A reported 6-month prevalence of 54% makes neck pain a common disorder among the adult population1. In fact, in any given month 10% of the population will experience pain in the cervical area1. Patients with neck pain are regularly encountered in outpatient orthopaedic physical therapy (PT) clinics2. In some cases, cervical radiculopathy, which has been defined as motor and/or sensory changes i...

Headache associated with cervical lesions is called cervicogenic headache and involves the occiput but not the orofacial region. However, patients occasionally present with orofacial pain accompanied by neck symptoms. This study investigates whether orofacial pain can originate from the neck and whether cervical plexus block can help in diagnosis. We enrolled eight patients suffering from chron...

Acute adult primary cervical pyogenic spondylodiscitis and discitis are usually treated with surgery and antibiotics, particularly for cases demonstrating neurological deficit. Here we report a case of acute adult primary cervical pyogenic discitis with the formation of epidural abscess treated with antibiotics alone. A 36-year-old male presented with neck and bilateral upper limb pain for 6 da...

BACKGROUND Facet (zygapophysial) joints may be clinically important sources of chronic cervical spinal pain. Previous studies have demonstrated the value and validity of controlled, comparative local anesthetic blocks in the diagnosis of facet joint pain, and reported an overall prevalence of 36% to 67% facet joint involvement in cervical spinal pain. The reports of lumbar facet joint-involveme...

appendicitis is the most common abdominal disease that requires surgery in the emergency ward. it usually presents as right lower quadrant pain, but may rarely present as left upper quadrant (luq) pain due to congenital anatomical abnormalities of the intestine. we report a patient who complained of persistent luq abdominal pain and was finally diagnosed by computed tomography (ct) as congenita...

the parafascicular nucleus (pfn) of thalamus, as a supraspinal structure, has an important role in processing of nociceptive information. in addition, μ-opioid receptor contributes to supraspinal modulation of nociception. in the present study, the effects of microinjection of naloxone (a non-specific opioid-receptor antagonist) and naloxonazine (a specific μ-opioid receptor antagonist) were in...

background & aim: ovarian torsion is one of the most common causes of emergency surgery in gynecology, with a tendency to occur in postmenopausal women. the aim of this study was to provide information concerning the clinical presentations, surgical management, pathological findings and risk of malignancy in postmenopausal women with ovarian torsion. methods:in this cross-sectional study, the r...

Acute whiplash injuries are a common cause of soft tissue trauma for which the standard treatment is rest and initial immobilisation with a soft cervical collar. Because the efficacy of this treatment is unknown a randomised study in 61 patients was carried out comparing the standard treatment with an alternative regimen of early active mobilisation. Results showed that eight weeks after the ac...

The cervical spine may be the source of many pain syndromes, including : neck pain, headaches of cervical origin, cervical radiculopathies, upper thoracic pain and even shoulder and elbow pain. This paper deals with the referral of cervical pain to the upper part of the thorax. The major point is that in this case, the pain is felt at the thoracic level and not in the neck (or at a lesser exten...

BACKGROUND Although cervical trigger point intramuscular injections are commonly used to relieve localized neck pain, regional head pain relief from lower cervical paravertebral injections has not been reported previously. PURPOSE To evaluate the safety and efficacy of such injections in a selected group of patients with intractable head or face pain. METHODS In a series of patients with ch...