肩颈痛怎样治疗

肩颈痛如何治疗配图，仅供参考

MANAGEMENT IN PRIMARY CARE
In the absence of severe myelopathic or radicular symptoms,first-line treatment of neck pain without red flags would be conservative. Understanding the impact of neck pain on a patient’s daily activities can help to determine the urgency and appropriateness of intervention. Patients with cervical radiculopathy due to degenerative disorders can be reassured that pain is usually self-limited and will resolve spontaneously without specific treatment. In most cases,patients improve in 4–6 weeks,but a minority of patients may have persistent pain for 1–2 years before complete resolution.[]
Physiotherapy in combination with home exercises has been shown to reduce neck pain,and acupuncture has been shown to have modest benefit. Moreover,patients should be advised to avoid exacerbating their symptoms with lifestyle modifications such as limiting carrying heavy loads. Educating patients about the benefits of being physically active and participating in their care improves outcomes.
# Pharmacological management
The use of simple analgesic drugs,such as acetaminophen,nonsteroidal anti-inflammatory drugs (NSAIDs) and oral muscle relaxants,is recommended in the guidelines. Although NSAIDs are more efficacious than acetaminophen,acetaminophen is recommended as a first-line drug because of its more favourable adverse effect profile. Topical NSAIDs can also be used for patients with predominantly mechanical neck pain. With regards to patients with neuropathic pain,a trial of neuropathic agent,such as gabapentin or pregabalin,can be offered to those with neurological signs or symptoms lasting over a month. However,data on the effectiveness of these medications for neck pain are limited. Tramadol and narcotics may have some benefit,but only for a short term.","department":"