TY - JOUR
T1 - National clinical guidelines for non-surgical treatment of patients with recent onset neck pain or cervical radiculopathy
AU - Kjær, Per
AU - Kongsted, Alice
AU - Hartvigsen, Jan
AU - Isenberg-Jørgensen, Alexander
AU - Schiøttz-Christensen, Berit
AU - Søborg, Bolette
AU - Krog Skott , Charlotte
AU - Møller, Christian Martin
AU - Halling, Christine Marie Bækø
AU - Lauridsen, Henrik Hein
AU - Hansen, Inge Ris
AU - Nørregaard, Jesper
AU - Jørgensen, Karsten Juhl
AU - Hansen, Lars Valentin
AU - Jakobsen, Marie
AU - Jensen, Martin Bach
AU - Melbye, Martin
AU - Duel, Peter
AU - Christensen, Steffan Wittrup
AU - Povlsen, Tina Myung
PY - 2017
Y1 - 2017
N2 - PURPOSE: To summarise recommendations about 21 selected non-surgical interventions for recent onset (<12 weeks) non-specific neck pain (NP) and cervical radiculopathy (CR) based on two guidelines from the Danish Health Authority.METHODS: Two multidisciplinary working groups formulated recommendations based on the GRADE approach.RESULTS: Twelve recommendations were based on evidence and nine on consensus. Management should include information about prognosis, warning signs, and advise to remain active. For treatment, guidelines suggest different types of supervised exercise and manual therapy; combinations of exercise and manual therapy before medicine for NP; acupuncture for NP but not CR; traction for CR; and oral NSAID (oral or topical) and Tramadol after careful consideration for NP and CR.CONCLUSION: Recommendations are based on low-quality evidence or on consensus, but are well aligned with recommendations from guidelines from North America. The working groups recommend intensifying research relating to all aspects of management of NP and CR.
AB - PURPOSE: To summarise recommendations about 21 selected non-surgical interventions for recent onset (<12 weeks) non-specific neck pain (NP) and cervical radiculopathy (CR) based on two guidelines from the Danish Health Authority.METHODS: Two multidisciplinary working groups formulated recommendations based on the GRADE approach.RESULTS: Twelve recommendations were based on evidence and nine on consensus. Management should include information about prognosis, warning signs, and advise to remain active. For treatment, guidelines suggest different types of supervised exercise and manual therapy; combinations of exercise and manual therapy before medicine for NP; acupuncture for NP but not CR; traction for CR; and oral NSAID (oral or topical) and Tramadol after careful consideration for NP and CR.CONCLUSION: Recommendations are based on low-quality evidence or on consensus, but are well aligned with recommendations from guidelines from North America. The working groups recommend intensifying research relating to all aspects of management of NP and CR.
KW - Journal Article
KW - Review
U2 - 10.1007/s00586-017-5121-8
DO - 10.1007/s00586-017-5121-8
M3 - Review article
C2 - 28523381
SN - 0940-6719
VL - 26
SP - 2242
EP - 2257
JO - European Spine Journal
JF - European Spine Journal
IS - 9
ER -