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Neck and Upper Extremity Pain 

Neck and Upper Extremity Pain
Chapter:
Neck and Upper Extremity Pain
Author(s):

Tomas Kucera

and Robert W. Hurley

DOI:
10.1093/med/9780199859436.003.0009
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date: 21 April 2021

Approximately 30-50% of people will experience chronic neck pain in their lives. There are many causes of chronic neck pain, with the most common being radiculopathy, spinal stenosis, myofascial pain, facet joint pain, and discogenic pain. Collectively, a good history, physical exam and radiologic imaging can distinguish neuropathic from mechanical pain in over 80% of people. For neuropathic pain (radiculopathy and stenosis), epidural steroid injections and adjuvants such as antidepressants may provide benefit. The most common source of mechanical neck pain is the facet joints, for which radiofrequency denervation may intermediate-term pain relief.

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