neck pain

• 頚部痛、頸部痛

関

anterior neck pain、cervical pain、neck ache、posterior cervical pain

WordNet

1. cause emotional anguish or make miserable; "It pains me to see my children not being taught well in school" (同)anguish, hurt
2. a symptom of some physical hurt or disorder; "the patient developed severe pain and distension" (同)hurting
3. a bothersome annoying person; "that kid is a terrible pain" (同)pain in the neck, nuisance
4. a somatic sensation of acute discomfort; "as the intensity increased the sensation changed from tickle to pain" (同)pain_sensation, painful sensation
5. emotional distress; a fundamental feeling that people try to avoid; "the pain of loneliness" (同)painfulness
6. kiss, embrace, or fondle with sexual passion; "The couple were necking in the back seat of the car" (同)make_out
7. an opening in a garment for the neck of the wearer; a part of the garment near the wearers neck (同)neck opening
8. a narrow part of an artifact that resembles a neck in position or form; "the banjo had a long neck"; "the bottle had a wide neck"
9. the part of an organism (human or animal) that connects the head to the rest of the body; "he admired her long graceful neck"; "the horse won by a neck" (同)cervix
10. a cut of meat from the neck of an animal
11. a narrow elongated projecting strip of land
12. having a neck or having a neck especially as specified (often used in combination)

PrepTutorEJDIC

1. 〈C〉〈U〉(肉体のある部分の)『苦痛』,『痛み』 / 〈U〉(精神的な)『苦痛』,心痛 / 《複数形で》骨折り,苦労,努力 / 〈C〉不快感,いやな感じ;うんざりさせるもの,やっかい者 / (肉体的・精神的に)…‘に'苦痛を与える(受動態にできない)
2. 〈C〉(人間・動物の)『首』;首の骨 / 〈C〉(衣服の)えり / 〈C〉首の形をした物 / 〈U〉〈C〉(食品としての)(羊などの)頚肉(けいにく) / キスして愛撫(あいぶ)し合う
3. 《補語にのみ用いて》腹を立てて / 《補語にのみ用いて》(心が)鐘ついて / 不愉快な,気まずい
4. とうちゃん(papa)

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2019/01/25 10:35:15」(JST)

wiki en

[Wiki en表示]

Neck pain
A person with neck pain
Classification and external resources
Specialty	Neurosurgery
ICD-10	M54.2
ICD-9-CM	723.1
DiseasesDB	23260
Patient UK	Neck pain
MeSH	D019547

Neck pain (or cervicalgia) is a common problem, with two-thirds of the population having neck pain at some point in their lives.

Neck pain, although felt in the neck, can be caused by numerous other spinal problems. Neck pain may arise due to muscular tightness in both the neck and upper back, or pinching of the nerves emanating from the cervical vertebrae. Joint disruption in the neck creates pain, as does joint disruption in the upper back.

The head is supported by the lower neck and upper back, and it is these areas that commonly cause neck pain. The top three joints in the neck allow for most movement of the neck and head. The lower joints in the neck and those of the upper back create a supportive structure for the head to sit on. If this support system is affected adversely, then the muscles in the area will tighten, leading to neck pain.

Neck pain affects about 5% of the global population as of 2010.

Differential diagnosis

Neck pain may come from any of the structures in the neck including: vascular, nerve, airway, digestive, and musculature / skeletal, or be referred from other areas of the body.

Major and severe causes of neck pain (roughly in order of severity) include:

• Carotid artery dissection
• Referred pain from acute coronary syndrome
• Head and neck cancer
• Infections: retropharyngeal abscess, epiglottitis, etc.
• Spinal disc herniation – protruding or bulging discs, or if severe prolapse.
• Spondylosis - degenerative arthritis and osteophytes
• Spinal stenosis – a narrowing of the spinal canal

More common and lesser neck pain causes include:

• Stress – physical and emotional stresses
• Prolonged postures – many people fall asleep on sofas and chairs and wake up with sore necks.
• Minor injuries and falls – car accidents, sporting events and day to day injuries that are really minor.
• Referred pain – mostly from upper back problems
• Over-use – muscular strain is one of the most common causes
• Whiplash
• Pinched nerve

Although the causes are numerous, most are easily rectified by either professional help or using self help advice and techniques.

