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DECISION AID FOR COMMON NECK PAIN (Life Style Neck Pain) PREAMBLE ABOUT COMMON NECK PAIN– One of the Most Common Problem in the World 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 In effective option alone Effective with other NP Options Advantages Simple Easy Short duration 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 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