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Symptoms can also worsen while the patient is walking or during periods of increased stress. Other symptoms include muscle hypertrophy, neck pain, dysarthria and tremor. [2] Studies have shown that over 75% of patients report neck pain, [1] and 33% to 40% experience tremor of the head. [3]
Low-level laser therapy has been shown to reduce pain immediately after treatment in acute neck pain and up to 22 weeks after completion of treatment in patients that experience chronic neck pain. [19] Low quality evidence suggests that cognitive-behavioural therapy may be effective at reducing pain in the short-term. [20]
If symptoms do not improve after 4–6 weeks of conservative treatment, or the person is more than 50 years old, further tests are recommended. [3] The American College of Radiology recommends that projectional radiography is the most appropriate initial study in all patients with chronic neck pain. [13]
CMT is a neck problem that babies are born with or develop soon after birth, causing their neck to be stiff and bent in an awkward position. [38] Besides the sternocleidomastoid muscle, other muscles in the neck can also be affected by CMT, leading to problems moving the head and neck normally. [38]
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Explanatory model of chronic pain. Chronic pain is defined as reoccurring or persistent pain lasting more than 3 months. [1] The International Association for the Study of Pain (IASP) defines pain as "An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage". [2]
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