Neck Pain Patient Decision Aid: Step 3: Difference between revisions
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This page is part of the '[[Should I receive manual therapy and exercise for my neck pain?: A patient decision aid]]' resource for patients. Please see the [[Should I receive manual therapy and exercise for my neck pain?: A patient decision aid|main project page]] for further information, or proceed to Step 3 below to recognize the risks.<br> | This page is part of the '[[Should I receive manual therapy and exercise for my neck pain?: A patient decision aid]]' resource for patients. Please see the [[Should I receive manual therapy and exercise for my neck pain?: A patient decision aid|main project page]] for further information, or proceed to Step 3 below to recognize the risks.<br> | ||
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[[Image:NeckPainPatientAid Step3 Logo.png|600px]] | [[Image:NeckPainPatientAid Step3 Logo.png|600px]] | ||
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| Increased neck pain<ref name="Carnes 2010">Carnes D et al. Adverse events and manual therapy: A systematic review. Man Ther 2010; 15:355–63</ref> | | Increased neck pain<ref name="Carnes 2010">Carnes D et al. Adverse events and manual therapy: A systematic review. Man Ther 2010; 15:355–63</ref> | ||
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| [[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]]<br> | | [[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]]<br> | ||
|- | |- | ||
| (29 out of every 100 patients will experience a short-term increase in neck pain) | | (29 out of every 100 patients will experience a short-term increase in neck pain) | ||
|} | |} | ||
==== Neck mobilizations ==== | ==== Neck mobilizations ==== | ||
Mild and infrequent side effects including short-term increases in neck, arm, head, or back pain and dizziness are possible.<br> | Mild and infrequent side effects including short-term increases in neck, arm, head, or back pain and dizziness are possible.<br> | ||
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| Increased neck pain<ref name="Carlesso 2010">Carlesso LC et al. Adverse events associated with the use of cervical manipulation and mobilization for the treatment of neck pain in adults: A systematic review. Man Ther 2010; 15: 434-444.</ref><ref name="Hurwitz 2005">Hurwitz EL, Morgenstern H, Vassilaki M, Chiang LM. Frequency and clinical predictors of adverse reactions to chiropractic care in the UCLA neck pain study. Spine. 2005;30(13):1477-84.</ref> | | Increased neck pain<ref name="Carlesso 2010">Carlesso LC et al. Adverse events associated with the use of cervical manipulation and mobilization for the treatment of neck pain in adults: A systematic review. Man Ther 2010; 15: 434-444.</ref><ref name="Hurwitz 2005">Hurwitz EL, Morgenstern H, Vassilaki M, Chiang LM. Frequency and clinical predictors of adverse reactions to chiropractic care in the UCLA neck pain study. Spine. 2005;30(13):1477-84.</ref> | ||
|- | |- | ||
| | | [[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]]<br> | ||
|- | |- | ||
| (22 out of every 100 people will experience a short-term increase in neck pain) | | (22 out of every 100 people will experience a short-term increase in neck pain) | ||
|} | |} | ||
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| Increased neurological symptoms<ref name="Carlesso 2010" /><ref name="Hurwitz 2005" /> | | Increased neurological symptoms<ref name="Carlesso 2010" /><ref name="Hurwitz 2005" /> | ||
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| | | [[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]] | ||
|- | |- | ||
(10 out of 100 people will experience some short-term neurological symptoms [pins and needles sensation, weakness, or numbness]) | | (10 out of 100 people will experience some short-term neurological symptoms [pins and needles sensation, weakness, or numbness]) | ||
|} | |} | ||
==== Neck manipulations ==== | ==== Neck manipulations ==== | ||
*Mild and infrequent side effects including short-term increases in neck, arm, head, or back pain and dizziness are possible | *Mild and infrequent side effects including short-term increases in neck, arm, head, or back pain and dizziness are possible | ||
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{| width="600" border="0" align="center" cellpadding="1" cellspacing="1" | {| width="600" border="0" align="center" cellpadding="1" cellspacing="1" | ||
|- | |- | ||
| Increased neck pain<ref name="Carlesso 2010" /><ref name="Hurwitz 2005" /><ref name="Carnes 2010" | | Increased neck pain<ref name="Carlesso 2010" /><ref name="Hurwitz 2005" /><ref name="Carnes 2010"/> | ||
|- | |- | ||
| | | [[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid OrangeSmiley half.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]] | ||
|- | |- | ||
