Radiologic Evaluation of Chronic Neck Pain
Abstract For many years, there were no guidelines for evaluating patients with chronic neck pain. However, in the past 15 years, considerable research has led to recommendations regarding whiplash-associated disorders. This article summarizes the American College of Radiology Appropriateness Criteri...
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| Veröffentlicht in: | American family physician 2010-10, Vol.82 (8), p.959-964 |
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| creator | Daffner, Richard H., MD, FACR |
| description | Abstract For many years, there were no guidelines for evaluating patients with chronic neck pain. However, in the past 15 years, considerable research has led to recommendations regarding whiplash-associated disorders. This article summarizes the American College of Radiology Appropriateness Criteria for chronic neck pain. Imaging plays an important role in evaluating patients with chronic neck pain. Five radiographic views (anteroposterior, lateral, open-mouth, and both oblique views) are recommended for all patients with chronic neck pain with or without a history of trauma. Magnetic resonance imaging should be performed in patients with chronic neurologic signs or symptoms, regardless of radiographic findings. The role of magnetic resonance imaging in evaluating ligamentous and membranous abnormalities in persons with whiplash-associated disorders is controversial. If there is a contraindication to magnetic resonance imaging, computed tomography myelography is recommended. Patients with normal radiographic findings and no neurologic signs or symptoms, or patients with radiographic evidence of spondylosis and no neurologic findings, need no further imaging studies. |
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However, in the past 15 years, considerable research has led to recommendations regarding whiplash-associated disorders. This article summarizes the American College of Radiology Appropriateness Criteria for chronic neck pain. Imaging plays an important role in evaluating patients with chronic neck pain. Five radiographic views (anteroposterior, lateral, open-mouth, and both oblique views) are recommended for all patients with chronic neck pain with or without a history of trauma. Magnetic resonance imaging should be performed in patients with chronic neurologic signs or symptoms, regardless of radiographic findings. The role of magnetic resonance imaging in evaluating ligamentous and membranous abnormalities in persons with whiplash-associated disorders is controversial. If there is a contraindication to magnetic resonance imaging, computed tomography myelography is recommended. Patients with normal radiographic findings and no neurologic signs or symptoms, or patients with radiographic evidence of spondylosis and no neurologic findings, need no further imaging studies.</description><identifier>ISSN: 0002-838X</identifier><identifier>EISSN: 1532-0650</identifier><identifier>PMID: 20949890</identifier><identifier>CODEN: AFPYBF</identifier><language>eng</language><publisher>United States: American Academy of Family Physicians</publisher><subject>Age ; Cervical Vertebrae - diagnostic imaging ; Cervical Vertebrae - pathology ; Chronic Disease ; Chronic pain ; Contraindications ; Diagnosis, Differential ; Etiology ; Follow-Up Studies ; Humans ; Internal Medicine ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Medical technology ; Middle Aged ; Neck pain ; Neck Pain - diagnosis ; Nonsteroidal anti-inflammatory drugs ; Patients ; Personality traits ; Radiography ; Radiology ; Severity of Illness Index ; Tomography, X-Ray Computed - methods ; Trauma</subject><ispartof>American family physician, 2010-10, Vol.82 (8), p.959-964</ispartof><rights>American Family Physician</rights><rights>Copyright American Academy of Family Physicians Oct 15, 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20949890$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Daffner, Richard H., MD, FACR</creatorcontrib><title>Radiologic Evaluation of Chronic Neck Pain</title><title>American family physician</title><addtitle>Am Fam Physician</addtitle><description>Abstract For many years, there were no guidelines for evaluating patients with chronic neck pain. However, in the past 15 years, considerable research has led to recommendations regarding whiplash-associated disorders. This article summarizes the American College of Radiology Appropriateness Criteria for chronic neck pain. Imaging plays an important role in evaluating patients with chronic neck pain. Five radiographic views (anteroposterior, lateral, open-mouth, and both oblique views) are recommended for all patients with chronic neck pain with or without a history of trauma. Magnetic resonance imaging should be performed in patients with chronic neurologic signs or symptoms, regardless of radiographic findings. The role of magnetic resonance imaging in evaluating ligamentous and membranous abnormalities in persons with whiplash-associated disorders is controversial. If there is a contraindication to magnetic resonance imaging, computed tomography myelography is recommended. Patients with normal radiographic findings and no neurologic signs or symptoms, or patients with radiographic evidence of spondylosis and no neurologic findings, need no further imaging studies.