More causes can include: poor sleeping posture, torticollis, head injury, rheumatoid arthritis,

Carotidynia, congenital cervical rib, mononucleosis, rubella, certain cancers, ankylosing spondylitis, cervical spine fracture, esophageal trauma, subarachnoid hemorrhage, lymphadenitis, thyroid trauma, and tracheal trauma.

Treatment

Treatment of neck pain depends on the cause. For the vast majority of people, neck pain can be treated conservatively. Recommendations in which it helps alleviate symptoms include applying heat or cold. Other common treatments could include medication, body mechanics training, ergonomic reform, and physical therapy.

Conservative treatment

Exercise plus joint mobilization and/or joint manipulation (spinal adjustment) has been found to be beneficial in both acute and chronic mechanical neck disorders. Both cervical manipulation and cervical mobilization produce similar immediate-, and short-term changes. Multiple cervical manipulation sessions may provide better pain relief and functional improvement than certain medications at immediate to long-term follow-up. Thoracic manipulation may also improve pain and function. Low level laser therapy has been shown to reduce pain immediately after treatment in acute neck pain and up to 22 weeks after completion of treatment in patients that experience chronic neck pain.

Medication

Analgesics such as acetaminophen or NSAIDs are recommended for pain. Muscle relaxants are often prescribed and are known to be effective. However, one study showed that one muscle relaxant called cyclobenzaprine was not effective for treatment of acute cervical strain (as opposed to neck pain from other etiologies or chronic neck pain). Over the counter topical creams and patches may be effective for some patients.

Surgery

Surgery is usually not indicated for mechanical causes of neck pain. If neck pain is the result of instability, cancer, or other disease process surgery may be necessary. Surgery is usually not indicated for "pinched nerves" or herniated discs unless there is spinal cord compression or pain and disability have been protracted for many months and refractory to conservative treatment such as physical therapy.

Epidemiology

Neck pain affects about 330 million people globally as of 2010 (4.9% of the population). It is more common in women (5.7%) than men (3.9%). It is less common than low back pain.

Prognosis

About one-half of episodes resolve within one year. About 10% of cases become chronic.

UpToDate Contents

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• 1. 成人の頸部痛患者の評価evaluation of the adult patient with neck pain [show details]
  …diagnosis of neck pain is broad. The majority of neck pain complaints are likely related to musculoskeletal causes, but numerous other conditions can present with neck pain  : Axial neck pain – Axial neck …
• 2. 頚部痛の治療treatment of neck pain [show details]
  …used to treat axial neck pain are often applied to patients with neck pain accompanied by extremity pain syndromes. Initial treatments directed at a specific cause of axial neck pain have not been shown …
• 3. 頸部の疼痛や損傷がみられる小児期または思春期のスポーツ選手の評価evaluation of the child or adolescent athlete with neck pain or injury [show details]
  …with significant neck pain, midline posterior neck tenderness, high risk mechanisms of injury (eg, hockey player going head first into the board or American football player with neck pain after a spear tackle) …
• 4. 小児における項部硬直に対するアプローチapproach to neck stiffness in children [show details]
  …mastoiditis may cause neck pain, stiffness or torticollis secondary to compensatory muscle spasm, or referred pain. Systemic viral processes may present with myalgias, and myositis can cause neck pain and stiffness …
• 5. 小児期や思春期のアスリートにおける頸部の筋骨格損傷の概要overview of musculoskeletal neck injuries in the child or adolescent athlete [show details]
  …resonance imaging (MRI) may be indicated to evaluate other causes of neck pain such as disc herniation. The patient with complaints of neck pain in the absence of other red flags for an unstable cervical spine …

English Journal

• Bilateral femoral neck insufficiency fractures secondary to vitamin D deficiency and concurrent corticosteroid use-a case report.