| (22 to 41 out of 100 people experience a short-term increase in neck pain) | | (22 to 41 out of 100 people experience a short-term increase in neck pain) | ||
|} | |} | ||
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| Increased neurological symptoms<ref name="Carlesso 2010" /><ref name="Hurwitz 2005" /> | | Increased neurological symptoms<ref name="Carlesso 2010" /><ref name="Hurwitz 2005" /> | ||
|- | |- | ||
| | | [[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]]<br> | ||
|- | |- | ||
| (19 out of every 100 people experience short-term neurological symptoms) | | (19 out of every 100 people experience short-term neurological symptoms) | ||
|} | |} | ||
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*Very rare, but serious or catastrophic side effects such as unbearable symptoms or stroke have also been reported. | |||
**Unbearable symptoms<ref name="Carnes 2010" /><br>(Approximately 1 out of every 10 000 experience ‘unbearably severe side effects’) | |||
**Stroke or death<ref name="Carlesso 2010" /><ref name="Carnes 2010" /><br>(It is difficult to determine the frequency of these adverse event due to the small number of participants in each study, but it is likely much less than 1/10 000) | |||
==== Upper back manipulations ==== | |||
==== Upper back manipulations ==== | |||
*Mild and infrequent side effects including short-term increases in neck, arm, head, or back pain and dizziness are possible | *Mild and infrequent side effects including short-term increases in neck, arm, head, or back pain and dizziness are possible<br> | ||
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| Increased pain<ref name="Carlesso 2010" /> | | Increased pain<ref name="Carlesso 2010" /> | ||
|- | |- | ||
| | | [[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]] | ||
|- | |- | ||
(21 out of every 100 patients experience a short-term increase in pain) | | (21 out of every 100 patients experience a short-term increase in pain) | ||
|} | |} | ||
<br> | <br> | ||
*''Click to continue to [[Neck Pain Patient Decision Aid: Step 4|Step 4: Decide which reasons to choose each option matter most to you?]]'' | |||
*''Click to return to [[Neck Pain Patient Decision Aid: Step 1|Step 1: Describe your neck pain]]'' | |||
*''Click to return to [[Neck Pain Patient Decision Aid: Step 2|Step 2: Understand the evidence]]''''<br>'' | |||
Latest revision as of 15:28, 6 June 2017
This page is part of the 'Should I receive manual therapy and exercise for my neck pain?: A patient decision aid' resource for patients. Please see the main project page for further information, or proceed to Step 3 below to recognize the risks.
Each treatment option has potential side effects:
Exercise[edit | edit source]
- Mild and infrequent side effects such as short-term increases in neck, arm, head or back pain, muscle soreness, and dizziness have been reported.
| Increased neck pain[1] |
  |
| (29 out of every 100 patients will experience a short-term increase in neck pain) |
Neck mobilizations[edit | edit source]
Mild and infrequent side effects including short-term increases in neck, arm, head, or back pain and dizziness are possible.
| Increased neck pain[2][3] |
|
| (22 out of every 100 people will experience a short-term increase in neck pain) |
| Increased neurological symptoms[2][3] |
|
|
| (10 out of 100 people will experience some short-term neurological symptoms [pins and needles sensation, weakness, or numbness]) |
Neck manipulations[edit | edit source]
- Mild and infrequent side effects including short-term increases in neck, arm, head, or back pain and dizziness are possible
| Increased neck pain[2][3][1] |
|
| (22 to 41 out of 100 people experience a short-term increase in neck pain) |
| Increased neurological symptoms[2][3] |
|
| (19 out of every 100 people experience short-term neurological symptoms) |
- Very rare, but serious or catastrophic side effects such as unbearable symptoms or stroke have also been reported.
Upper back manipulations[edit | edit source]
- Mild and infrequent side effects including short-term increases in neck, arm, head, or back pain and dizziness are possible
| Increased pain[2] |
|
|
| (21 out of every 100 patients experience a short-term increase in pain) |
- Click to continue to Step 4: Decide which reasons to choose each option matter most to you?
- Click to return to Step 1: Describe your neck pain
- Click to return to Step 2: Understand the evidence'
- ↑ 1.0 1.1 1.2 1.3 Carnes D et al. Adverse events and manual therapy: A systematic review. Man Ther 2010; 15:355–63
- ↑ 2.0 2.1 2.2 2.3 2.4 2.5 Carlesso LC et al. Adverse events associated with the use of cervical manipulation and mobilization for the treatment of neck pain in adults: A systematic review. Man Ther 2010; 15: 434-444.
- ↑ 3.0 3.1 3.2 3.3 Hurwitz EL, Morgenstern H, Vassilaki M, Chiang LM. Frequency and clinical predictors of adverse reactions to chiropractic care in the UCLA neck pain study. Spine. 2005;30(13):1477-84.
