Industrial Medicine and Acute Musculoskeletal Rehabilitation. 4. Interventional Procedures for Work-Related Cervical Spine Conditions
Abstract
Irwin RW, Zuhosky JP, Sullivan WJ, Panagos A, Foye PM, Sable AW. Industrial medicine and acute musculoskeletal rehabilitation. 4. Interventional procedures for work-related cervical spine conditions.
This self-directed learning module outlines the use of interventional techniques in the treatment of neck pain with and without referred pain into the arm. It is part of the supplement on industrial rehabilitation medicine and acute musculoskeletal rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This article specifically focuses on interventions used to diagnose or treat the conditions commonly seen in patients with neck pain or referred pain into the upper limb. Techniques reviewed include the use of botulinum toxin injections in the treatment of myofascial pain, cervical zygapophyseal joint injections and radiofrequency neuroablation in the treatment of posterior column disorders, and epidural steroid injections in the treatment of cervical radicular and referred upper-limb pain.
Overall Article Objective
To give an overview of the current state of the art regarding diagnostic and nonsurgical invasive treatment procedures for neck pain with and without referred upper-limb pain.
aDepartment of Rehabilitation Medicine, University of Miami, Miller School of Medicine, Miami, FL
bTotal Spine Specialists, Department of Physical Medicine and Rehabilitation, Carolinas Medical Center, Charlotte, NC
cDepartment of Physical Medicine and Rehabilitation, University of Colorado at Denver and Health Sciences Center, Denver, CO
dDepartment of Rehabilitation Medicine, Weill Cornell Medical Center, New York–Presbyterian Hospital, New York, NY
eDepartment of Physical Medicine and Rehabilitation, Department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey: New Jersey Medical School, Newark, NJ
Correspondence to Robert W. Irwin, MD, Dept of Rehab Med, Univ of Miami, Miller Sch of Med, PO Box 016960 (D-461), Miami, FL 33101.
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.
ABSTRACT