Download Decision Aid for Common Neck Pain

DECISION AID FOR COMMON NECK PAIN (Life Style Neck Pain)
PREAMBLE ABOUT COMMON NECK PAIN– One of the Most Common Problem in the World
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Second Most Common after Low--backache
It is mainly due to present day life style
Has physical,mental,social,emotional and financial implications
Causes pain, Affects function and day to day activities
May cause stress, depression and anxiety
Conventional treatment methods like drugs, physiotherapy and surgery not effective
TREATMENT OPTIONS
Physiotherapy
Drugs
Popular option
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In effective
option alone
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Effective with
other NP Options
Advantages
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Simple
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Easy
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Short duration
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Side effects,
complications less
Disadvantages
- Symptomatic
- Short term pain relief
- Not useful in the
long run
- Expensive
- No Preventive role
- Co-morbidity no role
Second choice
 Paracetamol
 NSAIDS – Only
symptomatic relief
 Calcium – No role
Advantages
 Quick pain relief
 Useful in acute flare
ups
Disadvantages
 Side effects
 Expensive
 No Preventive role
 Does not help in comorbidity
Complications
 Gastritis
 Renal Toxicity
 Short term only
 Not for long term use
Cost - Actuals
Cost - Actuals
Surgery
Last choice
 Not an option in Mild and
Moderate cases
 Indicated in neurological
impairments
 Indicated in only 5% of patients
when other options fail
Disadvantages
 Cannot be done if medically and
anaesthetically unfit
 Very Costly
 Disastrous if complications set in
Complications
 Rare but is a possibility
 Infection
 Blood Loss
 Failure
 Relapse
 Repeat surgery
Cost – Actuals
NECK REHAB PROGRAM (Wholistic Program)
Best Choice
 Non Drug Therapy
 Non Surgical Therapy
 All stages of Neck Pain
 Reversal Therapy concept
Advantages
 Simple
 Effective
 Cheap
 Tackles the disease as a whole
 Overall Improvement of quality of life
 Improves co-morbidity
 Prevents Progression
 Takes care of all modifiable risk factors
Disadvantages: Nil
Complications - Nil
Side Effects - Nil
Preventive Role: Prevents progression and recurrence
Curative Role: Has Potential to cure the problem
Modalities: Selection depends on the disease staging
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Integrated Health Education (IHE)
Integrated Physical Medicine Therapies (IPMT)
Integrated Therapeutic Exercises (ITE)
Integrated Yoga Therapies (IAYT)
Integrated Relaxation Therapies (IRT)
Integrated Ayurvedic Therapies (IAT)
Cost – 1/3rd of the cost of surgery and is in Packages only