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Neck Pain Frequently Asked Questions PowerPoint Presentation

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Published on : Aug 18, 2021 | Views : 1307 | Downloads : 6

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Slide 1-

Neck Pain Frequently Asked Questions … Moe R. Lim, MD UNC Orthopaedics (919-96B-ONES) UNC Spine Center (919-957-6789)
Slide 2-

Neck Pain
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Human Spine 25 bones Cervical (7) Thoracic (12) Lumbar (5) Sacrum
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Human Spine
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Muscles
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Bones and Discs
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Spinal Cord and Nerves
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Cervical Spine Functions 1) Support weight of the head 2) Allow for motion of the head 3) Protect critical neural and vascular structures
Slide 9-

Is neck pain common?
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Is neck pain common? Yes! 2/3 lifetime prevalence 10% point prevalence Associated with Stress Reading Higher education
Slide 11-

What causes neck pain?
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What causes neck pain? Discs Facet joints Ligaments Muscles Nerves However, it is difficult to determine the exact anatomic cause in individual patients.
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Why did this happen to me?
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Why me? Genetics ! Smoking Oxygen starvation Nicotine is toxic to disc cells
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My neck pops and cracks. Should I be concerned ?
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Neck pops and cracks Cause unknown Not a serious sign of a problem unless there is associated pain
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How do I know if my neck pain is serious or not?
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Common neck pain (from age-related changes) Mild Dull ache or sharp Starts gradually Waxes and wanes Worse with stress and increased activity Better with over-the-counter pain medications
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Serious neck pain (from infection, cancer, fracture …) Severe Fevers, chills, weight loss Associated with an injury Sudden onset or change Awakens you from sleep Progressively worse Pain, numbness, weakness in the arms or legs
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Will my neck pain get better? When?
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Yes! It will get better! Short-term 80% of patients better by 3 months Long-term 50% asymptomatic 25% intermittent 25% moderately disabled
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Should I have an MRI?
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MRI MRI is a great tool to show anatomy but not everyone with neck pain needs an MRI
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What is a herniated disc?
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Herniated Disc Not all “herniated discs” are the same. In general, a disc that wears out and moves out of place is called a disc herniation.
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Are bulging discs “normal”?
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Bulging Discs Usually! Bulging discs such as these on the left are normal just like the wrinkles in our skin They are abnormal if nerve roots or the spinal cord get compressed
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Abnormal Disc Herniation Herniated disc causing compression and swelling of the spinal cord
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What can be done for my neck pain?
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Non-Surgical Treatment Medications Acetaminophen (Tylenol) Anti-Inflammatories Ibuprofen (Motrin) Aspirin Naproxen (Aleve)
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Non-Surgical Treatment Soft Collar For temporary use
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Non-Surgical Treatments Ice Heat
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Non-Surgical Treatments Cervical Pillows
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Non-Surgical Treatments Acupuncture Massage Ultrasound Traction
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Non-Surgical Treatments Physical Therapy Isometrics Aerobic conditioning Flexibility Home program
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What can I do to prevent this from happening again?
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Prevention Avoid Smoking Home Physical Therapy Program Strength Flexibility Aerobic fitness Proper neck mechanics
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When do I need surgery?
Slide 39-

Surgery may be necessary if the nerves or the spinal cord become compressed
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Cervical Radiculopathy (Compressed Nerve Root)
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Cervical Radiculopathy Pain down the arm Burning Numbness Tingling Weakness Worse with neck movement
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Cervical Myelopathy (Compressed Spinal Cord) More serious than compressed nerve High risk of permanent damage
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Cervical Myelopathy Numb/Tingling Weakness Loss of dexterity Trouble with buttons Dropping coins Handwriting change Trouble walking Loss of bladder control
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What kind of surgery will I need?
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Surgical Treatments Wide variety of options Goals of surgery Take pressure off nerves and spinal cord Stabilize Communicate with surgeon to choose the treatment best suited for you
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Surgical Treatments
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Surgical Treatments
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Important questions to ask… Will I have permanent damage if I delay surgery ? Are there non-surgical alternatives ? Will I need a fusion ? Are there non-fusion alternatives ?
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Important questions to ask … What are the risks of surgery ? Does the surgeon use neurophysiologic spinal cord monitoring to enhance safety during surgery? Is surgery successful ? How does the surgeon define success ?
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Important questions to ask … When can I return to work ? When can I return to sports ? How long will the surgeon continue to follow me for check-ups after surgery ?
Slide 51-

Summary Neck Pain Very common and usually not serious Majority will get better and does not require surgery Look out for arm pain, numbness/tingling, weakness, loss of coordination, trouble with balance Surgery is successful for specific nerve and spinal cord problems
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Moe R. Lim, MD UNC Orthopaedics (919-96B-ONES) UNC Spine Center (919-957-6789)