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Resolving Specific Psychological Stressors Can Instantly Reduce or Relieve Chronic neck pain and Upper Back pain: Case Reports

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Health 2023年第10期15卷 1116-1149页

作者： Brandy Gillmore Gaetan Chevalier Stefan Kasian The Brandy Gillmore Foundation Beverly Hills CA USA Psy-Tek Labs Encinitas CA USA

Introduction: The goal of this study was to use a novel approach to pain relief which includes a participant using their mind to reduce or relieve their neck pain in a matter of minutes and taking continuous thermal medical imaging scans during the process to capture any concurrent temperature changes at the location of the self-reported pain. Previous studies using multidisciplinary approaches have shown that it is possible for a person to achieve a moderate reduction in pain over a period of time (typically two or more months). However, in this innovative study, the goal was to demonstrate rapid pain relief (in a matter of minutes) using only the mind. Case report: For this study, six subjects were selected, all of whom were experiencing long-term chronic neck pain. The subjects consisted of five adult females and one adult male. Several of the subjects also had pain that radiated into their upper back region. Each subject participated in one talk therapy session during which the subject’s neck was actively scanned by a thermal imaging (TI) camera that was programmed to take a new thermal image every thirty (30) seconds. The goal of the talk therapy session was to create a strong emotional shift by encouraging the subject to let go of negative emotions and replace buried painful feelings with feelings of positive expectation and optimism. Then, as the subject created this emotional shift, the goal was to observe if this change affected the subject’s self-reported physical pain, as well as noting any visible effects in thermal images. Results: All six subjects reported that they were able to relieve some or all of their pain by the end of the talk therapy session. As they did, there was simultaneously a significant decrease in temperature recorded on the TI images in the corresponding location in their neck and upper back region. This suggested that the pain relief the subjects reported was not merely “mind over matter”, since there were marked physiological changes taking place. Discussion and Conclusion: It’s

关键词： neck pain Stress Chronic pain Cervicalgia Thermography Thermal Imaging Infrared Imaging

Ultrasound-Guided Dorsal Scapular Nerve Blockade in the Diagnosis and Management of neck pain

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pain Studies and Treatment 2023年第2期11卷 9-14页

作者： Alena Boros Paul J. Ryan Dominic C. Harmon School of Medicine Faculty of Education & Health Services University of Limerick Limerick Ireland Department of Anaesthesia and pain Medicine University Hospital Limerick Limerick Ireland

neck pain is common and has multiple sources, but correct diagnosis and matched treatment provide the best outcomes. The first description of ultrasound-guided dorsal scapular nerve blockade using a single-shot local anesthetic technique for the diagnosis and treatment of neck pain is reported. A 38-year-old female patient presented with neck pain, and the history and clinical examination strongly suggested myofascial pain affecting the middle scalene muscle. The pain had been unresponsive to pharmacological therapy or physiotherapy. After identifying the dorsal scapular nerve (DSN) in the body of the middle scalene muscle, an ultrasound-guided nerve block was performed using a single injection of local anesthetic to alleviate the patient’s pain. It has been demonstrated that the dorsal scapular nerve can be identified in the neck and effectively blocked using ultrasound guidance. This technique has the potential to assist in the diagnosis and treatment of neck pain originating from the middle scalene muscle.

关键词： Technique Ultrasound neck pain Middle Scalene Muscle Dorsal Scapular Nerve

Case-control study on regular Ba Duan Jin practice for patients with chronic neck pain

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International Journal of Nursing Sciences 2014年第4期1卷 360-366页

作者： Jing-Yuan Wang Hong Guo Ling Tang Jing Meng Li-yun Hu The Affiliated Hospital of Qingdao University Qingdao 266000China School of Nursing Beijing University of Chinese MedicineBeijing 100102China Beijing University of Chinese Medicine Third Affiliated Hospital Beijing 100029China

Purpose:To observe the long-term effects of regular Ba Duan Jin exercises for patients with chronic neck pain.Methods:Participants with chronic neck pain were instructed to perform30 min/d of Ba Duan Jin exercises(n?36)or assigned to a control group(n?36)for six months.Data from a visual analogue scale,Northwick Park neck pain Questionnaire,and the 36-item Shortform Health Survey(SF-36)were collected before,and three and six months after intervention began.Results:Participants undergoing Ba Duan Jin exercises achieved significantly greater improvement than the controls in visual analogue scale,Northwick Park neck pain Questionnaire and SF-36 health transition scores(all ppain,and increases health satisfaction in individuals with chronic neck pain.

