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The Curbsiders Internal Medicine Podcast
#435 Neck Pain with Dr. Anthony Mikula
75 min •
15 april 2024
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!
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Show Segments
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
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