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1 Was there a trauma?
2
2 Has the patient got any significant limb weakness/ decreased sensation, loss of bowel/bladder, positive Babinski, Clonus or Hoffmans test?
Myelopathy
1 Was there a trauma?
2
2 Has the patient got any significant limb weakness/ decreased sensation, loss of bowel/bladder, positive Babinski, Clonus or Hoffmans test?
3
3 Does the pain go down the neck into their shoulder / arm / hand?
4
4 Is the pain central, localized to the neck?
5
5 Does the pain get worse on activity?
6
6 Is there a decrease in range of movement to the neck or pain on movement?
7
7 Is there muscle spasm or muscle tightness?
Mechanical neck pain
1 Was there a trauma?
2
2 Has the patient got any significant limb weakness/ decreased sensation, loss of bowel/bladder, positive Babinski, Clonus or Hoffmans test?
3
3 Does the pain go down the neck into their shoulder / arm / hand?
8
8 Does the pain / numbness correlate to a dermatome/ myotome?
9
9 Does the pain / symptoms get worse with the Spurlings test?
10
10 Is the pain sensitive to Upper Limb Tension Tests (ULTT)?
11
11 Any positive testing for myotomes, dermatomes or reflexes?
Cervical radiculopathy
1 Was there a trauma?
2
2 Has the patient got any significant limb weakness/ decreased sensation, loss of bowel/bladder, positive Babinski, Clonus or Hoffmans test?
3
3 Does the pain go down the neck into their shoulder / arm / hand?
4
4 Is the pain central, localized to the neck?
5
5 Does the pain get worse on activity?
8
8 Does the pain / numbness correlate to a dermatome/ myotome?
10
10 Is the pain sensitive to Upper Limb Tension Tests (ULTT)?
12
12 Was the pain a progressive onset over days or weeks?
13
13 Is the pain relieved with activity / movement?
14
14 Is the pain worse on waking in the morning or after rest?
15
15 Is there multi-joint stiffness, decreased range of movement or swelling?
Inflammatory joint disease
1 Was there a trauma?
16
16 Is there a sudden weakness or numbness to limbs and/or local ‘bony’ tenderness to the neck, or bladder or bowel dysfunction?
Fracture
1 Was there a trauma?
16
16 Is there a sudden weakness or numbness to limbs and/or local ‘bony’ tenderness to the neck, or bladder or bowel dysfunction?
17
17 Is there localised muscular tenderness to the neck?
Post trauma muscle strain
1. Bones - the cervical vertebrae: C1, C7, T1, transverse process, spinous process
2. Bones: transverse procee, dens (C2), atlas (C1), axis (C2), C3, spinous process, C1, dens, C2, C3, C4, C5, C6, C7, T1
3. Bones: transverse foramen, vertebral foramen, C4, C7, T1, C7, spinous process
4. Muscles: middle scalene, anterior scalene
5. Muscles: sternocleidomastoid, posterior scalene
6. Muscles: trapezius, levator scapulae
7. Muscles: levator scapulae, scalene, tapezius, sternocleidomastoid
8. Muscles: occipitals, sternocleidomastoid, trapezius, levator scapulae