Neck Pain Patient Decision Aid: Step 3: Difference between revisions
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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> | ||
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| (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) | ||
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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> | ||
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| [[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]]<br> | | [[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> | ||
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| (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 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]] | ||
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| (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]) | ||
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| Increased neck pain<ref name="Carlesso 2010" /><ref name="Hurwitz 2005" /><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="Carlesso 2010" /><ref name="Hurwitz 2005" /><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 half.png|25px]] | | [[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]] | ||
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| (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" /> | ||
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| [[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]]<br> | | [[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> | ||
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| (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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| Increased pain<ref name="Carlesso 2010" /> | | Increased pain<ref name="Carlesso 2010" /> | ||
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| [[Image:NeckPainPatientAid OrangeSmiley Frown.png|25px]][[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]][[Image:NeckPainPatientAid YellowSmiley Frown.png|25px]] | ||
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| (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) | ||
Revision as of 19:20, 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) |
| 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) |
- ↑ 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.
