Factors Affecting Patients With Chronic Idiopathic Neck Pain

The selected policy Essence of Care 2010: Benchmarks for the Prevention and Management of Pain, includes the latest benchmarks on the management of pain and its prevention. It presents up to date reviewed views, with the aim to deliver

• Doing strength and range-of-motion exercises (physical therapy) as told by your health care provider.

The paragraphs below describe the predominant clinical practice gaps in current management of chronic pain. As NPs increase their knowledge and competence in these areas, it is anticipated that changes in clinical practice will

Certain treatments can be done to help ease he pain as well. According to the National Complementary and Integrative Health, Vitamin D may be a good source for pain reducer as well as different activities like yoga, tai chi, and biofeedback. Acupuncture is also suggested, though these do not have hard evidence to prove that these things most definitely help. The activities listed normally are safe approaches, but these activities can be difficult at first to

We are grateful for the “Manual Therapy” reviewers thoughtful review and suggestions to improve our manuscript. Our author team has reviewed, considered, and responded to all comments and suggestions the reviewers proposed in accordance with “Manual Therapy” guidelines. Thus, we are submitting a revised manuscript “The Immediate Cardiovascular Response to Joint Mobilization of the Neck- A Randomized, Placebo-Controlled Trial in Pain-Free Adults” for follow-up consideration for publication in “Manual Therapy”. We are hopeful that our work will be deemed as valuable and disseminated for other manual therapists to consider.

The results of this study show that both treatment interventions are just as effective in pain reduction and increased spinal mobility following a single treatment. A post boc correlation (relationship between variables) analysis was performed in order to explore the relationship between changes in pain and lumbar extension motion. Researchers analyzed the relationship between an increase in motion and decrease in pain for this study.

The participants recorded their pain during activity using the numerical rating scale (NRS) during the initial examination. The participants received three IASTM treatments a week

- and is baseline CPM a predictor of pain reduction from joint mobilization? (research question #4)

‘A long-term condition (LTC) is one that cannot currently be cured but can be controlled with the use of medication and/or other therapies’ (Department of Health, 2010). It is a condition of prolonged duration that may affect any aspect of any person’s life with symptoms coming and going but there is no cure (Long Term Medical Conditions Alliance (LMCA), 2007). Long-term pain has been reported to impact 70% of the population’s work ability, 80% of home life and 83% of the ability to take part in leisure activities (Patient and Client Council, 2014). There are currently 15.4 million people in England with a LTC, of which accounts for more than 50% of all GP appointments, 65% of all outpatient appointments and more than 70% of all inpatient bed days (Department of Health, 2010). Long-term pain is commonly known as chronic pain (British Pain Society, 2010).

Pain is the result of the brain’s response to potential tissue damage (Jones & Williams, 2017). The mean prevalence is reported to be 32% of adults aged 25 to 34 and 62% of adults over 75 years of age (Geneen, 2017). The cost associated with pain management in the United Sates (US) is higher than the cost to treat cancer, heart disease, and diabetes (Riskowski, 2014). Moreover, pain is the most common symptoms for which an individual will seek medical care, and the top cause of absence from work in people under 45 years of age (Hardt et al., 2008). Subjects may experience different levels of pain even among individuals with similar

Chronic neck pain is common, costly, and a leading cause of disability. Literature suggests that ascending pain pathways (i.e. pain pressure threshold or PPT) and/or descending pain pathways (i.e. CPM) may be impaired in those with chronic pain [please see Appendix for illustration of ascending and descending pain pathways]. Spinal mobilization (SM), a form of MT, is a common treatment that has been effective in relieving neck pain according to Cochrane Review (Gross et al 2015). A recent systematic review (Coronado et al 2015) concluded that although the pain relief from MT seems to improve PPT; the pain relief, however, is not associated with PPT, a measure of the ascending pain pathways. Whether the pain relief from SM is due to its effects on the descending pain pathways (e.g. CPM) is not known at this time.

The functional pain scale is a viable approach to evaluate pain in the elderly and has

Chronic neck pain is the 3rd most common pain condition in the US with about 30-50% of adults being affected each year. On average, spin care costs about 9% of total health care cost each year ranging from about $3,000 to $8,000 per patient. This high cost of treatment for idiopathic neck pain raises an issue because treatment seems to be ineffective. Current research is analyzing the effectiveness of treatment consisting of joint mobilization combined with exercise. Research shows that a combination of the two techniques prove to be more effective than each alone for improving patient function. However, the sequence of the therapy as well of the number of visits is still unclear.

Over the last four decades, chronic pain has been found to be related with countless

Chaibi et al. completed a prospective three-armed, single-blind, placebo, randomized control trial over the course of 17 months which included 104 people suffering from migraines with at least one migraine attack per month. The purpose of this study was to examine the effectiveness of chiropractic spinal manipulative therapy (CSMT) for people suffering from migraines. Subjects in the active therapy consisted of CSMT, while those in the placebo group were experienced a sham push maneuver of the lateral edge of the scapula and/or gluteal region, and the control group continued their normal pharmacological treatment. The randomized control trial consisted of a “1-month run-in, 3 months intervention and outcome measures at the end of the intervention and at 3, 6 and 12 months