#435 Neck Pain with Dr. Anthony Mikula

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. 

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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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