
In children, a CT scan of the neck is indicated in more severe cases such as neurologic deficits, whereas X-ray is preferable in milder cases, by both US [4] and UK [5] guidelines. Swedish guidelines recommend CT rather than X-ray in all children over the age of 5. [6] In adults, UK guidelines are largely similar as in children. [5]
A 2008 Cochrane Library review concluded that LLLT has insufficient evidence for treatment of nonspecific low back pain, [51] a finding echoed in a 2010 review of chronic low back pain. [52] A 2015 review found benefit in nonspecific chronic low-back pain. [16] LLLT may be useful in the treatment of both acute and chronic neck pain. [17]
Even with surgery, research has suggested that pain still exists in up to 38% of patients who receive surgery. [10] Research also suggests that patients who focus on manual therapy of the neck, and median nerve combined with stretching have similar outcomes to that of surgery, but with much more progress within the one month mark then post ...