Neck pain in the elderly: common causes and management.
Neck pain is common in the elderly. An outline of the relevant anatomy and pathological conditions which affect the cervical spine and an approach to diagnosis are presented. Intrinsic causes of pain arise in the vertebral column itself--arthritis, discogenic disorders, trauma, tumors, and infection; in the cervical musculature--myofascial pain syndrome, torticollis, and whiplash; and in the spinal cord from tumors. Differentiation of these causes from extrinsic causes of neck pain will enable the appropriate management protocols to be implemented. Many of these problems can be treated effectively at the primary care level. Guidelines for specialist referral are suggested.
Moskovich
R
R
Department of Orthopaedic Surgery, University of California, Davis, Sacramento.
D000368:Aged; D001172:Arthritis, Rheumatoid / Q000175:diagnosis; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000175:diagnosis; D008487:Medical History Taking; D009209:Myofascial Pain Syndromes / Q000175:diagnosis / Q000628:therapy; D009333:Neck; D009408:Nerve Compression Syndromes / Q000175:diagnosis; D010146:Pain / Q000209:etiology*; D010808:Physical Examination / Q000379:methods; D011859:Radiography; D013118:Spinal Cord Diseases / Q000175:diagnosis; D013120:Spinal Cord Neoplasms / Q000175:diagnosis / Q000601:surgery; D013126:Spinal Nerve Roots; D013128:Spinal Osteophytosis / Q000175:diagnosis / Q000628:therapy; D014911:Whiplash Injuries / Q000000981:diagnostic imaging / Q000628:therapy