The Curbsiders Internal Medicine Podcast

#435 Neck Pain with Dr. Anthony Mikula

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A real pain in the neck (Get it?! We have fun.)

Protect your neck!  Learn how to evaluate a patient with neck pain, and differentiate between mechanical neck pain, radiculopathy, and myelopathy. You’ll learn who should be reassured, who should see a surgeon, and what nonoperative options are available.  We’re joined by Dr. Anthony Mikula @anthony_mikula from Mayo Clinic. 

Claim CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

  • 00:00 Introduction 
  • 06:14 Anatomy and Pain Generators
  • 09:58 Approach to Neck Pain
  • 22:57 Differentiating Radiculopathy from Non-Specific Neck Pain
  • 24:05 Management of Mechanical Neck Pain
  • 27:36 Indications for Imaging
  • 29:21 Terminology and Explanation of Spondylosis, Spondylolisthesis, and Spondylolysis
  • 30:48 Diffuse Idiopathic Skeletal Hyperostosis (DISH)
  • 32:23 Imaging Terminology and Plain Films
  • 36:19 Pathophysiology of Cervical Radiculopathy
  • 38:34 Physical Examination for Cervical Radiculopathy
  • 44:54 Diagnostic Work-up for Radiculopathy
  • 51:53 Interventions for Cervical Radiculopathy
  • 53:53 Considerations for Surgery
  • 57:49 Recognizing Cervical Myelopathy
  • 01:00:17 Natural History of Myelopathy
  • 01:02:25 Referral and Treatment for Myelopathy
  • 01:09:28 Summary and Takeaways

    • Credits

    • Written and Produced by: Paul Williams, MD, FACP
    • Show Notes: Paul Williams, MD, FACP
    • Infographic and Cover Art: Paul Williams, MD, FACP
    • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
    • Reviewer: Leah Witt, MD
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste
    • Guest: Anthony Mikula, MD

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