#435 Neck Pain with Dr. Anthony Mikula

A real pain in the neck (Get it?! We have fun.) Protect your neck! Learn how to evaluate a patient with neck pain, and differentiate between mechanical neck pain, radiculopathy, and myelopathy. You’ll learn who should be reassured, who should see a surgeon, and what nonoperative options are available. We’re joined by Dr. Anthony Mikula @anthony_mikula from Mayo Clinic. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction 06:14 Anatomy and Pain Generators 09:58 Approach to Neck Pain 22:57 Differentiating Radiculopathy from Non-Specific Neck Pain 24:05 Management of Mechanical Neck Pain 27:36 Indications for Imaging 29:21 Terminology and Explanation of Spondylosis, Spondylolisthesis, and Spondylolysis 30:48 Diffuse Idiopathic Skeletal Hyperostosis (DISH) 32:23 Imaging Terminology and Plain Films 36:19 Pathophysiology of Cervical Radiculopathy 38:34 Physical Examination for Cervical Radiculopathy 44:54 Diagnostic Work-up for Radiculopathy 51:53 Interventions for Cervical Radiculopathy 53:53 Considerations for Surgery 57:49 Recognizing Cervical Myelopathy 01:00:17 Natural History of Myelopathy 01:02:25 Referral and Treatment for Myelopathy 01:09:28 Summary and Takeaways Credits Written and Produced by: Paul Williams, MD, FACP Show Notes: Paul Williams, MD, FACP Infographic and Cover Art: Paul Williams, MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Leah Witt, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Anthony Mikula, MD Sponsor: Freed You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. Sponsor: Grammarly Make a bigger impact at work with Grammarly. Sign up and download for FREE at grammarly.com/PODCAST