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[Narrator] Neck pain

with mobility deficits
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or cervical spondylosis.
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The patient typically

reports unilateral neck pain
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and possible referred pain

into the upper extremity.
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The pain usually limits active

and passive range of motion
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and is associated with

findings of limited mobility
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on accessory motion testing.
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This is usually proceeded

by an awkward movement
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or awkward posture causing the symptoms.

ICD10

723.1 Cervicalgia

History

• Potentially younger individuals (age<50 years)
• Minor neck strain resulting from an unguarded or awkward movement or position

Reported findings

• Acute neck pain (duration<12 weeks)
• Symptoms isolated to the neck
• Unilateral neck pain commonly with referred pain to scapula and shoulder

Examination findings

• Restricted cervical range of motion
• Pain noticed at end ranges of neck motions, such a rotation to the left or to the right
• Manual provocation of the involved cervical segment(s) using unilateral posterior-to-anterior pressures reproduces the patient’s reported pain

Risk factors for the development of chronic neck pain

• Co-existing low back pain
• Age >40 years old
• Long history of neck pain
• Bicycling as a regular activity
• Loss of strength in the hands
• Worrisome attitude
• Poor quality of life
• Less vitality as predisposing factors