Bogduk Nikolai
Newcastle Bone and Joint Institute, Royal Newcastle Centre, University of Newcastle, Newcastle, New South Wales, Australia.
Phys Med Rehabil Clin N Am. 2011 Aug;22(3):367-82, vii. doi: 10.1016/j.pmr.2011.03.008.
Neck pain should not, and must not, be confused with cervical radicular pain. Equating the two conditions, or confusing them, results in misdiagnosis, inappropriate investigations, and inappropriate treatment that is destined to fail. So critical is the difference that pedagogically it is unwise to include the two topics in the same book, let alone the same article. However, traditions and expectations are hard to break. In deference to habit, this article addresses both entities, but does so by underplaying cervical radicular pain so as to retain the emphasis on neck pain.
颈部疼痛不应也绝不能与神经根型颈椎病相混淆。将这两种情况等同或混淆会导致误诊、不恰当的检查以及注定会失败的不恰当治疗。两者的差异至关重要,以至于从教学角度讲,将这两个主题纳入同一本书都是不明智的,更不用说同一篇文章了。然而,传统和期望很难打破。出于习惯,本文讨论了这两种情况,但对神经根型颈椎病的讨论较少,以便将重点保留在颈部疼痛上。