Neck Pain Patient Decision Aid: Step 3: Difference between revisions
mNo edit summary |
mNo edit summary |
||
| Line 1: | Line 1: | ||
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> | ||
<br> | |||
[[Image:NeckPainPatientAid Step3 Logo.png|600px]] | [[Image:NeckPainPatientAid Step3 Logo.png|600px]] | ||
| Line 18: | Line 20: | ||
|} | |} | ||
==== 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> | ||
{| width="600" border="0" align="center" cellpadding="1" cellspacing="1" | {| width="600" border="0" align="center" cellpadding="1" cellspacing="1" | ||
| Line 31: | Line 33: | ||
|} | |} | ||
<br> | |||
(10 out of 100 people will experience some short-term neurological symptoms [pins and needles sensation, weakness, or numbness]) | |||
{| width="600" border="0" align="center" cellpadding="1" cellspacing="1" | {| width="600" border="0" align="center" cellpadding="1" cellspacing="1" | ||
| Line 38: | Line 42: | ||
|- | |- | ||
| | | | ||
|} | |} | ||
==== 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 | ||
| Line 55: | Line 57: | ||
|} | |} | ||
<br> | |||
{| width="600" border="0" align="center" cellpadding="1" cellspacing="1" | {| width="600" border="0" align="center" cellpadding="1" cellspacing="1" | ||
| Line 66: | Line 68: | ||
|} | |} | ||
<br> | |||
*Very rare, but serious or catastrophic side effects such as unbearable symptoms or stroke have also been reported. | |||
*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’) | ||
*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) | *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 | ||
(21 out of every 100 patients experience a short-term increase in pain) | |||
{| width="600" border="0" align="center" cellpadding="1" cellspacing="1" | {| width="600" border="0" align="center" cellpadding="1" cellspacing="1" | ||
| Line 81: | Line 85: | ||
|- | |- | ||
| | | | ||
|} | |} | ||
<br> | <br> | ||
Revision as of 19:12, 27 April 2012
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) |
(10 out of 100 people will experience some short-term neurological symptoms [pins and needles sensation, weakness, or numbness])
| Increased neurological symptoms[2][3] |
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.
- Unbearable symptoms[1]
(Approximately 1 out of every 10 000 experience ‘unbearably severe side effects’) - Stroke or death[2][1]
(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[edit | edit source]
- Mild and infrequent side effects including short-term increases in neck, arm, head, or back pain and dizziness are possible
(21 out of every 100 patients experience a short-term increase in pain)
| Increased pain[2] |
- ↑ 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 Cite error: Invalid
<ref>tag; name "Carnes 2010" defined multiple times with different content - ↑ 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.