</description><subject>Age</subject><subject>Cervical Vertebrae - diagnostic imaging</subject><subject>Cervical Vertebrae - pathology</subject><subject>Chronic Disease</subject><subject>Chronic pain</subject><subject>Contraindications</subject><subject>Diagnosis, Differential</subject><subject>Etiology</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical technology</subject><subject>Middle Aged</subject><subject>Neck pain</subject><subject>Neck Pain - diagnosis</subject><subject>Nonsteroidal anti-inflammatory drugs</subject><subject>Patients</subject><subject>Personality traits</subject><subject>Radiography</subject><subject>Radiology</subject><subject>Severity of Illness Index</subject><subject>Tomography, X-Ray Computed - 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diagnostic imaging</topic><topic>Cervical Vertebrae - pathology</topic><topic>Chronic Disease</topic><topic>Chronic pain</topic><topic>Contraindications</topic><topic>Diagnosis, Differential</topic><topic>Etiology</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medical technology</topic><topic>Middle Aged</topic><topic>Neck pain</topic><topic>Neck Pain - diagnosis</topic><topic>Nonsteroidal anti-inflammatory drugs</topic><topic>Patients</topic><topic>Personality traits</topic><topic>Radiography</topic><topic>Radiology</topic><topic>Severity of Illness Index</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Daffner, Richard H., MD, FACR</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>American family physician</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Daffner, Richard H., MD, FACR</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radiologic Evaluation of Chronic Neck Pain</atitle><jtitle>American family physician</jtitle><addtitle>Am Fam Physician</addtitle><date>2010-10-15</date><risdate>2010</risdate><volume>82</volume><issue>8</issue><spage>959</spage><epage>964</epage><pages>959-964</pages><issn>0002-838X</issn><eissn>1532-0650</eissn><coden>AFPYBF</coden><abstract>Abstract For many years, there were no guidelines for evaluating patients with chronic neck pain. However, in the past 15 years, considerable research has led to recommendations regarding whiplash-associated disorders. This article summarizes the American College of Radiology Appropriateness Criteria for chronic neck pain. Imaging plays an important role in evaluating patients with chronic neck pain. Five radiographic views (anteroposterior, lateral, open-mouth, and both oblique views) are recommended for all patients with chronic neck pain with or without a history of trauma. Magnetic resonance imaging should be performed in patients with chronic neurologic signs or symptoms, regardless of radiographic findings. The role of magnetic resonance imaging in evaluating ligamentous and membranous abnormalities in persons with whiplash-associated disorders is controversial. If there is a contraindication to magnetic resonance imaging, computed tomography myelography is recommended. Patients with normal radiographic findings and no neurologic signs or symptoms, or patients with radiographic evidence of spondylosis and no neurologic findings, need no further imaging studies.</abstract><cop>United States</cop><pub>American Academy of Family Physicians</pub><pmid>20949890</pmid><tpages>6</tpages></addata></record> |
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| subjects | Age Cervical Vertebrae - diagnostic imaging Cervical Vertebrae - pathology Chronic Disease Chronic pain Contraindications Diagnosis, Differential Etiology Follow-Up Studies Humans Internal Medicine Magnetic resonance imaging Magnetic Resonance Imaging - methods Male Medical technology Middle Aged Neck pain Neck Pain - diagnosis Nonsteroidal anti-inflammatory drugs Patients Personality traits Radiography Radiology Severity of Illness Index Tomography, X-Ray Computed - methods Trauma |
| title | Radiologic Evaluation of Chronic Neck Pain |
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