Akademik Veri Yönetim Sistemi
Agri, cilt.15, sa.2, ss.25-31, 2003 (SCI-Expanded)
The cervical region is the most mobile part of the spine and any of the structures can be the source of pain in the neck. Often degenerative changes in the cervical discs or facet joints are sources of pain and neurological symptoms may be seen with pain in radiculopathy and myelopathy. Patient history and physical examination is the first step of the diagnosis. Radiological assessment is important to determine the therapy. Most of the neck pain is responsive to conservative therapy but interventional therapy is sometimes necessary. Cervical epidural injections often produce improvement in degenerative lesions, especially in radicular pain. Radiofrequency lesioning can be useful in the treatment of discogenic pain, facet joint problems and irritated nerve roots. When other prior treatments have failed and neurosurgery is not recommended or it has failed, clinicians would perform percutaneous rhizotomy or dorsal cord stimulation.