关键词： Ba Duan Jin Community health Complimentary medicine neck pain Qigong

Post-Marketing Surveillance of Qishe Pill(芪麝丸)Use for Management of neck pain in a Chinese Patient Cohort to Determine Its Safety,Tolerability and Effectiveness

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Chinese Journal of Integrative Medicine 2021年第6期27卷 408-416页

作者： CUI Xue-jun SUN Yue-li ZHANG Chang-qing WU Tao TAN Jun ZHU Zhen-an CHEN Yong-qiang WANG Qiu-gen LI Ming WANG Yong-jun Spine Research Institute Longhua HospitalShanghai University of Traditional Chinese MedicineShanghai(200032)China Department of Orthopedics Shanghai Sixth People's HospitalShanghai Jiao Tong University School of MedicineShanghai(200233)China Department of Orthopedics Huadong HospitalFudan UniversityShanghai(200040)China Department of Orthopedics Shanghai East HospitalTongji UniversityShanghai(200120)China Department of Orthopedics Shanghai Ninth People's HospitalShanghai(200011)China Department of Orthopedics Shanghai Hospital of Traditional Chinese MedicineShanghai University of Traditional Chinese MedicineShanghai(200071)China Department of Orthopedics Shanghai First HospitalShanghai(200080)China Department of Orthopedics Shanqhai Chanqhai HospitalNavy Medical UniversityShanghai(200435)China

Objective:To evaluate the safety and effectiveness of Qishe Pill(芪麝丸)on neck pain in realworld clinical practice.Methods:A multi-center,prospective,observational surveillance in 8 hospitals across Shanghai was conducted.During patients receiving 4-week Qishe Pill medication,Visual Analogue Scale(VAS)and neck Disability Index(NDI)assessments have been used to assess their pain and function,while safety monitoring have been observed after 2 and 4 weeks.Results:Results from 2,023 patients(mean age 54.5 years)suggest that the drug exposure per unit of body mass was estimated at 3.41±0.62 g/kg.About 8.5%(172/2,023)of all participants experienced adverse events(AEs),while 3.8%(78/2,023)of all participants experienced adverse reaction.The most common AEs were gastrointestinal events and respiratory events.The VAS score(pain)and NDI score(function)significantly decreased after 4-week treatment.An effect-quantitative analysis was also conducted to show that the normal clinical dosage may be consider as 3–4 g/kg,at which dosage the satisfactory pain-relief effect may achieve by 40-mm reduction in VAS.Conclusion:These findings showed that patients with cervical radiculopathy who received Qishe Pill experienced significant improvement on pain and function.(Registration No.NCT01875562).

关键词： neck pain pain assessment post-marketing surveillance Qishe Pill Chinese medicine complementary and alternative medicine

Disparities in chiropractic utilization by race,ethnicity and socioeconomic status:A scoping review of the literature

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Journal of Integrative Medicine 2023年第2期21卷 159-167页

作者： Jordan A.Gliedt Antoinette L.Spector Michael J.Schneider Joni Williams Staci Young Department of Neurosurgery Medical College of WisconsinMilwaukeeWI 53226USA Department of Rehabilitation Sciences and Technology University of Wisconsin-MilwaukeeMilwaukeeWI 53201USA Department of Physical Therapy University of PittsburghPittsburghPA 15219USA Clinical and Translational Science Institute University of PittsburghPittsburghPA 15213USA Department of Medicine Division of Internal MedicineMedical College of WisconsinMilwaukeeWI 53226USA Department of Family and Community Medicine Medical College of WisconsinMilwaukeeWI 53226USA

