Review article: Best practice management of neck pain in the emergency department (part 6 of the musculoskeletal injuries rapid review series)

Emergency Medicine Australasia : EMA
Kirsten StrudwickTrevor Russell

Abstract

Neck pain and whiplash injuries are a common presentation to the ED, and a frequent cause of disability globally. This rapid review investigated best practice for the assessment and management of musculoskeletal neck pain in the ED. PubMed, CINAHL, EMBASE, TRIP and the grey literature, including relevant organisational websites, were searched in 2017. Primary studies, systematic reviews and guidelines were considered for inclusion. English-language articles published in the past 12 years addressing acute neck pain assessment, management or prognosis in the ED were included. Data extraction was conducted, followed by quality appraisal to rate levels of evidence where possible. The search revealed 2080 articles, of which 51 were included (n = 22 primary articles, n = 13 systematic reviews and n = 16 guidelines). Consistent evidence was found to support the use of 'red flags' to screen for serious pathologies, judicious use of imaging through clinical decision rule application and promotion of functional exercise coupled with advice and reassurance. Clinicians may also consider applying risk-stratification methods, such as using a clinical prediction rule, to guide patient discharge and referral plans; however, the evidence is sti...Continue Reading

References

May 28, 2005·The Journal of Trauma·James Frederick Holmes, Radha Akkinepalli
Feb 25, 2006·Emergency Medicine Journal : EMJ·K AthertonG T Jones
Jun 22, 2006·The Clinical Journal of Pain·Marc J NederhandDennis C Turk
Mar 1, 2007·Neurosurgery·Gregory P Lekovic, Timothy R Harrington
Feb 16, 2008·Sports Medicine and Arthroscopy Review·Phillip R LangerMark A Palumbo
Mar 1, 2008·Journal of Manipulative and Physiological Therapeutics·André E BussièresCynthia Peterson
Apr 29, 2008·Arthritis and Rheumatism·Jonathan C HillElaine M Hay
May 31, 2008·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Alice KongstedTom Bendix
Sep 16, 2008·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·L A WesterveldF C Oner
Oct 31, 2009·BMJ : British Medical Journal·Ian G StiellGeorge A Wells
Jul 1, 2008·Physiotherapy Canada. Physiothérapie Canada·Kara DrescherSusan R Harris
Apr 13, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Oliver PieskeStefan Piltz
May 12, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Ian G StiellGeorge A Wells
Jun 12, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Gregory GarraHenry J Thode
Sep 24, 2011·AJR. American Journal of Roentgenology·Erika Jasmin UlbrichMatthias Sturzenegger
Aug 31, 2012·The Neurologist·Rebecca F GottesmanDavid E Newman-Toker
Sep 29, 2012·The Journal of Trauma and Acute Care Surgery·Melanie K RoseSydney B Brevard
Oct 11, 2012·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Zoe A MichaleffChung-Wei Christine Lin
Mar 30, 2013·Neurosurgery·Timothy C RykenNicholas Theodore
May 27, 2014·Journal of Physiotherapy·Michele Sterling
Oct 16, 2014·Journal of Rehabilitation Medicine·Evelina PajedieneIndre Bileviciute-Ljungar
Dec 3, 2014·Archives of Physical Medicine and Rehabilitation·Justin KenardyErin A Brown
Apr 2, 2015·The Journal of Orthopaedic and Sports Physical Therapy·Carrie RitchieMichele Sterling
Apr 2, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jessica J WongAnne Taylor-Vaisey
Jan 13, 2016·The Journal of Orthopaedic and Sports Physical Therapy·Heidi A OjhaAlfred C Gellhorn
Jul 14, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Eric RydmanHans Järnbert-Pettersson
Jul 28, 2016·The Journal of Trauma and Acute Care Surgery·Marc D BenayounChad A Holder
Jul 2, 2017·The Journal of Orthopaedic and Sports Physical Therapy·Peter R BlanpiedEric K Robertson
Jun 19, 2018·Scandinavian Journal of Pain·Johan StyrkeBritt-Marie Stålnacke

❮ Previous
Next ❯

Citations

Oct 24, 2019·Emergency Medicine Journal : EMJ·Kirsten StrudwickUNKNOWN And The Research Collaboration for Quality Care for Musculoskeletal Injuries: Emergency Care Expert Panel
Nov 28, 2019·Internal and Emergency Medicine·Kirsten StrudwickUNKNOWN Research Collaboration for Quality Care for Musculoskeletal Injuries: Emergency Care Expert Panel
Oct 16, 2019·The Journal of Orthopaedic and Sports Physical Therapy·Trudy RebbeckJames M Elliott

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.