What is the focus of clinical history for cervical disc disease?

Updated: Apr 16, 2020
  • Author: Michael B Furman, MD, MS; Chief Editor: Dean H Hommer, MD  more...
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Answer

Pertinent history should include the following information:

  • Information about pain onset (eg, abrupt onset suggests acute injury)

  • Time since injury

  • Mechanism of injury

  • Percentage of axial versus peripheral pain (eg, 90% neck pain vs 10% upper limb)

  • Review of systems to uncover possible systemic illness (eg, fever suggests infection, weight loss suggests malignancy), as well as any other associated symptoms, including postural changes and pain that primarily occurs at night may also indicate an etiology that warrants further investigation


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