Background Chiropractic is the largest complementary and alternative medicine profession in the United States,with increasing global growth.A preliminary literature review suggests a lack of widespread diversity of chiropractic patient profiles.Objective There have been no prior studies to comprehensively integrate the literature on chiropractic utilization rates by race,ethnicity,and socioeconomic status.The purpose of this scoping review is to identify and describe the current state of knowledge of chiropractic utilization by race,ethnicity,education level,employment status,and income and poverty level.Search strategy Systematic searches were conducted in PubMed,Ovid MEDLINE,Cumulative Index of Nursing and Allied Health Literature(CINAHL),Cochrane Database of Systematic Reviews,and Index to Chiropractic Literature from inception to May 2021.Inclusion criteria Articles that reported race or ethnicity,education level,employment status,income or poverty level variables and chiropractic utilization rates for adults(≥18 years of age)were eligible for this review.Data extraction and analysis Data extracted from articles were citation information,patient characteristics,race and ethnicity,education level,employment status,income and poverty level,and chiropractic utilization rate.A descriptive numerical summary of included studies is provided.This study provides a qualitative thematic narrative of chiropractic utilization with attention to race and ethnicity,education level,income and poverty level,and employment status.Results A total of 69 articles were eligible for review.Most articles were published since 2003 and reported data from study populations in the United States.Of the race,ethnicity and socioeconomic categories that were most commonly reported,chiropractic utilization was the highest for individuals identifying as European American/White/non-Hispanic White/Caucasian(median 20.00%;interquartile range 2.70%-64.60%),those with employment as a main income source(median utilization 78.50%;interquartile range

关键词： Chiropractic Utilization Health inequities Health disparities Low-back pain neck pain

Management of symptomatic cervical facet cyst with cervical interlaminar epidural block: A case report

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World Journal of Clinical Cases 2022年第32期10卷 11936-11941页

作者： Seong Min Hwang Min Kyu Lee Saeyoung Kim Department of Anesthesiology and pain Medicine School of MedicineKyungpook National UniversityDaegu 41944South Korea

BACKGROUND Symptomatic cervical facet cysts are relatively rare compared to those in the lumbar region.These cysts are usually located in the 7th cervical and 1st thoracic vertebral(C7/T1)area,and surgical excision is performed in most cases.However,facet cysts are associated with degenerative conditions,and elderly patients are often ineligible for surgical procedures.Cervical interlaminar epidural block has been used in patients with cervical radiating symptoms and achieved good results.Therefore,cervical interlaminar epidural block may be the first-choice treatment for symptomatic cervical facet cysts.CASE SUMMARY A 70-year-old man complained of a tingling sensation in the left hand,focused on the 4th and 5th fingers,for 1 year,and posterior neck pain for over 5 mo.The patient’s numeric rating scale(NRS)score was 5/10.The patient was diagnosed with symptomatic cervical facet cyst at the left C7/T1 facet joint.Fluoroscopyguided cervical interlaminar epidural block at the C7/T1 level with 20 mg triamcinolone and 5 mL of 0.5%lidocaine was administered.The patient's symptoms improved immediately after the block,with an NRS score of 3 points.After 3 mo,his left posterior neck pain and tingling along the left 8th cervical dermatome were relieved,with an NRS score of 2.CONCLUSION A cervical interlaminar epidural block is a good alternative for managing symptomatic cervical facet cysts.

关键词： Cervical vertebrae Cysts Epidural Injections neck pain Therapeutics Zygapophyseal joint Case report

Effectiveness of pulsed radiofrequency on the medial cervical branches for cervical facet joint pain

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World Journal of Clinical Cases 2022年第22期10卷 7720-7727页

作者： Min Cheol Chang Seoyon Yang Department of Physical Medicine and Rehabilitation College of MedicineYeungnam UniversityTaegu 42415South Korea Department of Rehabilitation Medicine School of MedicineEwha Woman's University Seoul HospitalSeoul 07804South Korea

BACKGROUND Cervical facet joint pain(CFP)is one of the most common causes of neck pain and headache.Persistent CFP deteriorates the quality of life of patients and reduces their productivity at work.AIM To investigate the effectiveness of pulsed radiofrequency(PRF)stimulation of cervical medial branches in patients with chronic CFP.METHODS We retrospectively included 21 consecutive patients(age=50.9±15.3 years,range 26-79 years;male:female=8:13;pain duration=7.7±5.0 mo)with chronic CFP,defined as≥4 on the numeric rating scale(NRS).We performed PRF stimulation on the cervical medial branches.The outcomes of the PRF procedure were evaluated by comparing the NRS scores for CFP before treatment and 1 and 3 mo after treatment.Successful pain relief was defined as a≥50%reduction in the NRS score at 3 mo when compared with the pretreatment NRS score.RESULTS No patient had immediate or late adverse effects following PRF.The average NRS score for CFP decreased from 5.3±1.1 at pre-treatment to 2.4±0.6 at the 1 mo follow-up,and 3.1±1.1 at the 3 mo follow-up.Compared to the NRS scores before PRF stimulation,those at 1 and 3 mo after PRF stimulation had significantly decreased.Eleven of the 21 patients(52.4%)reported successful pain relief 3 mo after the PRF procedure.PRF stimulation on cervical medial branches may be a useful therapeutic option to control chronic CFP.CONCLUSION PRF stimulation of the cervical medial branches may be used as an alternative treatment method in patients with CFP.PRF can effectively alleviate CFP,and is safe to perform.