• Carter T, Nutt J, Simons A.Author information Department of Orthogeriatrics, Birmingham Heartlands Hospital, Birmingham, UK, tjcarter@doctors.org.uk.AbstractWe present a rare case of a 67-year-old Indian female who was found to have bilateral insufficiency of the neck of femur fractures secondary to osteomalacia from vitamin D deficiency, with her symptoms exacerbated by a course of oral steroids prescribed for suspected polymyalgia rheumatica.
• Archives of osteoporosis.Arch Osteoporos.2014 Dec;9(1):172. doi: 10.1007/s11657-014-0172-5. Epub 2014 Feb 11.
• We present a rare case of a 67-year-old Indian female who was found to have bilateral insufficiency of the neck of femur fractures secondary to osteomalacia from vitamin D deficiency, with her symptoms exacerbated by a course of oral steroids prescribed for suspected polymyalgia rheumatica.INTRODUCT
• PMID 24515953

• Physical workload, trapezius muscle activity, and neck pain in nurses' night and day shifts: A physiological evaluation.

• Nicoletti C1, Spengler CM2, Läubli T3.Author information 1Department of Health Sciences and Technology, ETH Zurich, Sensory-Motor Systems Lab, 8092 Zurich, Switzerland; Exercise Physiology Lab, Institute of Human Movement Sciences and Sport, ETH Zurich, Winterthurerstrasse 190, 8057 Zurich, Switzerland. Electronic address: corinne.nicoletti@hest.ethz.ch.2Exercise Physiology Lab, Institute of Human Movement Sciences and Sport, ETH Zurich, Winterthurerstrasse 190, 8057 Zurich, Switzerland; Zurich Center for Integrative Human Physiology (ZIHP), University of Zurich, Winterthurerstrasse 190, 8057 Zurich, Switzerland. Electronic address: christina.spengler@hest.ethz.ch.3Department of Health Sciences and Technology, ETH Zurich, Sensory-Motor Systems Lab, 8092 Zurich, Switzerland; Holistics Prosthetics Research Center, Kyoto Institute of Technology, Matsugasaki, Sakyo-ku 606-8585, Japan. Electronic address: tlaeubli@ethz.ch.AbstractThe purpose of this study was to compare physical workload, electromyography (EMG) of the trapezius muscle, neck pain and mental well-being at work between night and day shifts in twenty Swiss nurses. Work pulse (average increase of heart rate over resting heart rate) was lower during night (27 bpm) compared to day shifts (34 bpm; p < 0.01). Relative arm acceleration also indicated less physical activity during night (82% of average) compared to day shifts (110%; p < 0.01). Rest periods were significantly longer during night shifts. Trapezius muscle rest time was longer during night (13% of shift duration) than day shifts (7%; p < 0.01) and the 50th percentile of EMG activity was smaller (p = 0.02), indicating more opportunities for muscle relaxation during night shifts. Neck pain and mental well-being at work were similar between shifts. Subjective perception of burden was similar between shifts despite less physical burden at night, suggesting there are other contributing factors.
• Applied ergonomics.Appl Ergon.2014 May;45(3):741-6. doi: 10.1016/j.apergo.2013.09.016. Epub 2013 Oct 17.
• The purpose of this study was to compare physical workload, electromyography (EMG) of the trapezius muscle, neck pain and mental well-being at work between night and day shifts in twenty Swiss nurses. Work pulse (average increase of heart rate over resting heart rate) was lower during night (27 bpm
• PMID 24140243

• Neck, shoulder and low back pain in secondary schoolchildren in relation to schoolbag carriage: Should the recommended weight limits be gender-specific?

