#435 Neck Pain with Dr. Anthony Mikula

The Curbsiders Internal Medicine Podcast

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.
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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

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