The most common symptoms of cervical disorders are suboccipital cervicogenic headache and/or ongoing or motion-induced neck pain. Other symptoms associated with cervical strain include the following:
Neck pain
At the time of accident, neck pain may be minimal, with an onset of symptoms occurring during the subsequent 12-72 hours.
Nonspecific neck and shoulder pain (a variety of cervical radiculopathies) may indicate an injury to a disc in the upper cervical spine.[37]
Headache
Headache is a frequent symptom of cervical strain.[40]
Neck structures play a role in the pathophysiology of some headaches, but the clinical patterns have not been defined adequately.
Increased muscle hardness (determined by palpation) is significantly increased in patients with chronic tension-type headaches.
Facet joints and intervertebral disc damage have been implicated in the pathology of headaches due to neck injury.[8]
No specific pathology on imaging or diagnostic studies has been correlated with cervicogenic headaches.
Shoulder, scapular, and/or arm pain
Visual disturbances (eg, blurred vision, diplopia)
Tinnitus
Dizziness - This may result from injury to facet joints that are supplied with proprioceptive fibers; when injured, these fibers can cause confused vestibular and visual input to the brain. [8]
Concussion
Neurologic symptoms - These may include weakness or heaviness in the arms, numbness, and paresthesia.
Difficulty sleeping due to pain
Disturbed concentration and memory
Late whiplash syndrome includes symptoms such as headache, vertigo, disturbances in concentration and memory, difficulty swallowing, and impaired vision. These cognitive impairments remain poorly understood.
Many patients with these changes have abnormal results on single-photon emission CT (SPECT) scans or P300 event-related potentials.[41]
Bladder or bowel dysfunction - These may be symptoms of complication of myelopathy (spinal cord involvement).
The most common symptoms of cervical disorders are suboccipital cervicogenic headache and/or ongoing or motion-induced neck pain. Other symptoms associated with cervical strain include the following:Neck painAt the time of accident, neck pain may be minimal, with an onset of symptoms occurring during the subsequent 12-72 hours.Nonspecific neck and shoulder pain (a variety of cervical radiculopathies) may indicate an injury to a disc in the upper cervical spine.[37]HeadacheHeadache is a frequent symptom of cervical strain.[40]Neck structures play a role in the pathophysiology of some headaches, but the clinical patterns have not been defined adequately.Increased muscle hardness (determined by palpation) is significantly increased in patients with chronic tension-type headaches.Facet joints and intervertebral disc damage have been implicated in the pathology of headaches due to neck injury.[8]No specific pathology on imaging or diagnostic studies has been correlated with cervicogenic headaches.Shoulder, scapular, and/or arm painVisual disturbances (eg, blurred vision, diplopia)TinnitusDizziness - This may result from injury to facet joints that are supplied with proprioceptive fibers; when injured, these fibers can cause confused vestibular and visual input to the brain. [8]ConcussionNeurologic symptoms - These may include weakness or heaviness in the arms, numbness, and paresthesia.Difficulty sleeping due to painDisturbed concentration and memoryLate whiplash syndrome includes symptoms such as headache, vertigo, disturbances in concentration and memory, difficulty swallowing, and impaired vision. These cognitive impairments remain poorly understood.Many patients with these changes have abnormal results on single-photon emission CT (SPECT) scans or P300 event-related potentials.[41]Bladder or bowel dysfunction - These may be symptoms of complication of myelopathy (spinal cord involvement).
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