NECK PAIN

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Abstract
Pain in the neck or occipital region with radiation toward one or both shoulders usually follows a recognizable symptom-sign syndrome which can be accurately diagnosed and effectively treated. There are other cases in which, while the clinical picture and physical manifestations are certainly clear cut, the examination and roentgenograms have heretofore failed to reveal any demonstrable pathologic condition. In the past we have encountered such patients who were suffering from a type of neck pain which had been resistant to all attempts at satisfactory analysis, to say nothing of their complete impassiveness to the usual forms of therapy. Repeated and persistent efforts to identify the condition as bursitis, tendosynovitis, periarthritis, cervical rib phenomenon, anterior scalenus syndrome, supraspinatus disturbance, a localized myofascial lesion or, in some cases, even anatomic changes in the cervical vertebrae failed by all diagnostic as well as therapeutic tests. The ordinary roentgenograms of the cervical and shoulder

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