Spine Task Force Neck Pain Evidence Summary Table 2
 
   

Spine Task Force Neck Pain Evidence Summary Table 2

This section is compiled by Frank M. Painter, D.C.
Send all comments or additions to:
   Frankp@chiro.org
 
   

FROM:   Journal of J Manipulative Physiol Ther 2009 (Feb); 32 (2): S141–S175
Treatment of Neck Pain: Noninvasive Interventions:
Results of the Bone and Joint Decade 2000–2010 Task Force
on Neck Pain and Its Associated Disorders



Table 2: Non-invasive neck pain treatment

Grade of neck pain and scenarioLikely helpfulPossibly helpfulLikely not helpfulNot enough evidence *
Grade I and II (acute) traumatic neck painEducational video, mobilization, exercises, mobilization plus exercisesPulsed electromagnetic therapyPamphlet/neck booklet alone, passive modalities (heat, cold, diathermy, hydrotherapy), referral to fitness or rehab program, frequent early health-care service, methylprednisolone, passive modalities (ultrasound, TENS), exercise instruction, botulinum toxin AManipulation, traction, non-steroidal anti-inflammatory drugs (NSAIDS), other drugs
Grade I and II (non-acute) traumatic neck pain   Supervised exercises, coordinated multidisciplinary carePassive modalities (TENS, ultrasound), corticosteroid injectionsManipulation, traction, NSAIDs, other drugs
Grade I and II non-traumatic neck painManipulation, mobilization, supervised exercises, manual therapy (manipulation, mobilization, massage) plus exercises, acupuncture, low-level laser therapy, analgesicsPercutaneous neuromuscular therapy, brief intervention using cognitive behavioural principlesAdvice alone, collars, passive modalities (heat therapy, ultrasound, TENS, electrical muscle stimulation), exercise instruction, botulinum toxin AMagnetic stimulation, massage alone, traction, NSAIDS, other drugs
Grade III (suspected cervical radiculopathy)       All interventions
 
Non-invasive neck pain treatment (other conditions)
Note:
The following scenarios are presented separately as they were not classified in the grade system.
Grade of neck pain and scenarioLikely helpful Possibly helpfulLikely not helpfulNot enough evidence *
Cervicogenic headache   Manipulation, mobilization, supervised exercises, manipulation or mobilization plus supervised exercises, water pillow   Passive modalities, traction, NSAIDS, other drugs
Neck pain in workers   Supervised exercises plus strength or endurance training and/or relaxation training with behavioral supportErgonomic interventions, forced work breaks, rehabilitation programs, stress management programs, relaxation training, physical training, exercise instruction  
*More research is needed to understand the impact of these treatments and greater clinical judgment should be used if considering these options.



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