关键词： Pulsed radiofrequency treatment Zygapophyseal joint Chronic pain pain neck pain pain management

Dredging hand Yang meridians with deep tissue massage combined with neck movement in stiff-neck syndrome:A randomized controlled trial

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Journal of Integrative Nursing 2022年第4期4卷 211-216页

作者： Xueguo SUN Zonghua QI Ying LIU Yan LI Xianli DOU Lingyun ZHANG Department of Gastroenterology The Affiliated Hospital of Qingdao UniversityQingdaoChina Electromyogram Room The Affiliated Hospital of Qingdao UniversityQingdaoChina

Objective:The objective of this study is to observe the therapeutic effects of dredging hand Yang meridian with deep tissue massage combined with neck movement on stiff-neck syndrome.Materials and Methods:This is a randomized controlled trial.The consecutive patients with the stiff-neck syndrome were randomly allocated into the intervention group and patch group(1:1)according to the random number table.The intervention group was treated with dredging hand Yang meridian with deep tissue massage combined with neck movement once a day for 3 days,while the patch group therapy was treated with a 3-patch therapy and every patch included 24-h patch and 24-h patch-free.A needle electromyogram would be exerted if the patients were at their willingness in different stages.The pain of patients was assessed by Visual Analog Scale in the two groups at every 24 h time point.Results:Finally,212 patients completed the trial,106 in each group.The curative rate in the intervention group was higher than in the patch group(99.06%vs.84.91%,χ^(2)=0.890,Ppain score within the subject-factors(factor of time F=4548.577,Ppain score(F=3016.315,Pneck movement is better than patch therapy in stiff-neck syndrome,with a shorter duration and instant effects.

关键词： Electromyogram massage meridian movement neck pain stiff-neck syndrome traditional Chinese medicine

Cervical intervertebral disc degeneration and dizziness

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World Journal of Clinical Cases 2021年第9期9卷 2146-2152页

作者： Tang-Hua Liu Yan-Qing Liu Bao-Gan Peng Department of Algology The Third People's Hospital of YibinYibin 644000Sichuan ProvinceChina Department of Algology Beijing Tiantan HospitalCapital Medical UniversityBeijing 100070China Department of Orthopedics The Third Medical CenterGeneral Hospital of the Chinese People’s Liberation ArmyBeijing 100039China

Clinical studies have found that patients withcervical degenerative disease are usually accompanied by dizziness.Anterior cervical surgery can eliminate not only chronic neck pain,cervical radiculopathy or myelopathy,but also dizziness.Immunohistochemical studies show that a large number of mechanoreceptors,especially Ruffini corpuscles,are present in degenerated cervical discs.The available evidence suggests a key role of Ruffini corpuscles in the pathogenesis of dizziness caused by cervical degenerative disease(i.***.cervical discogenic dizziness).Disc degeneration is characterized by an elevation of inflammatory cytokines,which stimulates the mechanoreceptors in degenerated discs and results in peripheral sensitization.Abnormal cervical proprioceptive inputs from the mechanoreceptors are transmitted to the central nervous system,resulting in sensory mismatches with vestibular and visual information and leads to dizziness.In addition,neck pain caused by cervical disc degeneration can play a key role in cervical discogenic dizziness by increasing the sensitivity of muscle spindles.Like cervical discogenic pain,the diagnosis of cervical discogenic dizziness can be challenging and can be made only after other potential causes of dizziness have been ruled out.Conservative treatment is effective for the majority of patients.Existing basic and clinical studies have shown that cervical intervertebral disc degeneration can lead to dizziness.

关键词： Cervical intervertebral disc degeneration Cervicogenic dizziness Cervical discogenic dizziness Cervical spondylosis neck pain Mechanoreceptors