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PubMed · 2134992

Intractable neck pain.

P Abbott·B Rounsefell·R Fraser·A Goss
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Abstract

A retrospective survey of 1,661 patients seen over a 10-year period at a pain clinic yielded 55 patients with intractable neck pain as the presenting complaint. In 89% there was an industrial or motor vehicle accident as the precipitating event, 78% were involved in legal proceedings relating to the accident, and in 87% the pain radiated to neighboring structures. Diagnostically, 36% had no physical signs, and cervical radiographs were normal for 46%. There was a high incidence of previous psychiatric treatment (53%) and major intrafamily problems (60%). Treatment mainly by psychotherapy or tricyclic antidepressants resulted in some benefit for 56% of patients. Legal compensation and change in occupation were not major factors influencing the outcome of treatment.

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Accidents, OccupationalAccidents, TrafficAdultAgedAmbulatory CareAnesthesia, LocalFemaleHumansMaleMiddle AgedNeckIntractable PainTomography, X-Ray ComputedJournal Article

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P Abbott, B Rounsefell, R Fraser, A Goss. 1990. Intractable neck pain.. https://doi.org/10.1097/00002508-199003000-00005

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Accidents, Occupational↗