Assuntos
Vértebras Cervicais , Neoplasias Embrionárias de Células Germinativas/patologia , Notocorda , Radiculopatia/etiologia , Neoplasias da Coluna Vertebral/patologia , Adulto , Humanos , Achados Incidentais , Masculino , Neoplasias Embrionárias de Células Germinativas/complicações , Neoplasias da Coluna Vertebral/complicaçõesRESUMO
Neck pain is an extremely common symptom with many possible etiologies. A substantial number of patients are turning to complementary and alternative medicine (CAM). Low-quality evidence supports the beneficial effects of CAM. Feldenkrais, massage therapy, and spinal manipulation are discussed in detail. Complications are generally benign and self-limited, although occasional catastrophic consequences have been documented. Despite the favorable opinion many rheumatologists have of some CAM therapy, many patients are not disclosing CAM use to their medical providers. By expressing interest, asking questions, and taking a shared-decision-making approach, providers can encourage disclosure and provide valuable input.
Assuntos
Manipulações Musculoesqueléticas/métodos , Cervicalgia/reabilitação , Humanos , Manipulação Quiroprática/métodos , Massagem/métodos , Propriocepção/fisiologiaRESUMO
Of the multitude of treatment options for the management of neck pain, no obvious single treatment modality has been shown to be most efficacious. As such, the clinician should consider alternative treatment modalities if a modality is engaging, available, financially feasible, potentially efficacious, and is low risk for the patient. As evidence-based medicine for neck pain develops, the clinician is faced with the challenge of which treatments to encourage patients to pursue. Treatment modalities explored in this article, including chiropractic, acupuncture, TENS, massage, yoga, Tai Chi, and Feldenkrais, represent reasonable complementary and alternative medicine methods for patients with neck pain.