Journal article
Radiologic evaluation of chronic neck pain
American family physician, v 82(8), pp 959-964
15 Oct 2010
PMID: 20949890
Featured in Collection : UN Sustainable Development Goals @ Drexel
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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Details
- Title
- Radiologic evaluation of chronic neck pain
- Creators
- Richard H Daffner - Allegheny General Hospital
- Publication Details
- American family physician, v 82(8), pp 959-964
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Radiology (Radiologic Sciences)
- Web of Science ID
- WOS:000283568500011
- Scopus ID
- 2-s2.0-78049492762
- Other Identifier
- 991019167826304721
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- Web of Science research areas
- Primary Health Care