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Erschienen in:

18.05.2017 | Review

National clinical guidelines for non-surgical treatment of patients with recent onset neck pain or cervical radiculopathy

verfasst von: Per Kjaer, Alice Kongsted, Jan Hartvigsen, Alexander Isenberg-Jørgensen, Berit Schiøttz-Christensen, Bolette Søborg, Charlotte Krog, Christian Martin Møller, Christine Marie Bækø Halling, Henrik Hein Lauridsen, Inge Ris Hansen, Jesper Nørregaard, Karsten Juhl Jørgensen, Lars Valentin Hansen, Marie Jakobsen, Martin Bach Jensen, Martin Melbye, Peter Duel, Steffan W. Christensen, Tina Myung Povlsen

Erschienen in: European Spine Journal | Ausgabe 9/2017

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Abstract

Purpose

To summarise recommendations about 21 selected non-surgical interventions for recent onset (<12 weeks) non-specific neck pain (NP) and cervical radiculopathy (CR) based on two guidelines from the Danish Health Authority.

Methods

Two multidisciplinary working groups formulated recommendations based on the GRADE approach.

Results

Twelve recommendations were based on evidence and nine on consensus. Management should include information about prognosis, warning signs, and advise to remain active. For treatment, guidelines suggest different types of supervised exercise and manual therapy; combinations of exercise and manual therapy before medicine for NP; acupuncture for NP but not CR; traction for CR; and oral NSAID (oral or topical) and Tramadol after careful consideration for NP and CR.

Conclusion

Recommendations are based on low-quality evidence or on consensus, but are well aligned with recommendations from guidelines from North America. The working groups recommend intensifying research relating to all aspects of management of NP and CR.

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Titel: National clinical guidelines for non-surgical treatment of patients with recent onset neck pain or cervical radiculopathy
verfasst von: Per Kjaer
Alice Kongsted
Jan Hartvigsen
Alexander Isenberg-Jørgensen
Berit Schiøttz-Christensen
Bolette Søborg
Charlotte Krog
Christian Martin Møller
Christine Marie Bækø Halling
Henrik Hein Lauridsen
Inge Ris Hansen
Jesper Nørregaard
Karsten Juhl Jørgensen
Lars Valentin Hansen
Marie Jakobsen
Martin Bach Jensen
Martin Melbye
Peter Duel
Steffan W. Christensen
Tina Myung Povlsen
Publikationsdatum: 18.05.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 9/2017
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-017-5121-8

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National clinical guidelines for non-surgical treatment of patients with recent onset neck pain or cervical radiculopathy

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