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The Curbsiders Internal Medicine Podcast
#435 Neck Pain with Dr. Anthony Mikula
Apr 15, 2024
Orthopedic surgeon Dr. Anthony Mikula from Mayo Clinic shares insights on neck pain evaluation, management, and surgical considerations. Topics include differentiating radiculopathy, myelopathy, and mechanical neck pain, indications for imaging, terminology like DISH and spondylolisthesis, physical examination for radiculopathy, interventions, and recognizing cervical myelopathy. Detailed discussions on diagnostic work-up, treatment options, surgical considerations, and the natural history of myelopathy are included.
01:14:33
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Quick takeaways
- Differentiate cervical radiculopathy from myelopathy based on distinct symptoms and imaging findings.
- Emphasize conservative management for radiculopathy, reserving surgery for severe cases with neurological compromise.
Deep dives
Pathophysiology of Cervical Radiculopathy
Cervical radiculopathy occurs when nerves exiting the spinal cord get pinched due to reasons such as disc herniation or age-related degenerative changes. The pinched nerves can lead to pain that radiates down specific areas of the arm based on the affected nerve, along with weakness and altered reflexes in corresponding muscle groups.
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