PONOS CLINIC · CERVICAL SPINE
Neck pain and cervicalgia
A specialist pathway to distinguish joint, muscular, radicular and cervicogenic pain when symptoms persist.
What is neck pain?
Neck pain may radiate to the shoulders, head or arms and may be associated with stiffness, restricted movement, tingling or headache. Duration and distribution help define the pathway.
Diagnosis requires correlation between the clinical history, examination and imaging when indicated.
Causes to distinguish
Posterior joints
Cervical arthrosis and facet joint pain may worsen with extension and rotation.
Nerve root
Disc herniation, protrusion or stenosis may be associated with radiating pain, altered sensation or neurological deficits requiring assessment.
Cervicogenic pain
A cervical source may contribute to occipital pain or headache in selected patients.
Accurate diagnosis
- Clinical history and symptom mapping.
- Neurological and musculoskeletal examination.
- Review of previous MRI, CT or X-rays.
- Targeted tests only when they can clarify the treatment target.
A common imaging finding does not by itself establish the cause of pain.
Targeted treatments
The pathway may include education, physiotherapy, medication and, when indicated, injections or radiofrequency treatment of the identified structures. Procedures are planned according to anatomy, symptoms and test responses.
Progressive weakness, walking difficulties or changes in bladder or bowel control require urgent medical assessment.
Frequently asked questions
Does neck pain always cause dizziness?
No. Dizziness has different causes and requires appropriate assessment.
When is imaging useful?
When symptoms, duration or neurological signs make anatomical definition and differential diagnosis useful.
Is radiofrequency suitable for everyone?
No. It is selective and follows diagnostic assessment and informed consent.
Let us define the pain target together
Bring reports and note which movements or activities trigger symptoms.
This information is educational and does not replace an individual medical assessment.