Chronic cervical pain

Radiculopathy or brachialgia - Noninterventional treatment

H. L. Rosomoff, David A Fishbain, R. S. Rosomoff

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Chronic cervical pain is not always attributable to radiculopathy. Pain may derive from peripheral myofascial syndromes and/or central inflammatory root irritation from degradation of discal proteoglycans. This concept is presented with its application in 30 patients with follow-up observations up to 30 months. Twelve of twenty-five achieving a pain level of 0 (out of a possible 10), ten of twenty-five had a pain level of 2, and three of twenty- five had a pain level of 4. Five cases were considered to be failures because of patient noncompliance. Treatment was multidisciplinary: aggressive physical medicine, behavioral medicine, vocational, and recreational rehabilitation with the goal of a return to socioeconomic productivity or previous lifestyle, secondary to which pain relief or control follows. Emphasis was placed on the restoration of musculoskeletal physiology to normal with behavioral modification, good body mechanics and the application of engineering/ergonomic principles at work or recreation.

Original languageEnglish
JournalSpine
Volume17
Issue number10 SUPPL.
StatePublished - Jan 1 1992

Fingerprint

Radiculopathy
Neck Pain
Chronic Pain
Pain
Musculoskeletal Physiological Phenomena
Behavioral Medicine
Vocational Rehabilitation
Therapeutics
Recreation
Physical and Rehabilitation Medicine
Human Engineering
Proteoglycans
Patient Compliance
Mechanics
Life Style
Efficiency

Keywords

  • brachialgia
  • cervical stenosis
  • ergonomics
  • herniated disc
  • multidisciplinary pain treatment
  • myofascial syndromes
  • radiculopathy

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Rosomoff, H. L., Fishbain, D. A., & Rosomoff, R. S. (1992). Chronic cervical pain: Radiculopathy or brachialgia - Noninterventional treatment. Spine, 17(10 SUPPL.).

Chronic cervical pain : Radiculopathy or brachialgia - Noninterventional treatment. / Rosomoff, H. L.; Fishbain, David A; Rosomoff, R. S.

In: Spine, Vol. 17, No. 10 SUPPL., 01.01.1992.

Research output: Contribution to journalArticle

Rosomoff, HL, Fishbain, DA & Rosomoff, RS 1992, 'Chronic cervical pain: Radiculopathy or brachialgia - Noninterventional treatment', Spine, vol. 17, no. 10 SUPPL..
Rosomoff HL, Fishbain DA, Rosomoff RS. Chronic cervical pain: Radiculopathy or brachialgia - Noninterventional treatment. Spine. 1992 Jan 1;17(10 SUPPL.).
Rosomoff, H. L. ; Fishbain, David A ; Rosomoff, R. S. / Chronic cervical pain : Radiculopathy or brachialgia - Noninterventional treatment. In: Spine. 1992 ; Vol. 17, No. 10 SUPPL.
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