home | anatomy | physiology | pathology | clinical guides
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| 1: Was there a trauma? | |
no, next |
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| Has the patient got any significant limb weakness/ decreased sensation, loss of bowel/bladder, positive Babinski, Clonus or Hoffmans test? | |
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yes; |
 Myelopathy
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| Was there a trauma? | |
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no, next |
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| Has the patient got any significant limb weakness/ decreased sensation, loss of bowel/bladder, positive Babinski, Clonus or Hoffmans test? | |
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no, next |
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| Does the pain go down the neck into their shoulder / arm / hand? | |
no, next |
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| Is the pain central, localized to the neck? | |
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yes, next |
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| Does the pain get worse on activity? | |
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yes, next |
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| Is there a decrease in range of movement to the neck or pain on movement? | |
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yes, next |
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| Is there muscle spasm or muscle tightness? | |
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yes |
| Mechanical neck pain
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| Was there a trauma? | |
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no, next |
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| Has the patient got any significant limb weakness/ decreased sensation, loss of bowel/bladder, positive Babinski, Clonus or Hoffmans test? | |
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no, next |
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| Does the pain go down the neck into their shoulder / arm / hand? | |
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yes, next |
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| Does the pain / numbness correlate to a dermatome/ myotome? | |
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yes, next |
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| Does the pain / symptoms get worse with the Spurlings test? | |
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yes, next |
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| Is the pain sensitive to Upper Limb Tension Tests (ULTT)? | |
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yes, next |
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| Any positive testing for myotomes, dermatomes or reflexes? | |
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yes |
| Cervical radiculopathy
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| Was there a trauma? | |
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no, next |
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| Has the patient got any significant limb weakness/ decreased sensation, loss of bowel/bladder, positive Babinski, Clonus or Hoffmans test? | |
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no, next |
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| Does the pain go down the neck into their shoulder / arm / hand? | |
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no, next |
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| Is the pain central, localized to the neck? | |
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no, next |
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| Does the pain get worse on activity? | |
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no, next |
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| Does the pain / numbness correlate to a dermatome/ myotome? | |
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no, next |
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| Is the pain sensitive to Upper Limb Tension Tests (ULTT)? | |
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no, next |
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| Was the pain a progressive onset over days or weeks? | |
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yes, next |
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| Is the pain relieved with activity / movement? | |
no, next |
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| Is the pain worse on waking in the morning or after rest? | |
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yes, next |
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| Is the pain worse on waking in the morning or after rest? | |
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yes |
| Inflammatory joint disease
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| Was there a trauma? | |
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yes, next |
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| Is there a sudden weakness or numbness to limbs and/or local ‘bony’ tenderness to the neck, or bladder or bowel dysfunction? | |
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yes |
| Fracture
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| Was there a trauma? | |
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yes, next |
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| Is there a sudden weakness or numbness to limbs and/or local ‘bony’ tenderness to the neck, or bladder or bowel dysfunction? | |
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no, next |
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| Is there localised muscular tenderness to the neck? | |
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yes |
| Post trauma muscle strain
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