Cervical syndrome

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The cervical syndrome comprises a set of symptoms and clinical signs mainly focused in the neck area, although they can also occur in other areas, such as the head, the chest, the rest of the spine, the upper or lower extremities.

The main feature is pain (eg in the cervical, dorsal, shoulder region), which may be accompanied by muscle spasm, presence of sensitive points, limiting the mobility of the neck and head and numbness in the arm. Also, the clinical manifestations may have a variety of non-painful symptoms such as visual or auditory disturbances, vertigo, dizziness or nausea and vomiting, and disorders of temperament or behavior (anxiety, unsociability).

The diagnosis is made by history, physical examination and specific assessment of imaging examinations. Indeed, rehabilitation physicians are using electromyography and nerve conduction velocity studies, especially in the differential diagnosis of pain and numbness in the extremities.

Depending on the severity treatment includes medications such as analgesics, nonsteroid anti-inflammatory drugs, muscle relaxants and tricyclic antidepressants, applied with other therapeutic interventions such as physical modalities (eg, warm compresses, ultrasound, ice massage), techniques to mobilize the neck to the normal range of motion, specilized physical therapy (stretching, pulling, therapeutic exercise), electrotherapy (TENS), magnetotherapy, laser, manual therapy, reeducation of the patient with instructions for correcting posture. Rarely, the patient requires surgery.

Dr. med. Y. Dionyssiotis
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