• Dianat I1, Sorkhi N2, Pourhossein A3, Alipour A4, Asghari-Jafarabadi M5.Author information 1Department of Occupational Health, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: dianati@tbzmed.ac.ir.2Department of Occupational Health, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: n.sorkhi_68@yahoo.com.3Department of Occupational Health, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: a.poorhosein@yahoo.com.4Department of Occupational Health, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: arezou.ap70@yahoo.com.5Tabriz Health Services Management Research Center, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: m_asghari862@yahoo.com.AbstractThe occurrence of neck, shoulder and low back complaints in relation to schoolbag carriage and other potential risk factors were investigated in a cross-sectional study of 586 Iranian schoolchildren aged 12-14 years. The average load carried by schoolchildren was 2.8 kg. Neck, shoulder and low back complaints during the preceding month were reported by 35.3%, 26.1% and 33% of the students, respectively. Gender was an independent factor predicting musculoskeletal symptoms in schoolchildren. Girls were more likely than boys to suffer from neck, shoulder and low back complaints, although there was no significant difference between genders in terms of schoolbag carriage variables. The findings suggest that the recommended weight limit for schoolbag carriage may need to differ between boys and girls. The associations between schoolbag variables and reported symptoms are also discussed. The results provide evidence that the current weight limit should consider a broader combination of factors that influence the use of schoolbags.
• Applied ergonomics.Appl Ergon.2014 May;45(3):437-42. doi: 10.1016/j.apergo.2013.06.003. Epub 2013 Jul 1.
• The occurrence of neck, shoulder and low back complaints in relation to schoolbag carriage and other potential risk factors were investigated in a cross-sectional study of 586 Iranian schoolchildren aged 12-14 years. The average load carried by schoolchildren was 2.8 kg. Neck, shoulder and low bac
• PMID 23827662

Japanese Journal

• 臨床室 妊婦に発生したcrowned dens syndromeの1例

• 整形外科 = Orthopedic surgery 68(1), 19-22, 2017-01
• NAID 40021046654

• 頸部郭清術後の副神経障害とリハビリテーション

• 頭頸部外科 26(3), 307-310, 2017
• NAID 130005438811

• ベムラフェニブ休薬後再開し，腫瘍縮小効果を認めた悪性黒色腫Stage IVの1例

• Ｓｋｉｎ　Ｃａｎｃｅｒ 31(3), 244-248, 2017
• NAID 130005397806

Related Links

• Neck Pain Relief, Treatment, Symptoms, Causes & Diagnosis

Read about neck pain treatment, symptoms, diagnosis, and home remedies, and get tips on pain relief. Cervical pain causes include whiplash, pinched nerve, herniated disc, and degenerative disc disease. ... Pain located in the neck is a common medical condition.

• Neck pain - Symptoms and causes - Mayo Clinic

Causes Your neck is flexible and supports the weight of your head, so it can be vulnerable to injuries and conditions that cause pain and restrict motion. Neck pain causes include: Muscle strains. Overuse, such as too many hours ...

• Chronic Neck Pain: What Condition Is Causing My Neck Pain?

Neck Pain Range of Symptoms Neck pain can feel like any of the following: Stiff neck that makes turning the head difficult Sharp or stabbing pain in one spot Soreness or tenderness in a general area Pain that radiates down into the ...

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★リンクテーブル★

リンク元	「頚部痛」「cervical pain」「頸部痛」「posterior cervical pain」「neck ache」
拡張検索	「anterior neck pain」
関連記事	「pain」「neck」「pai」

「頚部痛」

　　[★]

英

neck pain、cervical pain

同

頸部痛、頸痛、頚痛、首痛

関

前頚部痛、後頚部痛

研修医当直御法度 第5版 p.139

「cervical pain」

　　[★]

• 頚部痛、頸部痛、頚痛、頸痛

関

anterior neck pain、neck ache、neck pain、posterior cervical pain

「頸部痛」

　　[★]

英

neck pain、cervical pain

関

頚部痛、頸痛、頚痛、前頚部痛、首痛、後頚部痛

「posterior cervical pain」

　　[★]

• 後頚部痛、後頸部痛

関

anterior neck pain、cervical pain、neck ache、neck pain

「neck ache」

　　[★]

• 首痛

関

anterior neck pain、cervical pain、neck pain、posterior cervical pain

「anterior neck pain」

　　[★]

• 前頚部痛、前頸部痛

関

cervical pain、neck ache、neck pain、posterior cervical pain

「pain」

　　[★]

• n.

• 疼痛

http://dictionary.reference.com/browse/pain

• n.

• physical suffering or distress, as due to injury, illness, etc.
• a distressing sensation in a particular part of the body
• mental or emotional suffering or torment
• pains,

• laborious or careful efforts; assiduous care
• the suffering of childbirth.

　 　 　 　 　 　

「neck」

　　[★]

• n.

• 首、頸部、頚部

関

cervical、cervical region、cervix

　 　 　 　 　 　 　

「pai」

　　[★]

• n.

• (ギリシャ文字)π、パイ