Popis: |
espanolEl dolor cervical es una de las causas mas frecuentes de discapacidad. Para realizar una correcta aproximacion diagnostica es importante distinguir el origen del dolor, ya sea de tipo neuropatico, no neuropatico o mecanico. El medico debera prestar especial atencion a los signos de alarma mas frecuentes, indicativos de procesos de mayor gravedad y, junto con una historia clinica dirigida y una exploracion fisica, solicitar las pruebas de imagen y electrodiagnostico mas adecuadas en base a la sospecha clinica y a la evolucion del proceso, sin olvidar que tienen una utilidad variable, especialmente en procesos cronicos y/o degenerativos. EnglishNeck pain is one of the most frequent causes of disability. For a correct diagnostic approach, it is important to identify the source of pain, whether mechanical, non-neuropathic or neuropathic. The physician has to pay special attention to the most frequent signs of alarm, indicative of more serious processes, and take a targeted medical history and carry out a physical examination; most importantly, the most appropriate imaging and electrodiagnostic testing has to be ordered based on clinical suspicion and the evolution of the process, without forgetting that they are of variable usefulness, especially in chronic and/or degenerative processes. |