Neck pain

Musculoskeletal Joint pain arthralgia muscle cramps/pain back/neck pain arthritis twitching/tremor localized pain extremity pain myalgia. 

Cervical dystonia (CD) (Botox only) For the treatment of CD in adults to decrease the severity of abnormal head position and neck pain associated with CD. Glabellar lines (Botox Cosmetic only) For the temporary improvement in the appearance of moderate to severe glabellar lines associated with corrugator or procerus muscle activity in adult patients 65 years of age or younger. 

In general, adverse events occur within the first week following injection of botulinum toxin type A and, while generally transient, may have a duration of several months. CD. Adverse reactions in at least 3% of patients include dysphagia, upper respiratory infection, neck pain, headache, dyspnea, increased cough, flu syndrome, back pain, rhinitis, dizziness, hypertonia, injection site soreness, asthenia, oral dryness, speech disorder, fever, nausea, and drowsiness. 

Numbness or tingling in arms dizziness diaphoresis hypotension palpitations chest, jaw, or neck pain... 

Anorexia, fever, neck pain, peripheral edema, ear pain, facial edema, vertigo, vomiting... 

Urinary frequency, vivid dreams, neck pain, hypotension, vomiting Serious Reactions... 

Consequently, polysynaptic inhibitors can help provide short-term relief for muscle spasms associated with certain musculoskeletal conditions, and they may work synergistically with physical therapy and other interventions during acute episodes of back pain, neck pain, and so forth. Nonetheless, they have some rather serious side effects and potential for abuse, and the long-term use of these drugs should be discouraged. 

Sycha T, Kranz G, Auff E, Schnider R Botulinum toxin in the treatment of rare head and neck pain syndromes a systematic review of the literature. J Neurol. 2004 251(suppl 1) I19-I30. 

Cervical dystonia to reduce the severity of abnormal head position and neck pain C. botulinum... 

As noted previously (SEDA-10, 21), hepatotoxicity has been described with maprotiline, and two further reports have been published. In one of these, hepatotoxicity was observed in a 54-year-old man treated with maprotiline for chronic head and neck pain (19). The other report described a patient who developed a marked increase in liver enzymes and symptoms during therapy with maprotiline and opipramol after withdrawal the patient recovered completely (20). 

A 34-year-old woman presented with a 9-day history of fever, chills, photophobia, and neck pain. Nine months earlier, she had developed a swelling on her forehead, which enlarged and spontaneously drained pus. Over the next weeks, a fistula developed at the site of the swelling, accompanied by an intermittent bloody purulent drainage that lasted for about 9 months. She had either inhaled metamfetamine or had used it intrana-sally weekly for 15 years and reported continued use... 

A 23-year-old woman developed chest, back, and neck pain, and surgical emphysema over the chest and neck 7 hours after taking ecstasy. She had surgical emphysema in the mediastinum and neck and was given intravenous fluids and antibiotics. 

The goal ot treatment ot chronic pain conditions such as neuropathic pain, fibromyalgia, headaches, low back pain, and neck pain Is to reduce symptoms as much as possible, especially In combination with other treatments... 

Remains one of the most favored TCAs for treating headache and a wide variety of chronic pain syndromes, including neuropathic pain, fibromyalgia, migraine, neck pain, and low back pain... 

The standard regimen for stress testing with intravenous adenosine is 140 micrograms/kg/minute for 6 minutes. However, in 599 patients a 3-minute infusion was associated with a lower frequency of some adverse effects (specifically flushing, headache, neck pain, and atrioventricular block) and had similar sensitivity in the diagnosis of coronary artery disease (43). 

Manipulative therapies (chiropractic and osteopathy) are amongst the most prevalent of complementary treatments. Spinal manipulation is carried out by chiropractors, osteopaths, physiotherapists, and other healthcare professionals to treat back and neck pain as well as other (predominantly musculoskeletal) disorders. 

A literature review has provided reassurance about the relative safety of spinal manipulation (142). When the serious adverse effects of non-steroidal anti-inflammatory drugs were compared with those of spinal manipulation, both used for neck pain, manipulation emerged as being safer by more than two orders of magnitude. However, these procedures can be associated with serious complications, particularly when they involve the cervical spine (143). 

A 46-year-old man consulted a traditional Chinese bone setter for persistent neck pain (181). The healer had forcefully rotated his head to one side and then to the other side. The patient immediately developed numbness of the whole body and dyspnea. An MRI... 

Neck pain Vertigo, profuse vomiting Cervical Chiropractor Certain (174)... 

A 67-year-old woman had spinal manipulation for neck pain and experienced severe pain (182). She subsequently noted weakness of her left side, which worsened rapidly and also affected bladder function. She had a left-sided ptosis, all sensation was impaired below C6, and she had urinary incontinence. An MRI scan showed an epidural hematoma in the left posterolateral aspect of the spinal cord at C3-C5. Laminectomy was performed and a large epidural hematoma was removed. She subsequently made a full recovery. 

A 34-year-old man with a whiplash injury consulted a chiropractor for his neck pain, and 36 hours after one particularly painful treatment he experienced throbbing, positional headache, dizziness, diplopia, otorrhea, and rhinorrhea (183). After thorough neurological examination the author concluded that the patient had suffered a dural tear due to cervical manipulation. 

A 34-year-old woman had memory loss, ataxia, and poor co-ordination of the right arm associated with right neck pain after consulting a chiropractor (184). An MRI scan confirmed a right cerebellar infarct, most probably caused by upper spinal manipulation. She made a full recovery within 1 month. 

A 41-year-old man with neck pain sought chiropractic care and the evening after felt unable to breathe in the recumbent position (185). Diaphragmatic paralysis was attributed to phrenic nerve injury during cervical manipulation. He remained short of breath and had persistent difficulties breathing in the supine position. 

Dabbs V, Lauretti WJ. A risk assessment of cervical manipulation vs. NSAlDs for the treatment of neck pain. J Manipulative Physiol Ther 1995 18(8) 530-6. 

A 42-year-old woman with neck pain took 15 g of maqianzi in two doses 7 hours apart (recommended dose 0.3-0.6 g) (2). One hour after she took the second dose she suddenly developed tonic contractions of all her limbs and carpopedal spasm lasting 5 minutes, difficulty in breathing, chest discomfort, and perioral numbness. She complained of muscle pain and tiredness and had hyperventilation and weakness of all four limbs. All her symptoms gradually subsided over the next few hours. 

The commonly recognized complications of osmotic agents used in patients with acute closed-angle glaucoma are mild headache, neck pain, nausea, and vomiting. 

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