Should I receive manual therapy and/or exercise for my neck pain?
Background:
· Neck pain affects approximately 1/3 adults each year1
· Many people with neck pain say it is disabling2
What is effective treatment for neck pain?
· The best available evidence suggests a multimodal approach including manual therapy and exercise may be the optimal treatment for neck pain3-6.
What do most people do for their neck pain?
· A survey in 2001 suggested that only 1/4 people with neck pain receive care from a health care practitioner7.
· Many people with neck pain receive care with limited or no supporting evidence, including: heat, cold, electrotherapy, massage, bracing, ultrasound, and certain narcotics8.
· The treatment with the most supporting evidence, exercise, is underused8.
Why are patient decision aids helpful?
· It is important that people with neck pain are involved in their own care to make sure that their treatment matches their preferences9
· In order to make a treatment decisions, patients need support and knowledge
· Patient decision aids increase patients knowledge and get people more involved in their own treatment decisions10
Why is a patient decision aid for neck pain needed?
· We recently conducted a study where we asked people with neck pain about their experience in seeking care for their condition11
· People said they needed more useful information and needed to be listened to
· People with neck pain also voiced concerns over the potential benefits and side effects of treatments, in particular, chiropractic manipulation
· The patient decision aid attached provides the useful information needed to make a decision on whether or not to receive manual therapy and exercise for neck pain.
· The patient decision aid provides a tool to help people discuss the risks and benefits of treatment with their health care provider
Should I receive manual therapy and exercise for my neck pain?
· The decision aid attached to this blog post is meant to help you decide whether or not to receive manual therapy and exercise for your neck pain12.
· You can use it on your own or take it with you to your doctor or physiotherapist to talk about the options
References:
1) Croft PR, Lewis M, Papageorgiou AC et al. Risk factors for neck pain: a longitudinal study in the general population. Pain 2001 September;93(3):317-325.
2) Webb R, Brammah T, Lunt M, Urwin M, Allison T, Symmons D. Prevalence and predictors of intense, chronic, and disabling neck and back pain in the UK general population. Spine (Phila Pa 1976 ) 2003 June 1;28(11):1195-1202.
3) Graham N, Ho E, Khan M, Gross A, ICON. Physical Modalities for Neck Pain: A Systematic Overview. Unpublished
4) Gross A, ICON. Manual therapy and exercise for neck pain: A systematic overview. Unpublished.
5) Gross A, ICON. Psychological Care, Patient Education, Orthoses and Prevention for Neck Pain: A Systematic Overview. Unpublished.
6) Khan M, Gross A, Sataguida L, Lowcock J, Peloso P, Shi Q, Langevin P, ICON. Medicinal and Medical Injections for Neck Pain: A Systematic Overview. Unpublished.
7) Cote P, Cassidy JD, Carroll L. The treatment of neck and low back pain: who seeks care? who goes where? Med Care 2001; 39(9):956-967.
8) Goode AP, Freburger J, Carey T. Prevalence, practice patterns, and evidence for chronic neck pain. Arthritis Care Res (Hoboken ) 2010; 62(11):1594-1601.
9) Institute of Medicine (2001).Crossing the quality chasm: A new health system for the 21st century.National Academy Press. Washington, DC.
10) Stacey D, Bennett CL, Barry MJ, Col NF, Eden KB, Holmes-Rovner M, Llewellyn-Thomas H, Lyddiatt A, Légaré F, Thomson R. Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews 2011, Issue 10. Art. No.: CD001431. DOI: 10.1002/14651858.CD001431.pub3.
11) MacDermid J, Walton D, Miller J, ICON. What is the experience of receiving care for neck pain. Open Orthopaedics 2012 (unpublished).
12) Miller J, Gross AR. Should I receive manual therapy and exercise for my neck pain? A patient decision aid. Physio-pedia 2012. Available at: www.physio-pedia.com.
