#435 Neck Pain with Dr. Anthony Mikula

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 15 April 2024

⏱️ 75 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

A real pain in the neck (Get it?! We have fun.)

Protect your neck! Learn how to evaluate a patient with neck pain, and differentiate between mechanical neck pain, radiculopathy, and myelopathy. You’ll learn who should be reassured, who should see a surgeon, and what nonoperative options are available. We’re joined by Dr. Anthony Mikula @anthony_mikula from Mayo Clinic.

Claim CME for this episode at curbsiders.vcuhealth.org!

Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME

Show Segments

00:00 Introduction
06:14 Anatomy and Pain Generators
09:58 Approach to Neck Pain
22:57 Differentiating Radiculopathy from Non-Specific Neck Pain
24:05 Management of Mechanical Neck Pain
27:36 Indications for Imaging
29:21 Terminology and Explanation of Spondylosis, Spondylolisthesis, and Spondylolysis
30:48 Diffuse Idiopathic Skeletal Hyperostosis (DISH)
32:23 Imaging Terminology and Plain Films
36:19 Pathophysiology of Cervical Radiculopathy
38:34 Physical Examination for Cervical Radiculopathy
44:54 Diagnostic Work-up for Radiculopathy
51:53 Interventions for Cervical Radiculopathy
53:53 Considerations for Surgery
57:49 Recognizing Cervical Myelopathy
01:00:17 Natural History of Myelopathy
01:02:25 Referral and Treatment for Myelopathy
01:09:28 Summary and Takeaways

Credits

Written and Produced by: Paul Williams, MD, FACP
Show Notes: Paul Williams, MD, FACP
Infographic and Cover Art: Paul Williams, MD, FACP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Leah Witt, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Anthony Mikula, MD

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Grammarly

Make a bigger impact at work with Grammarly. Sign up and download for FREE at grammarly.com/PODCAST

Transcript

Click on a timestamp to play from that location

0:00.0	Hey listeners it's 2024 and we are so excited for everything ahead this year.
0:05.6	If you haven't done so already make sure to check out our Patreon at patreon dot com
0:10.3	slash curbsideers where you can get access to bonus episodes we've already
0:13.9	released 18 of them and they come out twice a month plus you can get access to
0:18.0	add free episodes and our private discord server to hang out with other members of
0:22.4	the cashlack community.
0:23.7	That's Patreon.com slash Herbciders.
0:29.8	You know Paul, a person with no head or neck is just not capable.
0:37.0	Capable of what? Like you can't put a cape on there?
0:42.0	Okay, with the cape. Gotcha.
0:43.1	All right, that's not bad. So I went on the journey instead of finding a pun and I
0:47.6	hesitate to share this with you. But the first thing that auto completed was turtle neck
0:52.1	jokes and there are actually the 13
0:54.8	Instagram captions for all of your trendy turtle neck picks which I was tempted to go
0:57.7	through but let me ask you this mad okay why don't tortoises wear scarves?
1:04.0	I don't know.
1:05.0	But because they have turtle necks.
1:07.0	There you go.
1:10.0	That's good.
1:11.0	Thanks.
1:13.0	The Curbsiders Podcast is for entertainment, education and information purposes only and the topics
1:18.1	discuss should not be used solely to diagnose, cure, or prevent any diseases or conditions.
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from The Curbsiders Internal Medicine Podcast, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of The Curbsiders Internal Medicine Podcast and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.